Sports concussion assessment: the effect of exercise on dynamic and static balance
This study determined the effect of exercise on measures of static and dynamic balance used in the assessment of sports‐related concussion (SRC). A balanced three‐group cross‐over randomized design was used with three levels of exercise verified by blood‐lactate, heart rate and “perceived‐exertion”:...
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| Veröffentlicht in: | Scandinavian journal of medicine & science in sports 2012-02, Vol.22 (1), p.85-90 |
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| creator | Schneiders, A. G. Sullivan, S. J. Handcock, P. Gray, A. McCrory, P. R. |
| description | This study determined the effect of exercise on measures of static and dynamic balance used in the assessment of sports‐related concussion (SRC). A balanced three‐group cross‐over randomized design was used with three levels of exercise verified by blood‐lactate, heart rate and “perceived‐exertion”: no exercise/rest (NE), moderate‐intensity exercise (ME), and high‐intensity exercise (HE). Participants performed two timed balance tasks: tandem gait (TG) and single‐leg stance (SLS); pre‐ and post‐exercise and 15 min after exercise. Linear mixed‐models with adjusted means and contrasts compared exercise effects. Ninety asymptomatic participants (45♂:45♀) were recruited. When times were contrasted with NE; HE resulted in a significant decrease in SLS (P |
| doi_str_mv | 10.1111/j.1600-0838.2010.01141.x |
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G. ; Sullivan, S. J. ; Handcock, P. ; Gray, A. ; McCrory, P. R.</creator><creatorcontrib>Schneiders, A. G. ; Sullivan, S. J. ; Handcock, P. ; Gray, A. ; McCrory, P. R.</creatorcontrib><description>This study determined the effect of exercise on measures of static and dynamic balance used in the assessment of sports‐related concussion (SRC). A balanced three‐group cross‐over randomized design was used with three levels of exercise verified by blood‐lactate, heart rate and “perceived‐exertion”: no exercise/rest (NE), moderate‐intensity exercise (ME), and high‐intensity exercise (HE). Participants performed two timed balance tasks: tandem gait (TG) and single‐leg stance (SLS); pre‐ and post‐exercise and 15 min after exercise. Linear mixed‐models with adjusted means and contrasts compared exercise effects. Ninety asymptomatic participants (45♂:45♀) were recruited. When times were contrasted with NE; HE resulted in a significant decrease in SLS (P<0.001) and TG (P<0.001) performance immediately following exercise. Fifteen minutes of recovery improved SLS (P<0.001) and TG (P=0.011) from post‐exercise performance. ME caused a significant decrease in performance in SLS (P=0.038) but not TG (P=0.428). No statistically significant change occurred following ME in any tasks after 15‐min recovery (SLS P=0.064; TG P=0.495). Test–retest reliability was considerably higher for the dynamic task compared with the static task. The reliability of static and dynamic balance tasks, and the change in performance following exercise, have implications for the immediate assessment of SRC, as these measures are utilized in concussion assessment instruments.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/j.1600-0838.2010.01141.x</identifier><identifier>PMID: 20561282</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; athletic injuries ; Athletic Injuries - diagnosis ; Athletic Injuries - physiopathology ; brain concussion ; Brain Concussion - diagnosis ; Brain Concussion - physiopathology ; Cross-Over Studies ; Exercise ; Exercise - physiology ; Female ; Gait ; Head injuries ; Humans ; Lactic Acid - blood ; Linear Models ; Male ; Motor ability ; motor performance ; Postural Balance ; Psychomotor Performance ; reliability ; Reproducibility of Results ; Sports injuries ; Task Performance and Analysis ; Young Adult</subject><ispartof>Scandinavian journal of medicine & science in sports, 2012-02, Vol.22 (1), p.85-90</ispartof><rights>2010 John Wiley & Sons A/S</rights><rights>2010 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4651-ffbc3bc4e433420a365d44ccd58bdd0e34cd8b1e5dbea388f90888e80201fca73</citedby><cites>FETCH-LOGICAL-c4651-ffbc3bc4e433420a365d44ccd58bdd0e34cd8b1e5dbea388f90888e80201fca73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0838.2010.01141.