Center Of Pressure Better Approximates Body Center Of Mass Movement Than Either The Thorax Or Pelvis During Firm Surface Balance Error Scoring System Testing.

2016 ◽  
Vol 48 ◽  
pp. 142-143
Author(s):  
Bryan L. Riemann ◽  
George J. Davies
Keyword(s):  
Scoring System ◽  
Center Of Pressure ◽  
Center Of Mass ◽  
Mass Movement ◽  
System Testing ◽  
Body Center ◽  
Balance Error Scoring System ◽  
Balance Error ◽  
Surface Balance

Sway Area and Velocity Correlated with MobileMat Balance Error Scoring System (BESS) Scores

2016 ◽  
Vol 32 (4) ◽  
pp. 329-334 ◽  
Author(s):  
Jaclyn B. Caccese ◽  
Thomas A. Buckley ◽  
Thomas W. Kaminski
Keyword(s):  
Scoring System ◽  
Center Of Pressure ◽  
Center Of Mass ◽  
Approximate Entropy ◽  
Assessment Method ◽  
Sample Entropy ◽  
Balance Assessment ◽  
Order Processing ◽  
Balance Error Scoring System ◽  
Balance Error

The Balance Error Scoring System (BESS) is often used for sport-related concussion balance assessment. However, moderate intratester and intertester reliability may cause low initial sensitivity, suggesting that a more objective balance assessment method is needed. The MobileMat BESS was designed for objective BESS scoring, but the outcome measures must be validated with reliable balance measures. Thus, the purpose of this investigation was to compare MobileMat BESS scores to linear and nonlinear measures of balance. Eighty-eight healthy collegiate student-athletes (age: 20.0 ± 1.4 y, height: 177.7 ± 10.7 cm, mass: 74.8 ± 13.7 kg) completed the MobileMat BESS. MobileMat BESS scores were compared with 95% area, sway velocity, approximate entropy, and sample entropy. MobileMat BESS scores were significantly correlated with 95% area for single-leg (r = .332) and tandem firm (r = .474), and double-leg foam (r = .660); and with sway velocity for single-leg (r = .406) and tandem firm (r = .601), and double-leg (r = .575) and single-leg foam (r = .434). MobileMat BESS scores were not correlated with approximate or sample entropy. MobileMat BESS scores were low to moderately correlated with linear measures, suggesting the ability to identify changes in the center of mass–center of pressure relationship, but not higher-order processing associated with nonlinear measures. These results suggest that the MobileMat BESS may be a clinically-useful tool that provides objective linear balance measures.

Comparing Computer-Derived and Human-Observed Scores for the Balance Error Scoring System

2016 ◽  
Vol 25 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Jaclyn B. Caccese ◽  
Thomas W. Kaminski
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Scoring System ◽  
Postural Stability ◽  
Correlation Coefficients ◽  
Current Standard ◽  
Interclass Correlation ◽  
Z Scores ◽  
Balance Error Scoring System ◽  
Balance Error

Context:The Balance Error Scoring System (BESS) is the current standard for assessing postural stability in concussed athletes on the sideline. However, research has questioned the objectivity and validity of the BESS, suggesting that while certain subcategories of the BESS have sufficient reliability to be used in evaluation of postural stability, the total score is not reliable, demonstrating limited interrater and intrarater reliability. Recently, a computerized BESS test was developed to automate scoring.Objective:To compare computerderived BESS scores with those taken from 3 trained human scorers.Design:Interrater reliability study.Setting:Athletic training room.Patients:NCAA Division I student athletes (53 male, 58 female; 19 ± 2 y, 168 ± 41 cm, 69 ± 4 kg).Interventions:Subjects were asked to perform the BESS while standing on the Tekscan (Boston, MA) MobileMat® BESS. The MobileMat BESS software displayed an error score at the end of each trial. Simultaneously, errors were recorded by 3 separate examiners. Errors were counted using the standard BESS scoring criteria.Main Outcome Measures:The number of BESS errors was computed for the 6 stances from the software and each of the 3 human scorers. Interclass correlation coefficients (ICCs) were used to compare errors for each stance scored by the MobileMat BESS software with each of 3 raters individually. The ICC values were converted to Fisher Z scores, averaged, and converted back into ICC values.Results:The double-leg, single-leg, and tandem-firm stances resulted in good agreement with human scorers (ICC = .999, .731, and .648). All foam stances resulted in fair agreement.Conclusions:Our results suggest that the MobileMat BESS is suitable for identifying BESS errors involving each of the 6 stances of the BESS protocol. Because the MobileMat BESS scores consistently and reliably, this system can be used with confidence by clinicians as an effective alternative to scoring the BESS.

scholarly journals P124: A new in-skates balance error scoring system for the sideline assessment of concussion in hockey players

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S100-S101
Author(s):  
A. Robert ◽  
M. Moroz ◽  
D. Var ◽  
J. Correa ◽  
S. Delaney
Keyword(s):  
Scoring System ◽  
Primary Outcome ◽  
Return To Play ◽  
Secondary Outcome ◽  
Balance Test ◽  
Rater Reliability ◽  
Post Exercise ◽  
Hockey Players ◽  
Balance Error Scoring System ◽  
Balance Error

