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Longitudinal Improvement in Balance Error Scoring System Scores among NCAA Division-I Football Athletes.
Mathiasen, Ross; Hogrefe, Christopher; Harland, Kari; Peterson, Andrew; Smoot, M Kyle.
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  • Mathiasen R; 1 Department of Emergency Medicine and Department of Orthopaedic Surgery, University of Nebraska Medical Center , Omaha, Nebraska.
  • Hogrefe C; 2 Department of Emergency Medicine, Department of Medicine, Department of Orthopaedic Surgery-Sports Medicine, Northwestern University Feinberg School of Medicine , Chicago, Illinois.
  • Harland K; 3 Department of Emergency Medicine, University of Iowa Hospitals and Clinics , Iowa City, Iowa.
  • Peterson A; 4 Department of Orthopaedics & Rehabilitation, Department of Pediatrics, University of Iowa Hospitals and Clinics , Iowa City, Iowa.
  • Smoot MK; 5 Department of Orthopaedics & Sports Medicine, University of Kentucky , Lexington, Kentucky.
J Neurotrauma ; 35(4): 691-694, 2018 02 15.
Article en En | MEDLINE | ID: mdl-29149800
The Balance Error Scoring System (BESS) is a commonly used concussion assessment tool. Recent studies have questioned the stability and reliability of baseline BESS scores. The purpose of this longitudinal prospective cohort study is to examine differences in yearly baseline BESS scores in athletes participating on an NCAA Division-I football team. NCAA Division-I freshman football athletes were videotaped performing the BESS test at matriculation and after 1 year of participation in the football program. Twenty-three athletes were enrolled in year 1 of the study, and 25 athletes were enrolled in year 2. Those athletes enrolled in year 1 were again videotaped after year 2 of the study. The paired t-test was used to assess for change in score over time for the firm surface, foam surface, and the cumulative BESS score. Additionally, inter- and intrarater reliability values were calculated. Cumulative errors on the BESS significantly decreased from a mean of 20.3 at baseline to 16.8 after 1 year of participation. The mean number of errors following the second year of participation was 15.0. Inter-rater reliability for the cumulative score ranged from 0.65 to 0.75. Intrarater reliability was 0.81. After 1 year of participation, there is a statistically and clinically significant improvement in BESS scores in an NCAA Division-I football program. Although additional improvement in BESS scores was noted after a second year of participation, it did not reach statistical significance. Football athletes should undergo baseline BESS testing at least yearly if the BESS is to be optimally useful as a diagnostic test for concussion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos en Atletas / Conmoción Encefálica / Fútbol Americano / Examen Neurológico Tipo de estudio: Observational_studies Límite: Adult / Humans / Male Idioma: En Revista: J Neurotrauma Asunto de la revista: NEUROLOGIA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos en Atletas / Conmoción Encefálica / Fútbol Americano / Examen Neurológico Tipo de estudio: Observational_studies Límite: Adult / Humans / Male Idioma: En Revista: J Neurotrauma Asunto de la revista: NEUROLOGIA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos