scholarly journals Concussion History and Balance Performance in Adolescent Rugby Union Players

2021 ◽  
pp. 036354652199870
Author(s):  
Mark Matthews ◽  
William Johnston ◽  
Chris M. Bleakley ◽  
Richard J. Davies ◽  
Alan T. Rankin ◽  
...  
Keyword(s):  
Dual Task ◽  
Inertial Sensor ◽  
Dynamic Balance ◽  
Rugby Union ◽  
Static Balance ◽  
Balance Performance ◽  
Eyes Closed ◽  
History Of ◽  
Concussion History ◽  
Rugby Players

Background: Sports-related concussion is a worldwide problem. There is a concern that an initial concussion can cause prolonged subclinical disturbances to sensorimotor function that increase the risk of subsequent injury. The primary aim of this study was to examine whether a history of sports-related concussion has effects on static and dynamic balance performance in adolescent rugby players. Hypothesis: Dynamic balance would be worse in players with a history of concussion compared with those with no history of concussion. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Male adolescent rugby players aged 14 to 18 years from 5 schools were recruited before the start of the 2018-2019 playing season. Participants completed questionnaires and physical tests, including dynamic Y balance and single-leg static balance (eyes closed) tests, while performing single and dual tasks. Dynamic balance was assessed using inertial sensor instrumentation. Dependent variables were normalized reach distance and the sample entropy (SEn) of the 3 axes ( x, y, and z). Results: Of the 195 participants, 100 reported a history of concussion. Those with a history of concussion demonstrated higher SEn in all directions, with highest values during anterior (standardized mean difference [SMD], 0.4; 95% CI, 0.0-0.7; P = .027) and posteromedial (SMD, 0.5; 95% CI, 0.2-0.9; P = .004) reach directions compared with those with no history. There was no difference between groups (concussion history vs control) in traditional Y balance reach distances in the anterior or posteromedial directions or single-leg static balance during both single- ( P = .47) and dual-task ( P = .67) conditions. Conclusion: Adolescent rugby union athletes with a history of concussion had poorer dynamic balance during performance tasks compared with healthy controls. Static single-leg balance tests, either single or dual task, may not be sensitive enough to detect sensorimotor deficits in those with a history of concussion.

scholarly journals Association of Dynamic Balance With Sports-Related Concussion: A Prospective Cohort Study

2018 ◽  
Vol 47 (1) ◽  
pp. 197-205 ◽  
Author(s):  
William Johnston ◽  
Martin O’Reilly ◽  
Ciara Duignan ◽  
Mairead Liston ◽  
Rod McLoughlin ◽  
...  
Keyword(s):  
Inertial Sensor ◽  
Dynamic Balance ◽  
Sample Entropy ◽  
Rugby Union ◽  
Sensorimotor Function ◽  
Balance Performance ◽  
Discrete Measure ◽  
History Of ◽  
Concussion History ◽  
Concussive Injury