Introduction: During a hockey game, athletes who are suspected of having sustained a concussion are removed from the game and evaluated. The modified balance error scoring system (MBESS) assessment, an essential part of the concussion evaluation, is performed in the dressing room, barefoot on a hard surface after equipment removal. While, players that pass the concussion assessment may re-dress and return to play, the equipment removal and re-dressing delays their return into the game. The objective of our study was to develop and evaluate a new in-skates balance error scoring system (SBESS) to reduce the delay in returning to the game. Methods: A prospective randomized single blinded study was conducted with 80 healthy university hockey players split into two groups. An at-rest group performed the SBESS assessment at rest on two separate occasions. A post-exercise group performed the test once at rest and once after exercise. The SBESS consisted of performing 4 different stances for 20 seconds each without equipment removal. The assessments were video recorded, and 3 independent reviewers scored the videos. For both the at-rest and post-exercise groups, the primary outcome measured was the number of balance errors. The secondary outcome was the number of falls. Statistics: For the primary outcome, both inter-rater and intra-rater reliability were calculated. The concordance between the SBESS and the currently used baseline pre-season balance score (MBESS) was also assessed. Results: The number of cumulative balance errors for all four stances varied between 4 and 7 for both groups without any significant exercise effect. No athletes fell. For inter-rater reliability, the intra-class correlation (ICC) was above 0.86, ranging from 0.86-0.92 for most stances except for the easiest stance, for which it was 0.66. For intra-rater reliability, the ICC ranged from 0.88 to 1 for all stances and raters. There was a lack of concordance between the SBESS and MBESS. Conclusion: The SBESS is a reliable balance test that can be safely performed in healthy athletes wearing their full equipment. The next step will be to evaluate the use of this test on concussed hockey athletes

The Relationship Between Physical Literacy Measures of Balance and the Balance Error Scoring System in Youth Sports Participants

2018 ◽  
Vol 10 (6) ◽  
pp. 270-276
Author(s):  
Hayley J. Root ◽  
Tamara C. Valovich McLeod ◽  
Eleanor Beltz ◽  
Julie Burland ◽  
Lindsay J. DiStefano
Keyword(s):  
Scoring System ◽  
Youth Sports ◽  
Physical Literacy ◽  
Balance Error Scoring System ◽  
The Relationship ◽  
Balance Error

scholarly journals Baseline profiles of auditory, vestibular, and visual functions in youth tackle football players

Concussion ◽  
2019 ◽  
Vol 4 (4) ◽  
pp. CNC66
Author(s):  
Travis White-Schwoch ◽  
Jennifer Krizman ◽  
Kristi McCracken ◽  
Jamie K Burgess ◽  
Elaine C Thompson ◽  
...  
Keyword(s):  
Scoring System ◽  
Normative Data ◽  
Football Players ◽  
Published Data ◽  
Frequency Following Response ◽  
Youth Athletes ◽  
Concussion Management ◽  
Tackle Football ◽  
Balance Error Scoring System ◽  
Balance Error

Aim: Neurosensory tests have emerged as components of sport-related concussion management. Limited normative data are available in healthy, nonconcussed youth athletes. Patients & methods/results: In 2017 and 2018, we tested 108 youth tackle football players immediately before their seasons on the frequency-following response, Balance Error Scoring System, and King-Devick test. We compared results with published data in older and/or and nonathlete populations. Performance on all tests improved with age. Frequency-following response and Balance Error Scoring System results aligned with socioeconomic status. Performance was not correlated across neurosensory domains. Conclusion: Baseline neurosensory functions in seven 14-year-old male tackle football players are consistent with previously published data. Results reinforce the need for individual baselines or demographic-specific norms and the use of multiple neurosensory measures in sport-related concussion management.

scholarly journals Quantification of the Balance Error Scoring System with Mobile Technology

2015 ◽  
Vol 47 (10) ◽  
pp. 2233-2240 ◽  
Author(s):  
JAY L. ALBERTS ◽  
ANIL THOTA ◽  
JOSHUA HIRSCH ◽  
SARAH OZINGA ◽  
TANUJIT DEY ◽  
...  
Keyword(s):  
Mobile Technology ◽  
Scoring System ◽  
Balance Error Scoring System ◽  
Balance Error

Reference values for the balance error scoring system in adolescents

Brain Injury ◽  
2016 ◽  
Vol 30 (7) ◽  
pp. 914-918 ◽  
Author(s):  
Bara Alsalaheen ◽  
Adam McClafferty ◽  
Jamie Haines ◽  
Laura Smith ◽  
Amy Yorke
Keyword(s):  
Reference Values ◽  
Scoring System ◽  
Balance Error Scoring System ◽  
Balance Error

Balance Error Scoring System Reliability and Validity When Performed With Ice Skates

2020 ◽  
pp. 1-5
Author(s):  
Jason P. Mihalik ◽  
Elizabeth F. Teel ◽  
Robert C. Lynall ◽  
Erin B. Wasserman
Keyword(s):  
System Reliability ◽  
Scoring System ◽  
Reliability And Validity ◽  
Adolescent Male ◽  
Hockey Players ◽  
Need To Evaluate ◽  
Balance Error Scoring System ◽  
Test Retest Reliability ◽  
Balance Error ◽  
Traditional Manner

In equipment-heavy sports, there is a growing need to evaluate players in the condition in which they participate. However, the psychometric properties of the Balance Error Scoring System (BESS) while wearing skates remains unknown. Seventy-four adolescent male hockey players completed the BESS with and without skates. A subset was reevaluated at the conclusion of the season. The BESS while wearing skates resulted in a mean of 15 more total errors than the traditional administration (t73 = 14.94, p < .001; ES = 1.95) and demonstrated low test-retest reliability. The BESS should be administered in the traditional manner (without skates).

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