Department of Physical Therapy, Rehabilitation Sciences, and Athletic Training, School of Health Professions, The University of Kansas Medical Center, Kansas City, KS, USA.
Department of Communication Sciences and Disorders, College of Health Sciences, University of Kentucky, Lexington, KY, USA.
J Sport Rehabil. 2024 Apr 30;33(5):325-332. doi: 10.1123/jsr.2023-0254. Print 2024 Jul 1.
Sports-related concussions are commonly occurring injuries as a result of sports and recreation that may cause alterations in brain functioning. It is important to be able to evaluate the impact of these injuries on function to manage the injury recovery and ensure recovery. Recent literature suggests the use of objective evaluation strategies in a multifaceted approach to evaluate and manage these injuries. It is important to understand the relationships between the assessments and how best to utilize each assessment. The purpose of this study was to investigate if relationships exist between measures of vestibular function at baseline in assessments that may be used following sports-related concussions. Additionally, a secondary purpose was to determine if self-reported symptoms were related to performance on the assessments. This study aimed to identify if these assessments measured independent functions of the vestibulo-ocular reflex or if some redundancy existed among the assessment strategies.
A cross-sectional study design was used in a cohort of collegiate athletes ages 18-24.
Participants completed demographics questionnaires, the Post-Concussion Symptom Scale, Gaze Stabilization Test, and Concussion Balance Test. Spearman rho correlations were used to examine the relationships between the measures.
One hundred and thirty-five collegiate athletes (82 males and 53 females) were included, representative of 3 sports (cheerleading, soccer, and football) with a mean age of 19.77 (1.42) years old. There were weak to moderate, significant relationships between measures of Gaze Stabilization Test and Concussion Balance Test errors (r = .20-.31, P = .001-.03).
The direction of these relationships indicated that greater Concussion Balance Test errors were associated with greater Gaze Stabilization Test performance. These relationships may be attributed to the difficulty created by the foam conditions and the integration of more complex sensory tasks required to maintain balance during the more difficult conditions.
运动相关性脑震荡是运动和娱乐中常见的损伤，可能导致大脑功能改变。评估这些损伤对功能的影响对于管理损伤恢复和确保恢复是很重要的。最近的文献表明，在多方面的评估和管理这些损伤的方法中，使用客观的评估策略很重要。了解评估之间的关系以及如何最好地利用每个评估是很重要的。本研究的目的是调查在运动相关性脑震荡后可能使用的评估中，基线时前庭功能测量之间是否存在关系。此外，次要目的是确定自我报告的症状是否与评估的表现相关。本研究旨在确定这些评估是否测量了前庭眼反射的独立功能，或者评估策略之间是否存在一些冗余。
在 18-24 岁的大学生运动员队列中使用了横断面研究设计。
参与者完成了人口统计学问卷、脑震荡后症状量表、凝视稳定性测试和脑震荡平衡测试。使用 Spearman rho 相关性来检查测量之间的关系。
共纳入 135 名大学生运动员（82 名男性和 53 名女性），代表 3 种运动（啦啦队、足球和橄榄球），平均年龄为 19.77（1.42）岁。凝视稳定性测试和脑震荡平衡测试误差之间存在弱到中度、显著的相关性（r =.20-.31，P =.001-.03）。
这些关系的方向表明，脑震荡平衡测试误差越大，凝视稳定性测试表现越好。这些关系可能归因于泡沫条件造成的困难，以及在更困难的条件下保持平衡所需的更复杂感觉任务的整合。
