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Quantitative Static and Dynamic Assessment of Balance Control in Stroke Patients
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Reference values for the balance error scoring system in adolescents.

Bara Alsalaheen1, Adam McClafferty1, Jamie Haines1

  • 1a Department of Physical Therapy , University of Michigan-Flint , Flint , MI , USA.

Brain Injury
|April 9, 2016
PubMed
Summary
This summary is machine-generated.

This study establishes Balance Error Scoring System (BESS) reference values for adolescents, finding females perform better. These gender-specific benchmarks aid concussion assessment in young athletes.

Keywords:
ConcussionmTBInormativepostural stability

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Area of Science:

  • Neurology
  • Sports Medicine
  • Adolescent Health

Background:

  • Mild traumatic brain injury (concussion) can impair adolescent postural stability.
  • The Balance Error Scoring System (BESS) is a common tool for assessing post-concussion balance.
  • Current BESS use in adolescents is limited by a lack of established reference values.

Purpose of the Study:

  • To establish normative reference values for the BESS in a high school adolescent population.
  • To investigate the influence of gender on BESS performance in adolescents.
  • To provide clinicians with gender-specific benchmarks for interpreting BESS scores.

Main Methods:

  • 191 high school adolescents (ages 14-18) completed the BESS.
  • The study analyzed the effects of gender, age, body mass, and height on BESS scores.
  • Reference values were stratified by gender.

Main Results:

  • Female adolescents demonstrated significantly better performance on most BESS conditions and total score (p < 0.001).
  • No significant correlations were found between BESS scores and age or body mass.
  • Gender-specific reference values for the BESS were established.

Conclusions:

  • Gender significantly impacts BESS performance in adolescents, necessitating gender-specific interpretation.
  • The reported reference values offer crucial benchmarks for clinicians evaluating adolescent concussion.
  • These findings enhance the clinical utility of the BESS for adolescent postural stability assessment.