The utility of the balance error scoring system for mild brain injury assessments in children and adolescents

Physician and Sportsmedicine

Volumn 42, Issue 3, 2014, Pages 32-38

  Quatman Yates, Catherine ^a   Hugentobler, Jason ^a   Ammon, Robin ^b   Mwase, Najima ^c   Kurowski, Brad ^c   Myer, Gregory D ^a,c  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

^b UNIVERSITY OF SOUTH DAKOTA   (United States)

^c UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE   (United States)

Author keywords

Balance; Balance Error Scoring System (BESS); Children and adolescents; Concussion; Postural control

Indexed keywords

ADOLESCENT; ARTICLE; ASSESSMENT OF HUMANS; BALANCE ERROR SCORING SYSTEM; BODY EQUILIBRIUM; BODY POSTURE; CHILD; CLINICAL ARTICLE; COGNITION ASSESSMENT; CONTROLLED STUDY; FEMALE; HUMAN; MALE; MEDICAL RECORD REVIEW; PROSPECTIVE STUDY; REPRODUCIBILITY; SCHOOL CHILD; TRAUMATIC BRAIN INJURY; AGE; BRAIN CONCUSSION; RETROSPECTIVE STUDY; SELF REPORT;

ADOLESCENT; AGE FACTORS; BRAIN CONCUSSION; CHILD; FEMALE; HUMANS; MALE; POSTURAL BALANCE; POSTURE; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; SELF REPORT;

EID: 84922395024     PISSN: 00913847     EISSN: 23263660     Source Type: Journal    
DOI: 10.3810/psm.2014.09.2073     Document Type: Article

References (52)