Background: Concussion is one of the most common sports-related injuries, with little understood about the modifiable and nonmodifiable risk factors. Researchers have yet to evaluate the association between modifiable sensorimotor function variables and concussive injury. Purpose: To investigate the association between dynamic balance performance, a discrete measure of sensorimotor function, and concussive injuries. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: A total of 109 elite male rugby union players were baseline tested in dynamic balance performance while wearing an inertial sensor and prospectively followed during the 2016-2017 rugby union season. The sample entropy of the inertial sensor gyroscope magnitude signal was derived to provide a discrete measure of dynamic balance performance. Logistic regression modeling was then used to investigate the association among the novel digital biomarker of balance performance, known risk factors of concussion (concussion history, age, and playing position), and subsequent concussive injury. Results: Participant demographic data (mean ± SD) were as follows: age, 22.6 ± 3.6 years; height, 185 ± 6.5 cm; weight, 98.9 ± 12.5 kg; body mass index, 28.9 ± 2.9 kg/m2; and leg length, 98.8 ± 5.5 cm. Of the 109 players, 44 (40.3%) had a history of concussion, while 21 (19.3%) sustained a concussion during the follow-up period. The receiver operating characteristic analysis for the anterior sample entropy demonstrated a statistically significant area under the curve (0.64; 95% CI, 0.52-0.76; P < .05), with the cutoff score of anterior sample entropy ≥1.2, which maximized the sensitivity (76.2%) and specificity (53.4%) for identifying individuals who subsequently sustained a concussion. Players with suboptimal balance performance at baseline were at a 2.81-greater odds (95% CI, 1.02-7.74) of sustaining a concussion during the rugby union season than were those with optimal balance performance, even when controlling for concussion history. Conclusion: Rugby union players who possess poorer dynamic balance performance, as measured by a wearable inertial sensor during the Y balance test, have a 3-times-higher relative risk of sustaining a sports-related concussion, even when controlling for history of concussion. These findings have important implications for research and clinical practice, as it identifies a potential modifiable risk factor. Further research is required to investigate this association in a large cohort consisting of males and females across a range of sports.

Effects of Cognitive and Physical Loads on Dynamic and Static Balance Performance of Healthy Older Adults Under Single-, Dual-, and Multi-task Conditions

2020 ◽  
pp. 001872082092462
Author(s):  
Hamid Allahverdipour ◽  
Iman Dianat ◽  
Galavizh Mameh ◽  
Mohammad Asghari Jafarabadi
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Dynamic Balance ◽  
Static Balance ◽  
Balance Performance ◽  
Timed Up And Go ◽  
Healthy Older Adults ◽  
Physical Task ◽  
Task Conditions ◽  
And Control

Objective The aim of this study is to examine the effects of cognitive and physical loads on dynamic and static balance performance of healthy older adults under single-, dual-, and multi-task conditions. Background Previous studies on postural control in older adults have generally used dual-task methodology, whereas less attention has been paid to multi-task performance, despite its importance in many daily and occupational activities. Method The effects of single versus combined (dual-task and multi-task) cognitive (to speak out the name of the weekdays in a reverse order) and physical (with three levels including handling weights of 1, 2, and 3 kg in each hand) loads on dynamic and static balance performance of 42 older adults (21 males and 21 females) aged ≥60 years were examined. Dynamic and static balance measures were evaluated using the Timed Up and Go (TUG) and stabilometer (sway index) tests, respectively. Results The TUG speed of female participants was generally slower than that of male participants. Age had no effect on balance performance measures. Under dual-task conditions, cognitive load decreased the dynamic balance performance, while the physical task levels had no effect. The dual-task conditions had no impact on the static balance performance. The effects of cognitive and physical loads on dynamic balance performance varied under dual- and multi-task conditions. Conclusion The findings highlight differences between dual- and multi-task protocols and add to the understanding of balance performance in older adults under cognitive and physical loads. Application The present study highlights differences between dual- and multi-task methodologies that need to be considered in future studies of balance and control in older adults.

scholarly journals Effects of Short-Term Dynamic Balance Training on Postural Stability in School-Aged Football Players and Gymnasts

2021 ◽  
Vol 12 ◽  
Author(s):  
Rouven Kenville ◽  
Tom Maudrich ◽  
Sophie Körner ◽  
Johannes Zimmer ◽  
Patrick Ragert
Keyword(s):  
Repeated Measures ◽  
Dynamic Balance ◽  
Training Session ◽  
Balance Training ◽  
Retention Rates ◽  
Football Players ◽  
Static Balance ◽  
Balance Performance ◽  
Balance Assessment ◽  
Eyes Closed

