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Movement Assessment for Concussion Management

Comprehensive Dynamic Movement Assessment for Concussion Management

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02776904
Enrollment
327
Registered
2016-05-18
Start date
2016-06-01
Completion date
2019-05-01
Last updated
2020-02-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Athlete

Keywords

Concussion, Football player, Movement assessment, Soccer player

Brief summary

Previous work in the area of concussion management has focused heavily on neuro-cognitive testing. In addition to routine neuro-cognitive testing through Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT),this pilot study is designed to establish a comprehensive battery of clinical assessment through the utilization of functional movement and dynamic postural control assessments. The immediate application of these assessments will be focused on the male high school football player (who is at risk for concussion) and both female and male soccer players. Our pilot study aims determine the stability of ImPACT testing in youth athletes in light of ongoing neurodevelopment in this population. In addition, this pilot work will implement additional tools focused on assessment of dynamic balance and gait. This approach will significantly enhance predictions of subsequent musculoskeletal injuries that have been shown to occur in concussed collegiate and professional athletes and that we believe are also occurring in our high school athletes. This battery of tests will provide clinicians with invaluable information to guide both rehabilitation of and return to play (RTP) decisions for concussed high school athletes.

Detailed description

Experiment 1. High school athletes will complete a battery of tests including the Y-balance test, a version of the Star Excursion Balance Test (SEBT), a divided attention gait task, the Psychomotor Vigilance Task (PVT). The SEBT is an established, reliable outcome measure of dynamic postural stability through measurement of lower extremity reach distance. Our study will also utilize a force plate during SEBT testing to allow the investigators to sensitively measure center of mass in all planes. To test gait balance control and adaptation of gait strategy which have been shown to be impaired in concussed individuals acutely and chronically, athletes will walk at self-selected speed on the GAITRite® portable gait analysis walkway for three undivided attention trials and three divided attention trials during which a cognitive task, will be imposed.The GaitRite® will calculate spatio-temporal parameters during gait and has been used in the concussion literature. The PVT is a reliable and valid measurement of simple reaction time to an auditory cue. The outcome measure will be the mean reaction time. These tests were administered by licensed physical therapists, assisted by students from both the Doctorate of Physical Therapy (DPT) and PhD physical therapy programs at UCA, before the initiation of summer 2016 football practices for all athletes in the program. The total testing time per athlete will not exceed 1.5 hours. The battery will be administered again to all athletes in the football program after the season has ended and prior to the end of the school year in the spring 2017. The 2017-2019 season will test both football and soccer (male and female athletes) and will include functional testing for athletes who have had a concussion through concussion clinic. Experiment 2. Qualified athletic trainers or Physical Therapists, with oversight by Dr. Israel, will administer the ImPACT using the same schedule as described in Experiment 1. The ImPACT is a widely used neurocognitive testing component of the standard three-prong approach to concussion management which also includes symptom inventories and static balance assessment. The computerized test evaluates concentration, attention, memory, visual motor speed, and reaction time. High sensitivity and specificity for concussion using the ImPACT has been shown. The test also has been shown to be a valid and reliable measure in the high school and collegiate populations. Composite scores for each of the non-injured athletes will be stratified by age to examine changes across the three assessments. Hunt and Ferrara have shown significant change in baseline assessments between 9th grade and 11th and 12th grade age groups driven by 9th grade test scores indicating that biennial testing for young adolescents may not be sufficient.The current recommendation for this younger age group is annual testing, though recent studies call for the investigation of even more frequent testing, thus our plan to test at six months. ImPACT testing will not exceed 1 hour. The 2017-2018 season will test both football and soccer (male and female athletes) for ImPACT testing.

Interventions

Assessment measuring reaction time based on auditory cues.

Computerized assessment that provides information related to visual reaction time and visual memory.

OTHERGait with single and dual task

Walking alone and then walking while performing a memory task on a tablet.

Dynamic balance test measuring reaching of the leg to the anterior,postero- lateral, and postero-medial directions.