1. Faul M, Xu L, Wald MM, Coronado V.G. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths 2002–2006. Centers for Disease Control and Prevention, National Center for Injury Prevention, 2010.
2. Broglio SP, Moore RD, Hillman CH. A history of sport-related concussion on event-related brain potential correlates of cognition. Int J Psychophysiol. 2011;82(1):16–23.
3. Broglio SP, Pontifex MB, O’Connor P, Hillman CH. The persistent effects of concussion on neuroelectric indices of attention. J Neurotrauma. 2009;26(9):1463–1470.
4. Broglio SP, Puetz TW. The effect of sport concussion on neurocognitive function, self-report symptoms and postural control: a meta-analysis. Sports Med. 2008;38(1):53–67.
5. Guskiewicz KM, Marshall SW, Bailes J, et al. Association between recurrent concussion and late-life cognitive impairment in retired professional football players. Neurosurgery. 2005;57(4):719–726; discussion 719–726.
6. Guskiewicz KM, Marshall SW, Bailes J, et al. Recurrent concussion and risk of depression in retired professional football players. Med Sci Sports Exerc. 2007;39(6):903–909.
7. Guskiewicz KM, McCrea M, Marshall SW, et al. Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. JAMA. 2003;290(19):2549–2555.
8. McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med. 2013;47(5): 250–258.
9. Guskiewicz KM, Valovich McLeod TC. Pediatric sports-related concussion. PM R. 2011;3(4):353–364; quiz 364.
10. Halstead ME, Walter KD. American Academy of Pediatrics. Clinical report—sport-related concussion in children and adolescents. Pediatrics. 2010;126(3):597–615.
11. Grady MF. Concussion in the adolescent athlete. Curr Probl Pediatr Adolesc Health Care. 2010;40(7):154–169.
12. Field M, Collins MW, Lovell MR, Maroon J. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr. 2003;142(5):546–553.
13. McCrory P, Collie A, Anderson V, Davis G. Can we manage sport related concussion in children the same as in adults? Br J Sports Med. 2004;38(5):516–519.
14. Harmon KG, Drezner JA, Gammons M, et al. American Medical Society for Sports Medicine position statement: concussion in sport. Br J Sports Med. 2013;47(1):15–26.
15. Cavanaugh JT, Guskiewicz KM, Giuliani C, Marshall S, Mercer VS, Stergiou N. Recovery of postural control after cerebral concussion: new insights using approximate entropy. J Athl Train. 2006;41(3):305–313.
16. Guskiewicz KM. Balance assessment in the management of sport-related concussion. Clin Sports Med. 2011;30(1):89–102, ix.
17. Bell DR, Guskiewicz KM, Clark MA, Padua DA. Systematic review of the balance error scoring system. Sports Health. 2011;3(3):287–295.
18. Burk JM, Munkasy BA, Joyner AB, Buckley TA. Balance error scoring system performance changes after a competitive athletic season. Clin J Sport Med. 2013;23(4):312–317.
19. West TA, Marion DW. Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines. J Neurotrauma. 2014;31(2):159–168.
20. Guskiewicz KM, Ross SE, Marshall SW. Postural stability and neuropsychological deficits after concussion in collegiate athletes. J Athl Train. 2001;36(3):263–273.
21. Riemann BL, Guskiewicz K, Shields EW. Relationship between clinical and forceplate measures of postural stability. J Sport Rehabil. 1999;8:71–82.
22. Sport Concussion Assessment Tool, 3rd edition (SCAT3). Br J Sports Med. 2013;47(5):259.
23. Child Sport Concussion Assessment Tool, 3rd edition (Child SCAT3). Br J Sports Med. 2013;47(5):263.
24. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24–30.
25. Sheehan DP, Lafave MR, Katz L. Intra-rater and inter-rater reliability of the Balance Error Scoring System in pre-adolescent school children. Measurement Phys Educ Exerc Sci. 2011;15(3):234–243.
26. Valovich McLeod TC, Barr WB, McCrea M, Guskiewicz KM. Psychometric and measurement properties of concussion assessment tools in youth sports. J Athl Train. 2006;41(4):399–408.
27. Andrish JT. Anterior cruciate ligament injuries in the skeletally immature patient. Am J Orthop (Belle Mead NJ). 2001;30(2):103–110.
28. Finnoff JT, Peterson VJ, Hollman JH, Smith J. Intrarater and interrater reliability of the Balance Error Scoring System (BESS). PMR. 2009; 1(1):50–54.
29. McCrea M, Guskiewicz KM, Marshall SW, et al. Acute effects and recovery time following concussion in collegiate football players: the NCAA Concussion Study. JAMA. 2003;290(19):2556–2563.
30. Shumway-Cook A, Woollacott MH. The growth of stability: postural control from a development perspective. J Mot Behav. 1985;17(2): 131–147.
31. Woollacott MH, Shumway-Cook A. Changes in posture control across the life span—a systems approach. Phys Ther. 1990;70(12):799–807.
32. Ford KR, Myer GD, Hewett TE. Longitudinal effects of maturation on lower extremity joint stiffness in adolescent athletes. Am J Sports Med. 2010;38(9):1829–1837.
33. Ford KR, van den Bogert J, Myer GD, Shapiro R, Hewett TE. The effects of age and skill level on knee musculature co-contraction during functional activities: a systematic review. Br J Sports Med. 2008;42(7):561–566.
34. Hewett TE, Myer GD, Ford KR. Decrease in neuromuscular control about the knee with maturation in female athletes. J Bone Joint Surg Am. 2004;86-A(8):1601–1608.
35. Quatman-Yates CC, Quatman CE, Meszaros AJ, Paterno MV, Hewett TE. A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness? Br J Sports Med. 2012;46(9):649–655.
36. Covassin T, Elbin RJ, Harris W, Parker T, Kontos A. The role of age and sex in symptoms, neurocognitive performance, and postural stability in athletes after concussion. Am J Sports Med. 2012;40(6):1303–1312.
37. Iverson GL, Brooks BL, Collins MW, Lovell MR. Tracking neuropsychological recovery following concussion in sport. Brain Inj. 2006; 20(3):245–252.
38. Aubry M, Cantu R, Dvorak J, et al. Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001. Recommendations for the improvement of safety and health of athletes who may suffer concussive injuries. Br J Sports Med. 2002;36(1):6–10.
39. McCrory P, Meeuwisse W, Aubry M, et al. Consensus Statement on Concussion in Sport—the 4th International Conference on Concussion in Sport Held in Zurich, November 2012. Clin J Sport Med. 2013;23(2):89–117.
40. Barlow M, Schlabach D, Peiffer J, Cook C. Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population. Int J Sports Phys Ther. 2011;6(3):150–157.
41. Olson B. Balance error scoring system normative values in an athletic pediatric sample. Athletic Train Sports Health Care. 2012;4(3):141.
42. Takacs J, Hunt MA. The effect of contralateral pelvic drop and trunk lean on frontal plane knee biomechanics during single limb standing. J Biomech. 2012;45(16):2791–2796.
43. Lee SP, Powers CM. Individuals with diminished hip abductor muscle strength exhibit altered ankle biomechanics and neuromuscular activation during unipedal balance tasks. Gait Posture. 2014;39(3):933–938.
44. Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol. 2004;14(6):641–646.
45. Quatman-Yates CC, Myer GD, Ford KR, Hewett TE. A longitudinal evaluation of maturational effects on lower extremity strength in female adolescent athletes. Pediatr Phys Ther. 2013;25(3):271–276.
46. Quatman-Yates CC, Quatman CE, Meszaros AJ, Paterno MV, Hewett TE. A systematic review of sensorimotor function during adolescence: a developmental stage of increased motor awkwardness? Br J Sports Med. 2012;46(9):649–655.
47. Ford KR, Shapiro R, Myer GD, van den Bogert AJ, Hewett TE. Longitudinal sex differences during landing in knee abduction in young athletes. Med Sci Sports Exerc. 2010;42(10):1923–1931.
48. Haddad JM, Van Emmerik RE, Wheat JS, Hamill J. Developmental changes in the dynamical structure of postural sway during a precision fitting task. Exp Brain Res. 2008;190(4):431–441.
49. Valovich McLeod TC, Perrin DH, Guskiewicz KM, Shultz SJ, Diamond R, Gansneder BM. Serial administration of clinical concussion assessments and learning effects in healthy young athletes. Clin J Sport Med. 2004;14(5):287–295.
50. Iverson GL, Kaarto ML, Koehle MS. Normative data for the balance error scoring system: implications for brain injury evaluations. Brain Inj. 2008;22(2):147–152.
51. Cavanaugh JT, Guskiewicz KM, Giuliani C, Marshall S, Mercer V, Stergiou N. Detecting altered postural control after cerebral concussion in athletes with normal postural stability. Br J Sports Med. 2005;39(11):805–811.
52. Cavanaugh JT, Guskiewicz KM, Stergiou N. A nonlinear dynamic approach for evaluating postural control: new directions for the management of sport-related cerebral concussion. Sports Med. 2005;35(11):935–950.