Static and dynamic balance abilities enable simple and complex movements and are determinants of top athletic performance. Balance abilities and their proficiency differ fundamentally with respect to age, gender, type of balance intervention, and type of sport. With this study, we aim to investigate whether 4weeks of dynamic balance training (DBT) improves static balance performance in school-aged gymnasts and football players. For this purpose, young male gymnasts (n=21) and male football players (n=20) completed an initial static balance assessment consisting of two one-legged stance (left and right foot) and two two-legged stance (eyes open and eyes closed) tasks. Subsequently, all participants underwent a 4-week intervention. DBT consisting of nine individual tasks was performed two times per week. Another static balance assessment followed 1day after the last training session and retention was assessed 2weeks later. Dynamic balance scores and total path length were analyzed via rank-based repeated measures designs using ANOVA-type statistics. The influence of factors GROUP and TIME on the static and dynamic balance performance was examined. Prior to DBT, young gymnasts showed better static balance performance than football players. However, after intervention, both groups improved in both one-legged stance tasks and also had high retention rates in these tasks. No significant improvements were seen in either group in the two-legged balance tests. Both groups improved in the dynamic balance tasks, although no differences in learning rates were evident. Our findings imply an inter-relationship between both static and dynamic balance components. Consequently, training regimes should include both balance components to facilitate early development of balance ability.

scholarly journals The effect of prophylactic knee bracing on proprioception performance in first division rugby union players

2004 ◽  
Vol 16 (1) ◽  
pp. 33 ◽  
Author(s):  
TH Kruger ◽  
MF Coetsee ◽  
S Davies
Keyword(s):  
South African ◽  
Sports Medicine ◽  
Dynamic Balance ◽  
Rugby Union ◽  
Knee Brace ◽  
Balance Test ◽  
Kwazulu Natal ◽  
Test Order ◽  
The University ◽  
Rugby Players

Objective. To investigate the effects of prophylactic knee bracing on proprioceptive performance among first division rugby union players during a 2-minute Wilknox Quad Time Logger balancing task. Design. Each subject performed a 2-minute balancing task on the Wilknox Quad Time Logger. Test order, left or right leg, and the sequence of brace or non-brace, were randomised. Subjects were placed on the balancing board and instructed to balance for 2 minutes. Subjects performed 6 trials. Two days elapsed between testing. Each testing day involved 2 trials, 1 trial with and 1 without the prophylactic knee brace. Settings. Testing took place at the biokinetics laboratory of the University of Zululand. Subjects. Thirty playing (not injured) male rugby players, aged 22 - 30 years, participating in the KwaZulu-Natal club championships (2000). Outcome measure. Performance was measured in terms of time that balance was lost in a dynamic balance test. Peak proprioception was the best balancing performance recorded, and average proprioception the average balancing performance for all trials. Results. The findings showed an improvement of 17.9% in average proprioception times and 19.1% in peak proprioception times with the application of a prophylactic knee brace (p < 0.01). Conclusion. Prophylactic knee bracing improved proprioception performance of playing (uninjured) rugby players, and therefore may be responsible for the improvement in knee injury statistics reported in some studies on knee bracing. South African Journal of Sports Medicine Vol.16(1) 2004: 33-36

Effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions

2019 ◽  
Author(s):  
Hamid Allahverdipour ◽  
Iman Dianat ◽  
Galavizh Mameh ◽  
mohammad Asghari Jafarabadi
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Cognitive Task ◽  
Dynamic Balance ◽  
The Elderly ◽  
Static Balance ◽  
Timed Up And Go ◽  
Task Conditions ◽  
And Control ◽  
Single Versus

Abstract Background: The aim of this study was to evaluate the effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions. Methods: The effects of single versus combined (dual-task and multi-task) cognitive (to speak out the name of the weekdays in a reverse order) and physical (with three levels including handling weights of 1kg, 2kg and 3kg in each hand) loads on dynamic and static balance of 42 older adults (21 males and 21 females), aged ≥ 60 years were studied. Dynamic and static balance measures were evaluated using the Timed Up and Go (TUG) and stabilometer (sway index) tests, respectively. Results: The TUG speed of female participants was generally slower than that of male participants. Cognitive task influenced the participants’ dynamic balance during the dual-task conditions, while the static balance was not affected in this phase. The dynamic and static balance measures were more influenced when performing the multi-tasks than when doing the dual-tasks. The effects of various levels of physical demand on the dynamic balance varied greatly under dual- and multi-task conditions. Conclusions: The findings add to the understanding of the factors influencing the elderly balance and control under cognitive and physical functioning.

