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  1. Home
  3. Concussion, Postural Control, And Lower Extremity Injury Risk: A Comparison Of Postural Control Tests.
  1. Home
  3. Concussion, Postural Control, And Lower Extremity Injury Risk: A Comparison Of Postural Control Tests.

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Concussion, Postural Control, and Lower Extremity Injury Risk: A Comparison of Postural Control Tests.

Courtney Roca1, Rebecca Mokris, John D Ranney

  • 1Dep. of Nutrition and Food Sciences, Texas Woman's University, 1000 Old Main Circle, Denton, TX, 76209, USA. tleakey@twu.edu.

Journal of Allied Health
|June 5, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Dual-task Balance Error Scoring System (BESS) performance effectively predicts lower extremity musculoskeletal (LEMSK) injuries in athletes with a history of sports-related concussion (SRC). This highlights the importance of dual-task assessments for injury risk identification.

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Related Experiment Videos

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
07:52

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

Published on: September 18, 2020

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Area of Science:

  • Sports Medicine
  • Neurology
  • Biomechanics

Background:

  • Sports-related concussion (SRC) can lead to persistent postural control deficits.
  • These deficits may increase the risk of lower extremity musculoskeletal (LEMSK) injuries.
  • Inconsistent assessment methods contribute to mixed findings in current research.

Purpose of the Study:

  • To investigate postural control in athletes with a history of SRC.
  • To identify which postural assessment tools best predict LEMSK injury.
  • To evaluate the utility of dual-task vs. single-task assessments.

Main Methods:

  • Cross-sectional study of 110 NCAA Division II student-athletes (67 SRC history, 43 controls).
  • Baseline postural control assessed using Balance Error Scoring System (BESS; single/dual-task), Modified Clinical Test of Sensory Interaction in Balance (M-CTSIB), and tandem gait test (TGT; single/dual-task).
  • LEMSK injuries monitored over one season; logistic regression used for prediction analysis.

Main Results:

  • BESS dual-task performance significantly predicted LEMSK injury (b = 0.045, p = 0.047).
  • BESS single-task performance showed a trend toward significance (b = 0.054, p = 0.056).
  • M-CTSIB and TGT (single/dual-task) did not significantly predict injury.

Conclusions:

  • BESS dual-task performance is the most sensitive predictor of LEMSK injury among tested methods.
  • Dual-task postural control testing may be valuable for identifying athletes at elevated risk post-SRC.
  • This emphasizes the importance of dynamic, multi-tasking assessments in concussion management.