Comparison of the Balance Accelerometer Measure and Balance Error Scoring System in Adolescent Concussions in Sports.
Comparison of the Balance Accelerometer Measure and Balance Error Scoring System in Adolescent Concussions in Sports.
Am J Sports Med. 2013 Apr 12;
Furman GR, Lin CC, Bellanca JL, Marchetti GF, Collins MW, Whitney SL
BACKGROUND:High-technology methods demonstrate that balance problems may persist up to 30 days after a concussion, whereas with low-technology methods such as the Balance Error Scoring System (BESS), performance becomes normal after only 3 days based on previously published studies in collegiate and high school athletes. PURPOSE:To compare the National Institutes of Health’s Balance Accelerometer Measure (BAM) with the BESS regarding the ability to detect differences in postural sway between adolescents with sports concussions and age-matched controls. STUDY DESIGN:Cohort study (diagnosis); Level of evidence, 2. METHODS:Forty-three patients with concussions and 27 control participants were tested with the standard BAM protocol, while sway was quantified using the normalized path length (mG/s) of pelvic accelerations in the anterior-posterior direction. The BESS was scored by experts using video recordings. RESULTS:The BAM was not able to discriminate between healthy and concussed adolescents, whereas the BESS, especially the tandem stance conditions, was good at discriminating between healthy and concussed adolescents. A total BESS score of 21 or more errors optimally identified patients in the acute concussion group versus healthy participants at 60% sensitivity and 82% specificity. CONCLUSION:The BAM is not as effective as the BESS in identifying abnormal postural control in adolescents with sports concussions. The BESS, a simple and economical method of assessing postural control, was effective in discriminating between young adults with acute concussions and young healthy people, suggesting that the test has value in the assessment of acute concussions. HubMed – rehab
Effects of Diabetes Mellitus Type ? with or without Neuropathy on Vestibular Evoked Myogenic Potentials.
Acta Med Iran. 2013; 51(2): 107-12
Kamali B, Hajiabolhassan F, Fatahi J, Nasli Esfahani E, Sarrafzadeh J, Faghihzadeh S
Diabetes mellitus type ? is a metabolic disorder that affects multiple systems including the inner ear. Patients with diabetes mellitus commonly complain about dizziness, floating sensation, tinnitus and sweating. The aim of this study was to compare vestibular evoked myogenic potentials (VEMPs) between diabetic patients with or without neuropathy. Subjects included 14 patients with diabetes mellitus type ? with polyneuropathy, 10 patients with diabetes mellitus type ? without polyneuropathy and 24 healthy volunteers. Range of age in participants was 15-40 years old. The VEMPs were recorded with 500 Hz tone bursts with intensity at 95 dB. There was statistically significant difference between the groups in P13 and N23 latencies (P<0.05). There was no statistically significant difference between groups in absolute and relative amplitudes. Prolonged latencies of the VEMP suggest lesions in the retrolabyrinthine, especially in the vestibulospinal tract. HubMed – rehab
Relations between lateral abdominal muscles thickness, body mass index, waist circumference and skin fold thickness.
Acta Med Iran. 2013; 51(2): 101-6
Rostami M, Abedi Yekta AH, Noormohammadpour P, Farahbakhsh F, Kordi M, Kordi R
In light of provided progresses in ultrasound measurements of lateral abdominal muscles, an important role for these muscles, particularly transverse abdominis (TrA) muscle in stability of the spine has been suggested. Some authors have found significant correlations between body mass index (BMI) and thickness of these muscles. The aim of this study was to examine possible association between different methods of measurements of fatness and lateral abdominal muscles thicknesses, employing ultrasound imaging in healthy subjects. Ninety healthy male volunteers aged 18 to 38 (mean= 31.37, standard deviation=5.09) who met our inclusion criteria participated in this study. BMI, skin fold thickness, weight and waist circumference were assumed as the major outcomes for measurement of fatness of the subjects. Employing ultrasound measurements, the thickness of TrA, internal oblique (Int Obl) and external oblique (Ext Obl) muscles were also measured. We found positive significant relation between Ext Obl muscle thickness and all methods of measurements of fatness. Reversely, the results show that Int Obl muscle thickness significantly decreases with the rise of all methods of fatness measurement except weight which had no significant correlation with Int Obl thickness. No significant relation between the TrA muscle thickness and different measurements of the fatness of the subjects were found. In the studies investigate the thickness of lateral abdominal muscles; the authors try to match the participants of different groups of their study regarding the BMI. We found that both waist circumference and skin fold thickness measurements might be assumed as surrogate of BMI, in aim of matching the participants on Ext Obl muscle thickness. HubMed – rehab
Use of the International Classification of Functioning, Disability and Health (ICF) to describe patient-reported disability in primary brain tumour in an Australian community cohort.
J Rehabil Med. 2013 Apr 15;
Khan F, Amatya B
Objective: To describe patient-reported disability in primary brain tumours using the International Classification of Functioning, Disability and Health (ICF); and comparison with categories within the core sets for stroke and traumatic brain injury. Method: A prospective community cross-sectional survey (n?=?106) following definitive treatment for primary brain tumours. Problems reported by participants were linked with ICF categories using ‘linkage’ rules. Participants rated ‘activities and participation’ and ‘environmental factor’ components of ICF checklist (using qualifiers); and responses compared with categories within core sets for stroke and traumatic brain injury. Results: Participant mean age 51 years, median time since diagnosis 2 years; over a third had high grade tumours. Participants considered 44 categories in ‘activities and participation’ and 16 categories (barriers) in ‘environmental factors’ as relevant (??10% response) using checklist. Reported problems included: Mobility, Domestic life, General tasks/ demands; and Human made changes to environment. Although the linked categories for brain tumour survivors were similar to those in the core sets for stroke and traumatic brain injury, there was more commonality with the traumatic brain injury core set. Conclusion: The existing comprehensive stroke and traumatic brain injury core sets incorporate issues relevant to brain tumour survivors in post-acute settings. Findings from this report will assist in defining a future core set for brain tumour; the possibility however, of using a single core set relevant to most long-term neurological conditions needs to be explored. HubMed – rehab