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Related Experiment Videos

Performance on the Balance Error Scoring System Decreases After Fatigue.

Joseph C. Wilkins1, Tamara C. Valovich McLeod, David H. Perrin

  • 1Lakewood High School, Hebron, OH.

Journal of Athletic Training
|June 3, 2004
PubMed
Summary

Whole-body fatigue significantly impairs balance performance, increasing errors on the Balance Error Scoring System (BESS). This suggests BESS should not be administered immediately after strenuous activity or potential concussion.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Biomechanics

Background:

  • The Balance Error Scoring System (BESS) is a common tool for assessing postural stability, often used in concussion evaluations.
  • Understanding the impact of physiological factors like fatigue on BESS performance is crucial for accurate assessment.

Purpose of the Study:

  • To investigate the immediate effects of a whole-body fatigue protocol on BESS performance.
  • To determine if fatigue protocols influence postural stability measurements.

Main Methods:

  • A fatigue group underwent a 20-minute whole-body exertion protocol, while a control group rested.
  • Both groups were assessed using the BESS before and immediately after the intervention.
  • Ratings of perceived exertion were recorded using the Borg scale.

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Main Results:

  • The fatigue group showed a significant increase in BESS errors post-protocol, indicating diminished balance.
  • The control group demonstrated a significant decrease in BESS errors.
  • Significant differences in BESS errors and perceived exertion were observed between the groups post-intervention.

Conclusions:

  • Immediate post-fatigue BESS performance is compromised, highlighting a reduction in balance ability.
  • Clinicians should avoid administering the BESS test immediately following strenuous activity due to fatigue-induced balance deficits.
  • Fatigue is a significant confounder in BESS assessments, particularly in sideline concussion evaluations.