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Related Experiment Video

Updated: Jan 6, 2026

Vision Training Methods for Sports Concussion Mitigation and Management
12:54

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Published on: May 5, 2015

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Concussion recovery: dual-task performance and prioritization.

Barry A Munkasy1, Kristin Bockelman1, Jody L Langdon1

  • 1Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, USA.

The Physician and Sportsmedicine
|December 1, 2025
PubMed
Summary
This summary is machine-generated.

This study assessed concussion recovery using the Balance Error Scoring System (BESS) and Standard Assessment of Concussion (SAC). While overall scores didn't differ, task prioritization at return to play (RTP) may indicate incomplete neurological recovery in athletes.

Keywords:
Balance error scoring systembalancebiomechanicsreturn to playstandard assessment of concussion

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Area of Science:

  • Sports Medicine
  • Neurology
  • Clinical Assessment

Background:

  • Concussion recovery assessment is crucial for athlete safety.
  • Standardized protocols are needed for objective evaluation beyond clinical recovery.
  • The Balance Error Scoring System (BESS) and Standard Assessment of Concussion (SAC) are commonly used tools.

Purpose of the Study:

  • To evaluate a combined Balance Error Scoring System (BESS) and Standard Assessment of Concussion (SAC) protocol for concussion assessment.
  • To determine the feasibility of this protocol during and after clinical concussion recovery.
  • To identify potential indicators of incomplete neurological recovery in collegiate athletes.

Main Methods:

  • Recruited 28 collegiate student-athletes (14 post-concussion, 14 control).
  • Administered simultaneous BESS and SAC assessments at clinical recovery, return to play (RTP) day, and 30 days post-concussion.
  • Utilized linear mixed model ANOVA for repeated measures and Chi-Square for task prioritization analysis.

Main Results:

  • No significant group-by-time interaction was found for BESS or SAC scores.
  • A significant difference in task prioritization was observed at the return to play (RTP) stage.
  • Concussion participants exhibited varied task prioritization, including mutual interference, at RTP.

Conclusions:

  • The combined BESS and SAC protocol shows potential for assessing concussion recovery.
  • Task prioritization differences at RTP may serve as a biomarker for incomplete neurological recovery.
  • Further research is warranted to validate this protocol for identifying athletes needing extended recovery.