Shepherd Heather A, van Rassel Cody R, Black Amanda M, Graham Robert F, Yeates Keith Owen, Emery Carolyn A, Schneider Kathryn J
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada; Hotchkiss Brain Institute, University of Calgary, Calgary, AB T2N 4N1, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada; Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada; Hotchkiss Brain Institute, University of Calgary, Calgary, AB T2N 4N1, Canada; O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada; Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
Int J Sports Phys Ther. 2022 Apr 1;17(3):378-389. doi: 10.26603/001c.32527. eCollection 2022.
An estimated 11% of Canadian adolescents will sustain a sport-related concussion each year. However, diagnostic tools to detect and monitor concussive outcomes are limited.
To evaluate the feasibility and test-retest reliability of the Highmark Interactive Equilibrium (HIEQ) test battery in uninjured adolescents.
Observational study with repeated measurements.
Participants completed the HIEQ test battery, a game-based platform on an iPad application, that assesses balance, cognitive function, and visual function, for up to 15 consecutive school days in a group classroom setting. Feasibility for use of the HIEQ was evaluated by (1) recruitment rates; (2) retention rates; (3) test completion without assistance; and (4) adverse events. Test-retest reliability was examined using Bland Altman 95% limits of agreement and intraclass correlation coefficients comparing the first and second and second and third obtained scores. Reliability across multiple baseline assessments was also analyzed using intraclass correlations for the second to sixth and seventh to eleventh obtained scores.
Fifty-five uninjured high school students (31 females and 24 males, mean age = 16.24 [1.09]) from three high schools participated in the study. Three participants (5%) completed all 15 days of testing, and 73% completed at least 10 of 15 test days. No adverse events were reported. Although the test was feasible, all subtests showed wide limits of agreement from first to second and from second to third testing occasions. Results indicate poor-to-moderate reliability (<0.50 to 0.75) across those intervals, as well as across the second to sixth and seventh to eleventh testing occasions.
The HIEQ is feasible in high school students; however, performance was characterized by wide limits of agreement and poor-to-moderate reliability across test occasions. Future evaluation of the HIEQ in visual and auditory distraction free individual testing settings is warranted.
Level 3.
据估计，每年有11%的加拿大青少年会遭受与运动相关的脑震荡。然而，用于检测和监测脑震荡后果的诊断工具有限。
评估Highmark交互式平衡（HIEQ）测试组合在未受伤青少年中的可行性和重测信度。
重复测量的观察性研究。
参与者在集体课堂环境中，连续15个上学日在iPad应用程序上完成HIEQ测试组合，这是一个基于游戏的平台，用于评估平衡、认知功能和视觉功能。通过以下方面评估HIEQ使用的可行性：（1）招募率；（2）留存率；（3）无需协助即可完成测试；（4）不良事件。使用Bland Altman 95%一致性界限和组内相关系数来检查重测信度，比较第一次和第二次以及第二次和第三次获得的分数。还使用组内相关系数分析第二次至第六次以及第七次至第十一次获得分数的多个基线评估的信度。
来自三所高中的55名未受伤高中生（31名女性和24名男性，平均年龄 = 16.24 [1.09]）参与了该研究。三名参与者（5%）完成了全部15天的测试，73%的参与者完成了15个测试日中的至少10天。未报告不良事件。尽管该测试可行，但所有子测试在第一次到第二次以及第二次到第三次测试时均显示出较宽的一致性界限。结果表明，在这些时间段以及第二次至第六次和第七次至第十一次测试时，信度较差至中等（<0.50至0.75）。
HIEQ在高中生中是可行的；然而，其表现的特点是一致性界限较宽，且在测试期间信度较差至中等。未来有必要在无视觉和听觉干扰的个体测试环境中对HIEQ进行评估。
3级。