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0838.2010.01141.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20561282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schneiders, A. G.</creatorcontrib><creatorcontrib>Sullivan, S. J.</creatorcontrib><creatorcontrib>Handcock, P.</creatorcontrib><creatorcontrib>Gray, A.</creatorcontrib><creatorcontrib>McCrory, P. R.</creatorcontrib><title>Sports concussion assessment: the effect of exercise on dynamic and static balance</title><title>Scandinavian journal of medicine & science in sports</title><addtitle>Scand J Med Sci Sports</addtitle><description>This study determined the effect of exercise on measures of static and dynamic balance used in the assessment of sports‐related concussion (SRC). A balanced three‐group cross‐over randomized design was used with three levels of exercise verified by blood‐lactate, heart rate and “perceived‐exertion”: no exercise/rest (NE), moderate‐intensity exercise (ME), and high‐intensity exercise (HE). Participants performed two timed balance tasks: tandem gait (TG) and single‐leg stance (SLS); pre‐ and post‐exercise and 15 min after exercise. Linear mixed‐models with adjusted means and contrasts compared exercise effects. Ninety asymptomatic participants (45♂:45♀) were recruited. When times were contrasted with NE; HE resulted in a significant decrease in SLS (P<0.001) and TG (P<0.001) performance immediately following exercise. Fifteen minutes of recovery improved SLS (P<0.001) and TG (P=0.011) from post‐exercise performance. ME caused a significant decrease in performance in SLS (P=0.038) but not TG (P=0.428). No statistically significant change occurred following ME in any tasks after 15‐min recovery (SLS P=0.064; TG P=0.495). Test–retest reliability was considerably higher for the dynamic task compared with the static task. The reliability of static and dynamic balance tasks, and the change in performance following exercise, have implications for the immediate assessment of SRC, as these measures are utilized in concussion assessment instruments.</description><subject>Adolescent</subject><subject>Adult</subject><subject>athletic injuries</subject><subject>Athletic Injuries - diagnosis</subject><subject>Athletic Injuries - physiopathology</subject><subject>brain concussion</subject><subject>Brain Concussion - diagnosis</subject><subject>Brain Concussion - physiopathology</subject><subject>Cross-Over Studies</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Gait</subject><subject>Head injuries</subject><subject>Humans</subject><subject>Lactic Acid - blood</subject><subject>Linear Models</subject><subject>Male</subject><subject>Motor ability</subject><subject>motor performance</subject><subject>Postural Balance</subject><subject>Psychomotor Performance</subject><subject>reliability</subject><subject>Reproducibility of Results</subject><subject>Sports injuries</subject><subject>Task Performance and Analysis</subject><subject>Young Adult</subject><issn>0905-7188</issn><issn>1600-0838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuP0zAURi0EYsrAX0AWG1bpXL8SB4kFGsEwqDxEeUhsLMe-FilN0rET0f57HDp0wQa8sWWf75OvDiGUwZLldbFZshKgAC30kkO-BcYkW-7vkMXp4S5ZQA2qqJjWZ-RBShsAVtVS3SdnHFTJuOYL8nG9G-KYqBt6N6XUDj21KWFKHfbjMzp-R4ohoBvpECjuMbo2Ic2UP_S2ax21vadptGM-NnZre4cPyb1gtwkf3e7n5POrl58uXxer91fXly9WhZOlYkUIjRONkyiFkBysKJWX0jmvdOM9oJDO64ah8g1aoXWoQWuNGvLAwdlKnJOnx95dHG4mTKPp2uRwmz-Bw5RMzUGDFLn-nyQrmazqmmXyyV_kZphin8eYIc5VDXOdPkIuDilFDGYX287Gg2FgZj9mY2YNZtZgZj_mtx-zz9HHt_1T06E_Bf8IycDzI_Cz3eLhv4vN-u16PuV8ccy3acT9KW_jD1NWolLm67srwz_wN_IL_2ZW4hdgf6z2</recordid><startdate>201202</startdate><enddate>201202</enddate><creator>Schneiders, A. G.</creator><creator>Sullivan, S. J.</creator><creator>Handcock, P.</creator><creator>Gray, A.</creator><creator>McCrory, P. R.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201202</creationdate><title>Sports concussion assessment: the effect of exercise on dynamic and static balance</title><author>Schneiders, A. G. ; Sullivan, S. J. ; Handcock, P. ; Gray, A. ; McCrory, P. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4651-ffbc3bc4e433420a365d44ccd58bdd0e34cd8b1e5dbea388f90888e80201fca73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>athletic injuries</topic><topic>Athletic Injuries - diagnosis</topic><topic>Athletic Injuries - physiopathology</topic><topic>brain concussion</topic><topic>Brain Concussion - diagnosis</topic><topic>Brain Concussion - physiopathology</topic><topic>Cross-Over Studies</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Gait</topic><topic>Head injuries</topic><topic>Humans</topic><topic>Lactic Acid - blood</topic><topic>Linear Models</topic><topic>Male</topic><topic>Motor ability</topic><topic>motor performance</topic><topic>Postural Balance</topic><topic>Psychomotor Performance</topic><topic>reliability</topic><topic>Reproducibility of Results</topic><topic>Sports injuries</topic><topic>Task Performance and Analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schneiders, A. G.</creatorcontrib><creatorcontrib>Sullivan, S. J.</creatorcontrib><creatorcontrib>Handcock, P.</creatorcontrib><creatorcontrib>Gray, A.</creatorcontrib><creatorcontrib>McCrory, P. R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of medicine & science in sports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schneiders, A. G.</au><au>Sullivan, S. J.</au><au>Handcock, P.</au><au>Gray, A.</au><au>McCrory, P. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sports concussion assessment: the effect of exercise on dynamic and static balance</atitle><jtitle>Scandinavian journal of medicine & science in sports</jtitle><addtitle>Scand J Med Sci Sports</addtitle><date>2012-02</date><risdate>2012</risdate><volume>22</volume><issue>1</issue><spage>85</spage><epage>90</epage><pages>85-90</pages><issn>0905-7188</issn><eissn>1600-0838</eissn><abstract>This study determined the effect of exercise on measures of static and dynamic balance used in the assessment of sports‐related concussion (SRC). A balanced three‐group cross‐over randomized design was used with three levels of exercise verified by blood‐lactate, heart rate and “perceived‐exertion”: no exercise/rest (NE), moderate‐intensity exercise (ME), and high‐intensity exercise (HE). Participants performed two timed balance tasks: tandem gait (TG) and single‐leg stance (SLS); pre‐ and post‐exercise and 15 min after exercise. Linear mixed‐models with adjusted means and contrasts compared exercise effects. Ninety asymptomatic participants (45♂:45♀) were recruited. When times were contrasted with NE; HE resulted in a significant decrease in SLS (P<0.001) and TG (P<0.001) performance immediately following exercise. Fifteen minutes of recovery improved SLS (P<0.001) and TG (P=0.011) from post‐exercise performance. ME caused a significant decrease in performance in SLS (P=0.038) but not TG (P=0.428). No statistically significant change occurred following ME in any tasks after 15‐min recovery (SLS P=0.064; TG P=0.495). Test–retest reliability was considerably higher for the dynamic task compared with the static task. The reliability of static and dynamic balance tasks, and the change in performance following exercise, have implications for the immediate assessment of SRC, as these measures are utilized in concussion assessment instruments.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20561282</pmid><doi>10.1111/j.1600-0838.2010.01141.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult athletic injuries Athletic Injuries - diagnosis Athletic Injuries - physiopathology brain concussion Brain Concussion - diagnosis Brain Concussion - physiopathology Cross-Over Studies Exercise Exercise - physiology Female Gait Head injuries Humans Lactic Acid - blood Linear Models Male Motor ability motor performance Postural Balance Psychomotor Performance reliability Reproducibility of Results Sports injuries Task Performance and Analysis Young Adult |
| title | Sports concussion assessment: the effect of exercise on dynamic and static balance |
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