Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome
Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concur...
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| Veröffentlicht in: | Journal of athletic training 2020-05, Vol.55 (5), p.475-481 |
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| creator | Rochefort, Coralie Legace, Elizabeth Boulay, Chadwick Macartney, Gail Goulet, Kristian Zemek, Roger Sveistrup, Heidi |
| description | Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concurrently.
To compare balance measures and saccades between adolescents 1 to 3 months postconcussion and healthy uninjured adolescents.
Case-control study.
Concussion clinic and 2 private schools.
Twenty-five adolescents (10 boys, 15 girls; median [interquartile range (IQR)] age = 14 years [11.5-16 years]) between 1 and 3 months postconcussion (median [IQR] time since injury = 39.5 days [30-56.75 days]) and 33 uninjured adolescents (18 boys, 15 girls; median [IQR] age = 13 years [11.5-14 years]).
The center-of-pressure 95% ellipse area and medial-lateral and anterior-posterior velocity and the number of saccades in the dual-task balance conditions including a high cognitive load (cognitive condition), a low cognitive load and a gaze-shifting component (visual condition) or both a high cognitive load and a gaze-shifting component (combined condition).
Concussion-group participants swayed over larger center-of-pressure ellipse areas in the visual (
= .02; effect size = 0.73) and combined (
= .005; effect size = 0.86) conditions but not in the cognitive condition (
= .07; effect size = 0.50). No group differences were identified for anterior-posterior (
= 2.57,
= .12) or medial-lateral (
= 0.157,
= .69) velocity. Concussion-group participants also did not perform more saccades than the control-group participants (
= 2.04,
= .16).
Performing dual-task balance conditions for which the secondary task involved a gaze-shifting component or both a gaze-shifting component and a high cognitive load resulted in greater sway amplitude in adolescents with concussion. However, these larger amounts of postural sway were not associated with increased saccadic eye movements. |
| doi_str_mv | 10.4085/1062-6050-548-18 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7249291</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2384210212</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-627ccb53b0c15b5cb93888e67ada96fbbed178ef6cb4b1ffda9dfaf292ac02d03</originalsourceid><addsrcrecordid>eNpdkUtr3TAQhUVpyavZd1UE3WTjVBrLsrwpJCFpA7m0kJZ2VaHHuHFqS4lkB-6_ry550GSlYebMYY4-Qt5xdiiYaj5yJqGSrGFVI1TF1Suyw7u6VBJ-vS7143ib7OZ8zRiHppNbZLsG4FI2aof8PjajCQ7pyqS_mDI1wdNL45zxg6Ona6xW8Q4nDDNdoclLwkyHQI98HDG70s705zBf0W8xzy4Gt-Q8xEAv18GnOOFb8qY3Y8b9h3eP_Dg7_X7ypbr4-vn85OiicgLEXElonbNNbZnjjW2cLSGUQtkabzrZW4uetwp76aywvO9L1_emhw6MY-BZvUc-3fveLHZCvzksmVHfpGEyaa2jGfTzSRiu9J94p1sQHXS8GBw8GKR4u2Ce9TSUfGP5HIxL1lArAZwBhyL98EJ6HZcUSjwNggnZ1VC3RcXuVS7FnBP2T8dwpjfw9IaO3tDRBZ7mqqy8_z_E08IjrfofSBaXKg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2404693237</pqid></control><display><type>article</type><title>Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>Free E- Journals</source><creator>Rochefort, Coralie ; Legace, Elizabeth ; Boulay, Chadwick ; Macartney, Gail ; Goulet, Kristian ; Zemek, Roger ; Sveistrup, Heidi</creator><creatorcontrib>Rochefort, Coralie ; Legace, Elizabeth ; Boulay, Chadwick ; Macartney, Gail ; Goulet, Kristian ; Zemek, Roger ; Sveistrup, Heidi</creatorcontrib><description>Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concurrently.
To compare balance measures and saccades between adolescents 1 to 3 months postconcussion and healthy uninjured adolescents.
Case-control study.
Concussion clinic and 2 private schools.
Twenty-five adolescents (10 boys, 15 girls; median [interquartile range (IQR)] age = 14 years [11.5-16 years]) between 1 and 3 months postconcussion (median [IQR] time since injury = 39.5 days [30-56.75 days]) and 33 uninjured adolescents (18 boys, 15 girls; median [IQR] age = 13 years [11.5-14 years]).
The center-of-pressure 95% ellipse area and medial-lateral and anterior-posterior velocity and the number of saccades in the dual-task balance conditions including a high cognitive load (cognitive condition), a low cognitive load and a gaze-shifting component (visual condition) or both a high cognitive load and a gaze-shifting component (combined condition).
Concussion-group participants swayed over larger center-of-pressure ellipse areas in the visual (
= .02; effect size = 0.73) and combined (
= .005; effect size = 0.86) conditions but not in the cognitive condition (
= .07; effect size = 0.50). No group differences were identified for anterior-posterior (
= 2.57,
= .12) or medial-lateral (
= 0.157,
= .69) velocity. Concussion-group participants also did not perform more saccades than the control-group participants (
= 2.04,
= .16).
