Sensitivity of the Balance Error Scoring System and the Sensory Organization Test in the Combat Environment.

Abstract:

:This study evaluated the utility of the Balance Error Scoring System (BESS) and the Sensory Organization Test (SOT) as tools for the screening and monitoring of Service members (SMs) with mild traumatic brain injury (mTBI) in a deployed setting during the acute and subacute phases of recovery. Patient records (N = 699) were reviewed for a cohort of SMs who sustained a blast-related mTBI while deployed to Afghanistan and were treated at the Concussion Restoration Care Center (CRCC) at Camp Leatherneck. On initial intake into the CRCC, participants completed two assessments of postural control, the BESS, and SOT. SMs with mTBI performed significantly worse on the BESS and SOT when compared with comparative samples. When the SOT data were further examined using sensory ratios, the results indicated that postural instability was primarily a result of vestibular and visual integration dysfunction (r > 0.62). The main finding of this study was that the sensitivity of the SOT composite score (50-58%) during the acute phase was higher than previous sensitivities found in the sports medicine literature for impact-related trauma.

journal_name

J Neurotrauma

journal_title

Journal of neurotrauma

authors

Haran FJ,Slaboda JC,King LA,Wright WG,Houlihan D,Norris JN

doi

10.1089/neu.2015.4060

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

705-11

issue

7

eissn

0897-7151

issn

1557-9042

journal_volume

33

pub_type

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