Murray Nicholas G, Reed-Jones Rebecca J, Szekely Brian J, Powell Douglas W
School of Community Health Sciences, University of Nevada, Reno, Nevada.
Department of Applied Human Sciences, Faculty of Science, University Prince Edward Island, Charlottetown, Canada.
Semin Speech Lang. 2019 Feb;40(1):48-56. doi: 10.1055/s-0038-1676451. Epub 2019 Jan 7.
Postural instability is a cardinal indicator of concussion. Assessments of the postural control system range from clinical to laboratory tests that assess the balance of the individual. In a previous article regarding clinical assessment of balance in adults with concussion, we reviewed the importance of balance as a component in concussion evaluations. The purpose of this review article is to update the information previously published in 2014. Since 2014, research has provided evidence for the incorporation of dynamic methods for evaluating balance postconcussion with particular emphasis on sensory system integration and dual tasking. Therefore, this review will examine the current state of knowledge on how concussion injuries affect postural control, advancements in evaluating balance postconcussion, such as novel eye-tracking techniques, and current recommendations for best practices for balance assessment.
姿势不稳是脑震荡的主要指标。对姿势控制系统的评估范围从临床评估到评估个体平衡的实验室测试。在之前一篇关于成人脑震荡平衡临床评估的文章中，我们回顾了平衡作为脑震荡评估组成部分的重要性。这篇综述文章的目的是更新2014年之前发表的信息。自2014年以来，研究已为纳入评估脑震荡后平衡的动态方法提供了证据，尤其强调感觉系统整合和双重任务。因此，本综述将探讨关于脑震荡损伤如何影响姿势控制的当前知识状态、评估脑震荡后平衡的进展，如新颖的眼动追踪技术，以及当前关于平衡评估最佳实践的建议。