Performing dual-task balance conditions for which the secondary task involved a gaze-shifting component or both a gaze-shifting component and a high cognitive load resulted in greater sway amplitude in adolescents with concussion. However, these larger amounts of postural sway were not associated with increased saccadic eye movements.</description><identifier>ISSN: 1062-6050</identifier><identifier>EISSN: 1938-162X</identifier><identifier>DOI: 10.4085/1062-6050-548-18</identifier><identifier>PMID: 32216658</identifier><language>eng</language><publisher>United States: National Athletic Trainers Association</publisher><subject>Adolescent ; Adolescents ; Age ; Balance ; Case-Control Studies ; Cognitive Ability ; Concussion ; Control Groups ; Ethics ; Eye movements ; Female ; Humans ; Male ; Post-Concussion Syndrome - complications ; Post-Concussion Syndrome - physiopathology ; Postural Balance ; Reaction Time ; Researchers ; Saccades ; Symptoms (Individual Disorders) ; Task Performance and Analysis ; Teenagers</subject><ispartof>Journal of athletic training, 2020-05, Vol.55 (5), p.475-481</ispartof><rights>Copyright National Athletic Trainers Association May 2020</rights><rights>by the National Athletic Trainers' Association, Inc 2020 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-627ccb53b0c15b5cb93888e67ada96fbbed178ef6cb4b1ffda9dfaf292ac02d03</citedby><cites>FETCH-LOGICAL-c424t-627ccb53b0c15b5cb93888e67ada96fbbed178ef6cb4b1ffda9dfaf292ac02d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249291/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249291/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32216658$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rochefort, Coralie</creatorcontrib><creatorcontrib>Legace, Elizabeth</creatorcontrib><creatorcontrib>Boulay, Chadwick</creatorcontrib><creatorcontrib>Macartney, Gail</creatorcontrib><creatorcontrib>Goulet, Kristian</creatorcontrib><creatorcontrib>Zemek, Roger</creatorcontrib><creatorcontrib>Sveistrup, Heidi</creatorcontrib><title>Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome</title><title>Journal of athletic training</title><addtitle>J Athl Train</addtitle><description>Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concurrently.
To compare balance measures and saccades between adolescents 1 to 3 months postconcussion and healthy uninjured adolescents.
Case-control study.
Concussion clinic and 2 private schools.
Twenty-five adolescents (10 boys, 15 girls; median [interquartile range (IQR)] age = 14 years [11.5-16 years]) between 1 and 3 months postconcussion (median [IQR] time since injury = 39.5 days [30-56.75 days]) and 33 uninjured adolescents (18 boys, 15 girls; median [IQR] age = 13 years [11.5-14 years]).
The center-of-pressure 95% ellipse area and medial-lateral and anterior-posterior velocity and the number of saccades in the dual-task balance conditions including a high cognitive load (cognitive condition), a low cognitive load and a gaze-shifting component (visual condition) or both a high cognitive load and a gaze-shifting component (combined condition).
Concussion-group participants swayed over larger center-of-pressure ellipse areas in the visual (
= .02; effect size = 0.73) and combined (
= .005; effect size = 0.86) conditions but not in the cognitive condition (
= .07; effect size = 0.50). No group differences were identified for anterior-posterior (
= 2.57,
= .12) or medial-lateral (
= 0.157,
= .69) velocity. Concussion-group participants also did not perform more saccades than the control-group participants (
= 2.04,
= .16).
Performing dual-task balance conditions for which the secondary task involved a gaze-shifting component or both a gaze-shifting component and a high cognitive load resulted in greater sway amplitude in adolescents with concussion. However, these larger amounts of postural sway were not associated with increased saccadic eye movements.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age</subject><subject>Balance</subject><subject>Case-Control Studies</subject><subject>Cognitive Ability</subject><subject>Concussion</subject><subject>Control Groups</subject><subject>Ethics</subject><subject>Eye movements</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Post-Concussion Syndrome - complications</subject><subject>Post-Concussion Syndrome - physiopathology</subject><subject>Postural Balance</subject><subject>Reaction Time</subject><subject>Researchers</subject><subject>Saccades</subject><subject>Symptoms (Individual Disorders)</subject><subject>Task Performance and Analysis</subject><subject>Teenagers</subject><issn>1062-6050</issn><issn>1938-162X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkUtr3TAQhUVpyavZd1UE3WTjVBrLsrwpJCFpA7m0kJZ2VaHHuHFqS4lkB-6_ry550GSlYebMYY4-Qt5xdiiYaj5yJqGSrGFVI1TF1Suyw7u6VBJ-vS7143ib7OZ8zRiHppNbZLsG4FI2aof8PjajCQ7pyqS_mDI1wdNL45zxg6Ona6xW8Q4nDDNdoclLwkyHQI98HDG70s705zBf0W8xzy4Gt-Q8xEAv18GnOOFb8qY3Y8b9h3eP_Dg7_X7ypbr4-vn85OiicgLEXElonbNNbZnjjW2cLSGUQtkabzrZW4uetwp76aywvO9L1_emhw6MY-BZvUc-3fveLHZCvzksmVHfpGEyaa2jGfTzSRiu9J94p1sQHXS8GBw8GKR4u2Ce9TSUfGP5HIxL1lArAZwBhyL98EJ6HZcUSjwNggnZ1VC3RcXuVS7FnBP2T8dwpjfw9IaO3tDRBZ7mqqy8_z_E08IjrfofSBaXKg</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Rochefort, Coralie</creator><creator>Legace, Elizabeth</creator><creator>Boulay, Chadwick</creator><creator>Macartney, Gail</creator><creator>Goulet, Kristian</creator><creator>Zemek, Roger</creator><creator>Sveistrup, Heidi</creator><general>National