Sponsors

Arkansas Children's Hospital Research Institute
CollaboratorOTHER
University of Arkansas
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
14 Years to 18 Years
Healthy volunteers
Yes

Inclusion criteria

* Male football players (2016 and 2017 season) * Male and female soccer players (2017-2018 and 2018-2019 season) OR Athletes who have been diagnosed with a sports related concussion during the season of their assigned sport and is being seen through concussion clinic at Arkansas children's hospital * Age 14-18 * Written informed consent from the parent

Exclusion criteria

* Athletes who have not completed pre-participation physicals * Any condition that the investigator determines would put the subject at risk if participating in the study.

Design outcomes

Primary

MeasureTime frameDescription
Impact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepreseason, postseason, end of the school year, pre-season year 2Verbal memory (total % correct from design memory, total correct from memory score from X's and O's) and visual memory (total number correct/4 during module 3) Scores on verbal memory and visual memory range from 70-99 (high scores are better than low scores). Visual motor speed is comprised correct responses/4 for specific modules and the average counted correctly x3 for a specific module. Scores range from 27-39.8 (high scores are better than low scores)
Spatiotemporal Gait Parameters- Gait VelocityCross-sectional baselineFor the purposes of this study, parameters that were captured by the GAITRite® include: gait velocity (cm/s); Subjects walk on pathway during single task and dual task is walking while performing a visual memory task on a tablet
Gait Parameters: Step Length (Cm)cross-sectional baselineFor the purposes of this study, parameters that were captured by the GAITRite® include:step length (cm);
Gait Parameters- Percent of DLScross-sectional baselineDLS, defined as the percent of the gait cycle (%GC) when both feet are on the ground measured in healthy males and female athletes and concussed males and female athletes
Gait Parameters- % of Gait Cycle in SLScross-sectional baselineFor the purposes of this study, parameters that were captured by the GAITRite® include: SLS, defined as the %GC weight bearing through a single limb.
Y Balance Assessment- Anterior Reach DirectionCross sectional baselinesubset from healthy athlete group and concussed group Measured on YBT in anterior direction
Y Balance Assessment- Posterolateral Reach DirectionCross sectional baselinesubset from healthy athlete group and concussed group Measured on YBT in postero-lateral direction.
Y Balance Assessment- Postero-medial Reach DirectionCross sectional baselinesubset from healthy athlete group and concussed group Measured on YBT in postero-medial direction.
Psychomotor Vigilance Task (PVT)cross-sectional baselineThe PVT is a reliable and valid measurement of simple reaction time to an auditory cue. The outcome measure will be the mean reaction time.

Countries

United States

Participant flow

Participants by arm

ArmCount
Healthy Athletes
Healthy Adolescent school athletes 14-18 years old were recruited from central Arkansas schools to complete assessments of gait, balance and computerized cognitive testing through the ImPACT(Immediate post concussion assessment and cognitive testing) baseline assessment.
281
Concussed Athletes
Adolescent males and females (14-19 years of age) with concussion who visited the concussion clinic at a regional Children's Hospital.
46
Total327

Baseline characteristics

CharacteristicHealthy AthletesConcussed AthletesTotal
Age, Categorical
<=18 years
281 Participants46 Participants327 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
African American
108 participants1 participants109 participants
Race/Ethnicity, Customized
Caucasian
132 participants44 participants176 participants
Race/Ethnicity, Customized
Not Selected
41 participants0 participants41 participants
Race/Ethnicity, Customized
Two or More Races
0 participants1 participants1 participants
Sex: Female, Male
Female
116 Participants17 Participants133 Participants
Sex: Female, Male
Male
165 Participants29 Participants194 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 2810 / 46
other
Total, other adverse events
0 / 2810 / 46
serious
Total, serious adverse events
0 / 2810 / 46

Outcome results

Primary

Gait Parameters- % of Gait Cycle in SLS

For the purposes of this study, parameters that were captured by the GAITRite® include: SLS, defined as the %GC weight bearing through a single limb.

Time frame: cross-sectional baseline

Population: Data are not mutually exclusive. Reported for single task and dual task and divided into male and female groups as well as healthy and concussed athletes.

