Journal article
Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion
Journal of Athletic Training, Vol.52(3), pp.245-255
2017
PMCID: PMC5384822
PMID: 28387551
Abstract
Context:
Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has recently been developed but has not been tested in concussed patients.
Objective:
To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery.
Design:
Cohort study.
Setting:
Athletic training room and collegiate sports arena.
Patients or Other Participants:
We collected preseason baseline data from 403 National Collegiate Athletic Association Division I and III student-athletes participating in contact sports and studied 19 participants (age = 19.2 ± 1.2 years, height = 177.7 ± 8.0 cm, mass = 75.3 ± 16.6 kg, time from baseline to day 3 postconcussion = 27.1 ± 36.6 weeks) who sustained concussions.
Main Outcome Measure(s):
We assessed balance using single-legged and double-legged stances for both the BESS and WBB, focusing on the double-legged, eyes-closed stance for the WBB, and used ImPACT to assess neurocognition at 3 time points. Descriptive statistics were used to characterize the sample. Mean differences and Spearman rank correlation coefficients were used to determine differences within and between metrics over the 3 time points. Individual-level changes over time were also assessed graphically.
Results:
The WBB demonstrated mean changes between baseline and day 3 postconcussion and between days 3 and 7 postconcussion. It was correlated with the BESS and ImPACT for several measures and identified 2 cases of abnormal balance postconcussion that would not have been identified via the BESS.
Conclusions:
When accompanied by the appropriate analytic software, the WBB may be an alternative for assessing postural stability in concussed student-athletes and may provide additional information to that obtained via the BESS and ImPACT. However, verification among independent samples is required.
Details
- Title
- Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion
- Authors
- Kian Merchant-Borna (Author) - University of RochesterCourtney Marie Cora Jones (Author) - University of RochesterMattia Janigro (Author) - University of RochesterErin B Wasserman (Author) - University of North Carolina at Chapel HillRoss A Clark (Author) - Australian Catholic UniversityJeffrey J Bazarian (Author) - University of Rochester
- Publication details
- Journal of Athletic Training, Vol.52(3), pp.245-255
- Publisher
- National Athletic Trainers Association
- DOI
- 10.4085/1062-6050-52.1.13
- ISSN
- 1938-162X
- PMID
- 28387551; PMC5384822
- Organisation Unit
- School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health - Public Health
- Language
- English
- Record Identifier
- 99659193102621
- Output Type
- Journal article
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- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Sport Sciences
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