Performance on the Concussion Balance Test Is Indicative of Time to Recovery in Athletes Following Sports-Related Concussion: An Exploratory Analysis.

IF 1.3 4区医学 Q3 REHABILITATION Journal of Sport Rehabilitation Pub Date : 2025-01-20 DOI:10.1123/jsr.2023-0255

Carolina P Quintana, Shelly Massingale, Nicholas R Heebner, Jamie Pardini, Tamara C Valovich-McLeod, Anne D Olson, Arnold Stromberg, Matthew C Hoch

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Abstract

Objective: Sports-related concussions (SRCs) are commonly occurring injuries among athletic and recreationally active populations. SRCs can result in vestibular dysfunction that should resolve before returning to activity. It has been suggested that vestibular impairment is a factor that may influence recovery time. The objective of this study was to evaluate the effect of vestibular function on recovery following SRC.

Design: Retrospective chart review.

Setting: Multidisciplinary Concussion Clinic.

Intervention: A total of 32 patient charts (21 males, 15.34 [1.47] y, 171.29 [8.44] cm, 68.37 [15.47] kg) from patients diagnosed with SRC presenting to a concussion clinic between August of 2016 and July 2017 with clinician-identified vestibular involvement were included.

Main outcome measures: Scores on the Post-Concussion Symptom Scale, Dynamic Visual Acuity Test, Gaze Stabilization Test, Concussion Balance Test (COBALT), and other clinical data were used for analysis. Descriptive statistics were calculated for all variables. Pearson correlations were used to identify variables related to time to recovery. Variables were entered into a forward linear regression model.

Results: Moderate to good relationships were identified between days to recovery and Dynamic Visual Acuity Test lines lost in the leftward direction (1.17 [0.52]; r = .39, P = .04), COBALT-condition 8 sway velocity (1.20 [0.18]; r = .44, P = .01), and days to successful completion of the COBALT (14.72 [8.35]; r = .63, P < .001). Patients' predicted time to recover was equal to 14.61 (0.86) (days to successful COBALT). The model was significant (P < .001, R2 = .30).

Conclusion: The single predictor of time to recover was the number of days to successful completion of the COBALT. Thus, the ability to complete the task may be more informative than the performance on the task in predicting recovery time.

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脑震荡平衡测试的表现是运动员在运动相关脑震荡后恢复时间的指示：探索性分析。

目的：运动相关性脑震荡（src）是运动和娱乐活动人群中常见的伤害。src可导致前庭功能障碍，应在恢复活动前解决。前庭功能障碍是影响恢复时间的一个因素。本研究的目的是评估前庭功能对SRC术后恢复的影响。设计：回顾性图表回顾。单位：多学科脑震荡诊所。干预措施：纳入2016年8月至2017年7月期间就诊于脑震荡诊所并经临床确认前庭受累的SRC患者共32例（21例男性，15.34 [1.47]y, 171.29 [8.44] cm, 68.37 [15.47] kg）。主要观察指标：采用脑震荡后症状量表评分、动态视力测试、凝视稳定测试、脑震荡平衡测试（COBALT）等临床数据进行分析。对所有变量进行描述性统计。使用Pearson相关性来确定与恢复时间相关的变量。将变量输入正线性回归模型。结果：恢复所需天数与动态视力检测线向左丢失之间存在中等至良好的关系(1.17 [0.52]；r = .39, P = .04)，钴条件下8摇摆速度(1.20 [0.18]；r = 0.44, P = 0.01)，距COBALT井成功完井所需天数(14.72 [8.35]；r = 0.63, P < 0.001)。患者预计恢复时间等于14.61（0.86）天（成功钴）。模型具有显著性（P < 0.001, R2 = 0.30）。结论：恢复时间的单一预测因子是成功完成COBALT的天数。因此，在预测恢复时间时，完成任务的能力可能比任务的性能提供更多信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Sport Rehabilitation 医学-康复医学

CiteScore

3.20

自引率

5.90%

发文量

143

审稿时长

>12 weeks

期刊介绍： The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.