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Relationship Between Sensory Organization Testing Scores With Lower Extremity Injuries and Prior Concussion in
James Mooney1, Graham D Cochrane1, Sara Gould1
1Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama.
Summary
Professional soccer players with prior concussion or lower extremity (LE) injuries showed no long-term postural control deficits. Computerized sensory organization testing (SOT) demonstrated moderate reliability, with younger athletes exhibiting more postural sway.
Area of Science:
- Sports Medicine
- Neurology
- Biomechanics
Background:
- Concussions and lower extremity (LE) injuries are common in professional soccer.
- The long-term effects of these injuries on postural control are not fully understood.
Purpose of the Study:
- To investigate the association between concussion or LE injury history and computerized sensory organization testing (SOT) performance in professional soccer players.
- To assess the reliability of SOT in this population.
Main Methods:
- A cross-sectional study was conducted with 33 professional male soccer players.
- Data collected included age, LE injury history, and concussion history (including number of prior concussions).
- Baseline SOT was performed under 6 sensory conditions to measure postural sway.
Main Results:
- No significant differences in SOT scores were found between players with and without a concussion history.
- Players with a previous LE injury performed better on SOT condition 3 (eyes open, unstable visual surround) compared to those without.
- Younger athletes (≤25 years) performed worse on condition 3 and showed a trend towards poorer balance on other measures compared to older athletes.
Conclusions:
- Previous concussions or LE injuries in professional soccer players did not result in long-term postural control deficits as measured by SOT.
- SOT demonstrated moderate reliability over time.
- Younger athletes exhibited greater postural sway than older athletes.