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSSingle task % GC in SLS Male35.290 percentage of gait cycle spent on 1 limbStandard Deviation 1.504
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSSingle task % GC in SLS Female36.522 percentage of gait cycle spent on 1 limbStandard Deviation 1.352
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSDual task % GC in SLS Male34.05 percentage of gait cycle spent on 1 limbStandard Deviation 1.901
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSDual task % GC in SLS Females35.112 percentage of gait cycle spent on 1 limbStandard Deviation 1.549
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSSingle Task % GC Female Concussed35.85 percentage of gait cycle spent on 1 limbStandard Deviation 1.796
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSDual Task % GC Female Concussed34.407 percentage of gait cycle spent on 1 limbStandard Deviation 1.974
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSSingle task % of GC in SLS male concussed34.62 percentage of gait cycle spent on 1 limbStandard Deviation 1.03
Healthy Athlete IMPACT ScoreGait Parameters- % of Gait Cycle in SLSDual Task % GC in SLS Male Concussed33.58 percentage of gait cycle spent on 1 limbStandard Deviation 1.26
p-value: <0.0001ANOVA
Primary

Gait Parameters- Percent of DLS

DLS, defined as the percent of the gait cycle (%GC) when both feet are on the ground measured in healthy males and female athletes and concussed males and female athletes

Time frame: cross-sectional baseline

Population: Data are not mutually exclusive. Reported for single task and dual task and divided into male and female groups and healthy and concussed athletes.

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSSingle task % GC in DLS Male29.077 percentage of GC spent on 2 limbsStandard Deviation 2.631
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSSingle task % GC in DLS Female26.922 percentage of GC spent on 2 limbsStandard Deviation 2.648
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSDual task % GC in DLS Male31.92 percentage of GC spent on 2 limbsStandard Deviation 3.461
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSDual task % GC in DLS Females29.542 percentage of GC spent on 2 limbsStandard Deviation 3.085
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSSingle Task % GC in DLS Female Concussed28.09 percentage of GC spent on 2 limbsStandard Deviation 3.66
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSDual Task % of GC in DLS Female30.45 percentage of GC spent on 2 limbsStandard Deviation 5.29
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSSingle task % of GC in DLS male concussed30.33 percentage of GC spent on 2 limbsStandard Deviation 2.13
Healthy Athlete IMPACT ScoreGait Parameters- Percent of DLSDual Task % GC in DLS Male Concussed32.32 percentage of GC spent on 2 limbsStandard Deviation 2.66
p-value: <0.0001ANOVA
Primary

Gait Parameters: Step Length (Cm)

For the purposes of this study, parameters that were captured by the GAITRite® include:step length (cm);

Time frame: cross-sectional baseline

Population: Data are not mutually exclusive. Reported for single task and dual task and divided into male and female groups and healthy and concussed athletes

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Single task step length males68.031 cmStandard Deviation 6.779
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Single task step length female65.483 cmStandard Deviation 6.021
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Dual Task Step Length Male60.073 cmStandard Deviation 7.858
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Dual Task Step Length Female58.650 cmStandard Deviation 5.885
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Single Task Step Length Female concussed61.26 cmStandard Deviation 7.94
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Dual Task Gait step length Female Concussed57.22 cmStandard Deviation 12.79
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Single Task Step length Male Concussed65.63 cmStandard Deviation 5.11
Healthy Athlete IMPACT ScoreGait Parameters: Step Length (Cm)Dual Task Step length Male Concussed57.71 cmStandard Deviation 6.37
p-value: <0.0001ANOVA
Primary

Impact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athlete

Verbal memory (total % correct from design memory, total correct from memory score from X's and O's) and visual memory (total number correct/4 during module 3) Scores on verbal memory and visual memory range from 70-99 (high scores are better than low scores). Visual motor speed is comprised correct responses/4 for specific modules and the average counted correctly x3 for a specific module. Scores range from 27-39.8 (high scores are better than low scores)

