{"doi":"10.4085/1062-6050-0231.22","title":"Use of Reactive Balance Assessments With Clinical Baseline Concussion Assessments in Collegiate Athletes","abstract":"CONTEXT: Current clinical concussion evaluations assess balance deficits using static or dynamic balance tasks while largely ignoring reactive balance. Including a reactive balance assessment might provide a more comprehensive concussion evaluation. OBJECTIVES: To identify redundancy in current clinical baseline assessments of concussion and determine whether reactive balance adds unique information to these evaluations. DESIGN: Cross-sectional study. SETTING: Clinical assessment. PATIENTS OR OTHER PARTICIPANTS: A total of 279 healthy National Collegiate Athletic Association Division I athletes. INTERVENTION(S): Two cohorts of data were collected at the beginning of the athletic season. For cohort 1 (n = 191), the Immediate Post-Concussion Assessment and Cognitive Tool, instrumented modified push and release (I-mP&R), and Balance Error Scoring System (BESS) were administered. For cohort 2 (n = 88), the I-mP&R, BESS, timed tandem gait, walking with eyes closed, and clinical reaction time were administered. MAIN OUTCOME MEASURE(S): The strengths of the relationships between the Immediate Post-Concussion Assessment and Cognitive Tool cognitive indices, mP&R clinical score, instrumented measures (BESS sway; I-mP&R time to stability, latency, and step length), BESS score, timed tandem gait, walking time to completion, and clinical reaction time were characterized. RESULTS: The strongest interinstrument correlation value was between single-task time to stability from the I-mP&R and clinical reaction time but was considered weak (r = 0.35, P = .001). The mP&R and I-mP&R clinical scores were weakly associated with the other assessments. CONCLUSIONS: Weak correlations between interassessment variables indicated that little redundancy was present in the current clinical evaluations. Furthermore, reactive balance represents a unique domain of function that may improve the comprehensiveness of clinical assessments.","journal":"Journal of Athletic Training","year":2022,"id":289669,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9564,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":971277,"name":"Tessa L. Petersell","orcid":"0009-0008-2405-8051","position":1,"is_corresponding":false},{"id":577506,"name":"Ryan Pelo","orcid":"0000-0002-2109-366X","position":2,"is_corresponding":false},{"id":971278,"name":"Sarah Hill","orcid":"0000-0003-3555-433X","position":3,"is_corresponding":false},{"id":577505,"name":"Benjamin Cassidy","orcid":"0000-0002-7675-2685","position":4,"is_corresponding":false},{"id":971728,"name":"Trevor Jameson","orcid":null,"position":5,"is_corresponding":false},{"id":971729,"name":"Tom Iriye","orcid":null,"position":6,"is_corresponding":false},{"id":971730,"name":"Jon Burke","orcid":null,"position":7,"is_corresponding":false},{"id":577508,"name":"Leland E. Dibble","orcid":"0000-0001-8553-7867","position":8,"is_corresponding":false},{"id":392997,"name":"Peter C. Fino","orcid":"0000-0002-8621-3706","position":9,"is_corresponding":false},{"id":577502,"name":"Amanda Morris","orcid":"0000-0002-6297-5255","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-19T00:30:22.686776Z","pmid":"36583958","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}