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Sway Balance Mobile Application: Reliability, Acclimation, and Baseline Administration.

Nishit Mummareddy1, Benjamin L Brett1,2,3, Aaron M Yengo-Kahn1,4

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A practice trial before balance testing improves results. Standardizing balance assessment protocols and using two baseline tests enhances reliability for clinical use in athletes.

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Area of Science:

  • Sports Medicine
  • Biomechanics
  • Human Movement Science

Background:

  • Standardized baseline data collection is crucial for accurate postural control assessment in athletes.
  • Variability in administration practices can affect the reliability of balance assessments.
  • The Sway Balance Mobile Application (SBMA) is used for balance testing, but its reliability needs further examination.

Purpose of the Study:

  • To describe historical practices in administering balance sessions.
  • To evaluate the effectiveness of a practice trial (acclimation trial) prior to official balance testing.
  • To determine the within-session reliability of the Sway Balance Mobile Application (SBMA).

Main Methods:

  • Retrospective observational study analyzing data from over 7,900 student-athletes across US middle schools, high schools, and colleges.
  • Examined subject characteristics including age, sex, weight, and height.
  • Analyzed balance assessment scores generated by the SBMA, comparing sessions with and without acclimation trials.

Main Results:

  • Significant variations in baseline session administration practices were identified.
  • Athletes who completed an acclimation trial demonstrated higher baseline balance scores compared to those who did not.
  • Within-session reliability for the SBMA ranged from low to adequate (r = 0.53-0.78), with improved reliability for two consecutive baseline tests (r = 0.75-0.78).

Conclusions:

  • A standardized protocol for postural control baseline acquisition is essential for maximizing clinical utility.
  • Implementing an acclimation trial before the baseline session can minimize variability.
  • For optimal reliability, baseline balance measurements should include an acclimation trial followed by two consecutive baseline tests within the same session.