A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion

# Background The incidence of sports-related concussion in the US is between 1.6-3.8 million annually. Identification of ongoing impairment post-concussion continues to be challenging, as research indicates many patients are cleared for return to activity while still suffering subclinical impairment...

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Autores principales:	Sarah Patejak, Joshua Forrest, Emily Harting, Mable Sisk, Eric Schussler
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/c35af98ca7254ff5a13c4cb85314d993
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spelling	oai:doaj.org-article:c35af98ca7254ff5a13c4cb85314d9932021-12-02T15:34:45ZA Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion2159-2896https://doaj.org/article/c35af98ca7254ff5a13c4cb85314d9932021-10-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/27983-a-systematic-review-of-center-of-mass-as-a-measure-of-dynamic-postural-control-following-concussion.pdfhttps://doaj.org/toc/2159-2896# Background The incidence of sports-related concussion in the US is between 1.6-3.8 million annually. Identification of ongoing impairment post-concussion continues to be challenging, as research indicates many patients are cleared for return to activity while still suffering subclinical impairment of function. Purpose: To identify and review the current literature on the use of center of mass (COM) during gait as a potential indicator variable after concussive injury. Study Design: Systematic Review # Methods A Pubmed search was undertaken utilizing search terms involving gait performance and concussion. Study inclusion criteria included: (1) COM used as a variable in data analysis, (2) study population included individuals diagnosed with concussion, (3) postural control was evaluated throughout the recovery process. Articles were excluded if they were systematic reviews, unedited manuscripts, meta-analyses, or were more than 15 years old. # Results Search of the PubMed database identified six articles which matched the determined criteria. The average STROBE score was 26.5/34 (range from 23-30). The areas that had the poorest scoring were bias, study size, statistical methods, participants, descriptive data, and main results. Results of the review indicate that COM displacement was higher in concussion groups with a sufficiently taxing task, such as a dual task paradigm. # Conclusion Center of mass measures during gait may be an indicator of ongoing concussive injury involvement after clinical indications have subsided. # Level of Evidence 2aSarah PatejakJoshua ForrestEmily HartingMable SiskEric SchusslerNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Sarah Patejak Joshua Forrest Emily Harting Mable Sisk Eric Schussler A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion
description	# Background The incidence of sports-related concussion in the US is between 1.6-3.8 million annually. Identification of ongoing impairment post-concussion continues to be challenging, as research indicates many patients are cleared for return to activity while still suffering subclinical impairment of function. Purpose: To identify and review the current literature on the use of center of mass (COM) during gait as a potential indicator variable after concussive injury. Study Design: Systematic Review # Methods A Pubmed search was undertaken utilizing search terms involving gait performance and concussion. Study inclusion criteria included: (1) COM used as a variable in data analysis, (2) study population included individuals diagnosed with concussion, (3) postural control was evaluated throughout the recovery process. Articles were excluded if they were systematic reviews, unedited manuscripts, meta-analyses, or were more than 15 years old. # Results Search of the PubMed database identified six articles which matched the determined criteria. The average STROBE score was 26.5/34 (range from 23-30). The areas that had the poorest scoring were bias, study size, statistical methods, participants, descriptive data, and main results. Results of the review indicate that COM displacement was higher in concussion groups with a sufficiently taxing task, such as a dual task paradigm. # Conclusion Center of mass measures during gait may be an indicator of ongoing concussive injury involvement after clinical indications have subsided. # Level of Evidence 2a
format	article
author	Sarah Patejak Joshua Forrest Emily Harting Mable Sisk Eric Schussler
author_facet	Sarah Patejak Joshua Forrest Emily Harting Mable Sisk Eric Schussler
author_sort	Sarah Patejak
title	A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion
title_short	A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion
title_full	A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion
title_fullStr	A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion
title_full_unstemmed	A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion
title_sort	systematic review of center of mass as a measure of dynamic postural control following concussion
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/c35af98ca7254ff5a13c4cb85314d993
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A Systematic Review of Center of Mass as a Measure of Dynamic Postural Control Following Concussion

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