scholarly journals Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Juan De la Torre ◽  
Javier Marin ◽  
Marco Polo ◽  
José J. Marín
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Static Balance ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Balance Test ◽  
Balance Disorders ◽  
Eyes Closed ◽  
Specialist Physician

Balance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring.

Evaluation of Standing Balance Performance in Indian Classical Dancers

2020 ◽  
Vol 24 (1) ◽  
pp. 19-23
Author(s):  
Juhi K. Bharnuke ◽  
Rajani P. Mullerpatan ◽  
Claire Hiller
Keyword(s):  
Dual Task ◽  
Center Of Pressure ◽  
Standing Balance ◽  
Balance Performance ◽  
Classical Dance ◽  
Eyes Closed ◽  
Eyes Open ◽  
Second Dual ◽  
Indian Classical Dance ◽  
Base Of Support

Indian classical dance involves a constant change of the base of support from stance to low jumps and spins along with intricate footwork. Graceful movement of the torso, shifting from side to side and turning around the axis of the spine, challenges balance. Yet, balance performance remains unexplored in Indian classical dancers. Therefore, the present study aimed to compare the standing balance of 36 active female dancers (18 to 25 years of age) who had performed Indian classical dance for a minimum of 10 years with 36 healthy age-matched women not involved in regular physical activity. Balance was evaluated in static and dynamic conditions of single and dual-limb stance on a force plate using center-of-pressure trajectory and the Star Excursion Balance Test (SEBT). Dancers demonstrated better balance on both instrumented and non-instrumented outcome variables: wide base of support with eyes open and with eyes closed; for 30-second single limb stance with eyes open and with eyes closed; for 13-second dual task in single limb stance; and for 22-second dual task in wide base of support. The SEBT revealed significantly better balance performance of dancers in the three directions tested: anterior, posteromedial, and posterolateral. There was also a strength component of the study on which the dancers achieved significantly higher scores than controls for the three muscle groups tested (gastrocsoleus, gluteus medius, and quadriceps), which can be attributed to their training. These findings can be used to recommend classical dance training to achieve the dual purpose of deriving better balance and stronger bodies and maintaining the Indian dance heritage.

scholarly journals The Influence of Feedback on Balance in Stroke Patients

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Jûratė Ramanauskaitė ◽  
Gražina Krutulytė
Keyword(s):  
Physical Therapy ◽  
Body Position ◽  
Dynamic Balance ◽  
Stable State ◽  
Cerebral Stroke ◽  
Static Balance ◽  
Stroke Patients ◽  
Eyes Closed ◽  
Physical Exercises ◽  
Before And After