Time frame: preseason, postseason, end of the school year, pre-season year 2

Population: subset from healthy athlete group

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepre season verbal memory86.33 score on Immediate post concussion scaleStandard Error 1.47
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepost season year verbal memory84.0 score on Immediate post concussion scaleStandard Error 2.379
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athleteend of school verbal memory90.73 score on Immediate post concussion scaleStandard Error 2.095
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepre-season year 2 verbal memory89.1436 score on Immediate post concussion scaleStandard Error 2.707
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepre-season visual memory69.8361 score on Immediate post concussion scaleStandard Error 3.54
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepost season visual memory81.2 score on Immediate post concussion scaleStandard Error 2.5824
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athleteend of the school year visual memory81.4659 score on Immediate post concussion scaleStandard Error 2.98
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepre-season year 2 visual memory82.2006 score on Immediate post concussion scaleStandard Error 2.26
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepreseason visual motor composite36.371 score on Immediate post concussion scaleStandard Error 2.007
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepost season visual motor36.727 score on Immediate post concussion scaleStandard Error 2.05
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athleteend of school visual motor38.897 score on Immediate post concussion scaleStandard Error 2.215
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athletepre-season year 2 visual motor39.3035 score on Immediate post concussion scaleStandard Error 1.665
Comparison: Repeated measures ANOVA compared pre-season scores to post-season, end of the school year and pre-season year 2 for Visual Memoryp-value: 0.0003ANOVA
Comparison: Repeated measures ANOVA compared pre-season scores to post-season, end of the school year and pre-season year 2 for Verbal memoryp-value: 0.0281ANOVA
Comparison: Repeated measures ANOVA compared pre-season scores to post-season, end of the school year and pre-season year 2 for Visual Motor compositep-value: 0.0035ANOVA
Primary

Impact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy Athlete

Reaction time Composite is the average correct reaction time of 3 skills Scores range from 0.5 to 0.7 Lower scores are better.

Time frame: preseason, postseason and end of the school year and preseason the following year

Population: subset from healthy athlete group Measured on Reaction time composite score (Immediate Post Concussion Assessment)

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy AthletePreseason0.5797 secondsStandard Error 0.016
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy AthletePost Season0.5780 secondsStandard Error 0.01615
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy AthleteEnd of the school year0.5902 secondsStandard Error 0.0166
Healthy Athlete IMPACT ScoreImpact ( Immediate Post-concussion Assessment and Cognitive Testing) Healthy AthletePre-season year 20.6089 secondsStandard Error 0.01792
Comparison: Repeated measures ANOVA compared pre-season scores to post-season, end of the school year and pre-season year 2 for Reaction Timep-value: 0.2637ANOVA
Primary

Psychomotor Vigilance Task (PVT)

The PVT is a reliable and valid measurement of simple reaction time to an auditory cue. The outcome measure will be the mean reaction time.

Time frame: cross-sectional baseline

Population: Subset of healthy athletes. The Concussed athlete data for the PVT (as was the ImPACT concussed data) was used clinically to assess individual auditory reaction time and for clinical decision making by the medical team. The concussed PVT data will not be used as aggregate data.

ArmMeasureValue (MEAN)Dispersion
Healthy Athlete IMPACT ScorePsychomotor Vigilance Task (PVT)218.57 msStandard Deviation 62.78
Primary

Spatiotemporal Gait Parameters- Gait Velocity

For the purposes of this study, parameters that were captured by the GAITRite® include: gait velocity (cm/s); Subjects walk on pathway during single task and dual task is walking while performing a visual memory task on a tablet

Time frame: Cross-sectional baseline

Population: Data are not mutually exclusive. Reported for single task and dual task and divided into male and female groups.