Athletic Trainers Association</general><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>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>8A4</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202005</creationdate><title>Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome</title><author>Rochefort, Coralie ; Legace, Elizabeth ; Boulay, Chadwick ; Macartney, Gail ; Goulet, Kristian ; Zemek, Roger ; Sveistrup, Heidi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-627ccb53b0c15b5cb93888e67ada96fbbed178ef6cb4b1ffda9dfaf292ac02d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age</topic><topic>Balance</topic><topic>Case-Control Studies</topic><topic>Cognitive Ability</topic><topic>Concussion</topic><topic>Control Groups</topic><topic>Ethics</topic><topic>Eye movements</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Post-Concussion Syndrome - complications</topic><topic>Post-Concussion Syndrome - physiopathology</topic><topic>Postural Balance</topic><topic>Reaction Time</topic><topic>Researchers</topic><topic>Saccades</topic><topic>Symptoms (Individual Disorders)</topic><topic>Task Performance and Analysis</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rochefort, Coralie</creatorcontrib><creatorcontrib>Legace, Elizabeth</creatorcontrib><creatorcontrib>Boulay, Chadwick</creatorcontrib><creatorcontrib>Macartney, Gail</creatorcontrib><creatorcontrib>Goulet, Kristian</creatorcontrib><creatorcontrib>Zemek, Roger</creatorcontrib><creatorcontrib>Sveistrup, Heidi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Education Periodicals</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of athletic training</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rochefort, Coralie</au><au>Legace, Elizabeth</au><au>Boulay, Chadwick</au><au>Macartney, Gail</au><au>Goulet, Kristian</au><au>Zemek, Roger</au><au>Sveistrup, Heidi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome</atitle><jtitle>Journal of athletic training</jtitle><addtitle>J Athl Train</addtitle><date>2020-05</date><risdate>2020</risdate><volume>55</volume><issue>5</issue><spage>475</spage><epage>481</epage><pages>475-481</pages><issn>1062-6050</issn><eissn>1938-162X</eissn><abstract>Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concurrently.
To compare balance measures and saccades between adolescents 1 to 3 months postconcussion and healthy uninjured adolescents.
Case-control study.
Concussion clinic and 2 private schools.
Twenty-five adolescents (10 boys, 15 girls; median [interquartile range (IQR)] age = 14 years [11.5-16 years]) between 1 and 3 months postconcussion (median [IQR] time since injury = 39.5 days [30-56.75 days]) and 33 uninjured adolescents (18 boys, 15 girls; median [IQR] age = 13 years [11.5-14 years]).
The center-of-pressure 95% ellipse area and medial-lateral and anterior-posterior velocity and the number of saccades in the dual-task balance conditions including a high cognitive load (cognitive condition), a low cognitive load and a gaze-shifting component (visual condition) or both a high cognitive load and a gaze-shifting component (combined condition).
Concussion-group participants swayed over larger center-of-pressure ellipse areas in the visual (
= .02; effect size = 0.73) and combined (
= .005; effect size = 0.86) conditions but not in the cognitive condition (
= .07; effect size = 0.50). No group differences were identified for anterior-posterior (
= 2.57,
= .12) or medial-lateral (
= 0.157,
= .69) velocity. Concussion-group participants also did not perform more saccades than the control-group participants (
= 2.04,
= .16).
Performing dual-task balance conditions for which the secondary task involved a gaze-shifting component or both a gaze-shifting component and a high cognitive load resulted in greater sway amplitude in adolescents with concussion. However, these larger amounts of postural sway were not associated with increased saccadic eye movements.</abstract><cop>United States</cop><pub>National Athletic Trainers Association</pub><pmid>32216658</pmid><doi>10.4085/1062-6050-548-18</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1062-6050 |
| ispartof | Journal of athletic training, 2020-05, Vol.55 (5), p.475-481 |
| issn | 1062-6050 1938-162X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7249291 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Free E- Journals |
| subjects | Adolescent Adolescents Age Balance Case-Control Studies Cognitive Ability Concussion Control Groups Ethics Eye movements Female Humans Male Post-Concussion Syndrome - complications Post-Concussion Syndrome - physiopathology Postural Balance Reaction Time Researchers Saccades Symptoms (Individual Disorders) Task Performance and Analysis Teenagers |
| title | Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome |
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