Stroke has been recognized as one of the basic reasons what concerns illness, death-rate and long-term disability all over the world. Balance disorder is one of the most common disorders and one of the basic factors limiting the routine of cerebral stroke patients. Therefore the feedback is especially important to train balance in patients with the disorder to perceive their body position. The use of feedback provides patients with sensormotoric disorders ability to evaluate different physiological reactions better and to improve simetricity of their body position. There are expensive and complicated feedback-based platforms used to train balance, however, there was no evidence, whether a mirror – a simple and cheap means of feedback – equally influences the balance of stroke patients. Objectives: to assess the feedback influence on the balance of stroke patients. To evaluate the mobility of stroke patients before and after the physical therapy. To evaluate the static balance of stroke patients before and after the physical therapy To evaluate the dynamic balance of stroke patients before and after the physical therapy Methods and measures: The research was carried out from 2008–02–01 to 2009–02–02, in the 2nd Department of In-patient Rehabilitation (Centre of Physical Medicine and Rehabilitation, Vilnius University Hospital Santariškių Klinikos). There were 40 cerebral stroke patients in the survey examined, who were selected according to the following criteria: • the first cerebral stroke, • ability to understand the tasks of the survey, • ability to stand 2 minutes without assistance, • ability to stand 30 seconds without assistance ant with eyes closed, • ability to step on and step off a stair individually or with observation, • stable state of the cardiovascular system The patients were divided into two groups randomly: group 1 (n = 20) consisted of the patients whose balance was trained using platform „MTD-balance“; group 2 (n = 20) consisted of the patients whose balance was trained using a mirror. During the survey all the patients underwent a specially created program of both general and special, aimed physical exercises. The program lasted 4 weeks (5 days a week, twice a day) and consisted of basic and functional procedures of physical therapy The functional state was evaluated at the time of patients’ arrival at the department of rehabilitation and 4 weeks later. The power of muscles was evaluated according to the 5 grade system of Lovett; sensations (surface and deep), muscular tone according the spastic scale of Ashworth; general mobility (5 classes according to the scale suggested by the European Federation for Research in Rehabilitation (EFRR), legs mobility (5 classes according to the scale suggested by the EFRR), dynamic balance was evaluated using the tests of Berg and „Stand and go“, static balance (sitting and standing, with eyes closed and eyes opened) was evaluated using the „MTD-balance“ system. Conclusions: 1. During the application of the 4-week program of physical exercises the mobility of the patients surveyed were improving. It was found, that the improvement of mobility was the same when using both „MTD-balance“platform and a mirror 2. The static balance improved using both „MTD-balance“platform and a mirror. However, using both „MTD-balance“platform as more effective in improving static balance when standing with closed eyes (p < 0.05). 3. Better results of dynamic balance are achieved when balance is trained using the „MTD-balance“platform (p < 0.05).Keywords: the stroke, balance, feedback

scholarly journals Dynamic balance performance varies by position but not by age group in elite Rugby Union players – a normative study

2018 ◽  
Vol 37 (11) ◽  
pp. 1308-1313
Author(s):  
William Johnston ◽  
Ciara Duignan ◽  
Garrett F Coughlan ◽  
Brian Caulfield
Keyword(s):  
Dynamic Balance ◽  
Rugby Union ◽  
Age Group ◽  
Balance Performance ◽  
Normative Study

scholarly journals Balance Performance Is Task Specific in Older Adults

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Ayelet Dunsky ◽  
Aviva Zeev ◽  
Yael Netz
Keyword(s):  
Older Adults ◽  
Dynamic Balance ◽  
Field Tests ◽  
Community Dwelling ◽  
Static Balance ◽  
Balance Performance ◽  
Timed Up And Go ◽  
Balance Test ◽  
Balance Tests ◽  
Balance Ability

Balance ability among the elderly is a key component in the activities of daily living and is divided into two types: static and dynamic. For clinicians who wish to assess the risk of falling among their elderly patients, it is unclear if more than one type of balance test can be used to measure their balance impairment. In this study, we examined the association between static balance measures and two dynamic balance field tests. One hundred and twelve community-dwelling older adults (mean age 74.6) participated in the study. They underwent the Tetrax static postural assessment and then performed the Timed Up and Go (TUG) and the Functional Reach (FR) Test as dynamic balance tests. In general, low-moderate correlations were found between the two types of balance tests. For women, age and static balance parameters explained 28.1–40.4% of the variance of TUG scores and 14.6–24% of the variance of FR scores. For men, age and static balance parameters explained 9.5–31.2% of the variance of TUG scores and 23.9–41.7% of the variance of FR scores. Based on our findings, it is suggested that a combination of both static and dynamic tests be used for assessing postural balance ability.

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