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocitySingle Task Gait Velocity Male1.236 cm/secStandard Deviation 0.163
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocitySingle Task Gait Velocity Female1.449 cm/secStandard Deviation 0.199
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocityDual Task Gait Velocity Male1.030 cm/secStandard Deviation 0.185
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocityDual Task Gait Velocity Female1.232 cm/secStandard Deviation 0.196
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocitySingle Task Gait Velocity Female Concussed1.207 cm/secStandard Deviation 0.238
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocityDual Task Gait Velocity Female Concussed0.974 cm/secStandard Deviation 0.18
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocitySingle Task Gait Velocity Male Concussed1.125 cm/secStandard Deviation 0.14
Healthy Athlete IMPACT ScoreSpatiotemporal Gait Parameters- Gait VelocityDual Task Gait Velocity Male Concussed0.922 cm/secStandard Deviation 0.18
Comparison: Descriptive analysis, including means and standard deviations was used to summarize all participant data. Velocity was normalized to leg length. Normality was tested and assumed for all measured gait parameters for healthy athletes. A two-way repeated measure analyses of variance (ANOVA) was used to explore the impact of walk status and sex on gait velocity for healthy athletes. Adjusted using Tukey's post hoc method for the pairwise comparisons (0.05 threshold for significance)p-value: <0.001ANOVA
Primary

Y Balance Assessment- Anterior Reach Direction

subset from healthy athlete group and concussed group Measured on YBT in anterior direction

Time frame: Cross sectional baseline

Population: Data are not mutually exclusive. Reported for Y balance test divided into male and female groups. Data for concussed subjects is reported in the acute phase and divided into male and female groups.

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreY Balance Assessment- Anterior Reach DirectionMale healthy athletes95.34 IndexStandard Deviation 10.814
Healthy Athlete IMPACT ScoreY Balance Assessment- Anterior Reach DirectionFemale healthy athletes94.45 IndexStandard Deviation 14.52
Healthy Athlete IMPACT ScoreY Balance Assessment- Anterior Reach Directionmale acute concussed95.13 IndexStandard Deviation 9.8
Healthy Athlete IMPACT ScoreY Balance Assessment- Anterior Reach Directionfemale acute concussed95.14 IndexStandard Deviation 12.48
p-value: >0.05ANOVA
Primary

Y Balance Assessment- Posterolateral Reach Direction

subset from healthy athlete group and concussed group Measured on YBT in postero-lateral direction.

Time frame: Cross sectional baseline

Population: Data are not mutually exclusive. Reported for Y balance test divided into male and female groups and healthy and concussed athletes. Data for concussed subjects is reported in the acute phase and divided into male and female groups.

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreY Balance Assessment- Posterolateral Reach DirectionMale healthy athletes78.08 IndexStandard Deviation 10.697
Healthy Athlete IMPACT ScoreY Balance Assessment- Posterolateral Reach DirectionFemale healthy athletes70.138 IndexStandard Deviation 10.12
Healthy Athlete IMPACT ScoreY Balance Assessment- Posterolateral Reach DirectionMale acute concussed74.21 IndexStandard Deviation 10.44
Healthy Athlete IMPACT ScoreY Balance Assessment- Posterolateral Reach Directionfemale acute concussed83.89 IndexStandard Deviation 14.14
p-value: >0.05ANOVA
Primary

Y Balance Assessment- Postero-medial Reach Direction

subset from healthy athlete group and concussed group Measured on YBT in postero-medial direction.

Time frame: Cross sectional baseline

Population: Data are not mutually exclusive. Reported for Y balance test divided into male and female groups and healthy and concussed athletes. Data for concussed subjects is reported in the acute phase and divided into male and female groups.

ArmMeasureGroupValue (MEAN)Dispersion
Healthy Athlete IMPACT ScoreY Balance Assessment- Postero-medial Reach DirectionMale healthy athletes69.750 IndexStandard Deviation 12.59
Healthy Athlete IMPACT ScoreY Balance Assessment- Postero-medial Reach DirectionFemale healthy athletes65.860 IndexStandard Deviation 8.768
Healthy Athlete IMPACT ScoreY Balance Assessment- Postero-medial Reach Directionmale acute concussed68.80 IndexStandard Deviation 11.13
Healthy Athlete IMPACT ScoreY Balance Assessment- Postero-medial Reach Directionfemale acute concussed69.17 IndexStandard Deviation 12.66
p-value: >0.05ANOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026