Assessing Balance in an Athletic Population: Normative Data for the Concussion Balance Test (COBALT©)

in International Journal of Athletic Therapy and Training
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  • 1 Banner University Medical Center-Phoenix
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Dizziness and balance problems are commonly reported symptoms following sport-related concussion. The Concussion Balance Test (COBALT©), is an eight-condition test that assesses postural control with active vestibular stimulation using force plate technology. The purpose of this study was to establish normative data on COBALT for athletes ages 10–18. Data for postural sway velocity and error rates were acquired in 514 athletes presenting for preparticipation baseline screening. Six test conditions showed little variation in sway and error rate; however, two challenging conditions showed significant variation in sway among youth athletes.

Shelly L. Massingale, Amy D. Alexander, Steven M. Erickson, Elizabeth S. McQueary, Richard D. Gerkin, Sarah B. Schodrof, Haroon M. Kisana, and Jamie E. Pardini are with the Banner University Medical Center, Phoenix, AZ. Jeffrey B. Driban, PhD, ATC, CSCS, Tufts University, is the report editor for this article.

Address author correspondence to Elizabeth S. McQueary at elizabeth.mcqueary@bannerhealth.com.
  • 1.

    Centers for Disease Control and Prevention. Sports concussion policies and laws. February 16, 2015. http://www.cdc.gov/headsup/policy/. Accessed May 2, 2016.

    • Export Citation
  • 2.

    McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med. 2013;47(5):250258. PubMed doi:10.1136/bjsports-2013-092313

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Kontos AP, Elbin RJ, Schatz P, et al. A revised factor structure for the post-concussion symptom scale baseline and post-concussion factors. Am J Sports Med. 2012;40(10):23752384. PubMed doi:10.1177/0363546512455400

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Lovell M, Collins M, Bradley J. Return to play following sports-related concussion. Clin Sports Med. 2004;23(3):421441. PubMed doi:10.1016/j.csm.2004.04.001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Davies RA, Luxon LM. Dizziness following head injury: a neuro-otological study. J Neurol. 1995;242(2):222230. doi:10.1136/bjsports-2012-092132

  • 6.

    Vavovich McLeod TC, Hale TD. Vestibular and balance issues following sport-related concussion. Brain inj. 2015;29(2):175184. doi:10.3109/02699052.2014.965206

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Nashner LM, Black FO, Wall C III. Adaptation to altered support and visual conditions during stance: patients with vestibular deficits. J Neurosci. 1982;2(5):536544. PubMed

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Mulligan IJ, Boland MA, McIlhenny CV. The balance error scoring system learned response among young adults. Sports Health. 2013;5(1):2226. PubMed doi:10.1177/1941738112467755

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Honaker JA, Converse CM, Shepard NT. Modified head shake computerized dynamic posturography. Am J Audiol. 2009;18(2):108113. PubMed doi:10.1044/1059-0889(2009/09-0012)

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Clark S, Iltis PW. Effects of dynamic head tilts on sensory organization test performance: a comparison between college-age athletes and nonathletes. J Orthop Sports Phys Ther. 2008;38(5):262268. PubMed doi:10.2519/jospt.2008.2406

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Mucha A, Collins MW, Elbin RJ. A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):24792786. PubMed doi:10.1177/0363546514543775

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Hytönen M, Pyykkö I, Aalto H, Starck J. Postural control and age. Acta Otolaryngol. 1993;113(2):119122.

  • 13.

    Steindl R, Kunz K, Schrott-Fischer A, Scholtz AW. Effect of age and sex on maturation of sensory systems and balance control. Dev Med Child Neurol. 2006;48(6):477482. PubMed

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Li Z, Liang YY, Wang L, Sheng J, Ma SJ. Reliability and validity of center of pressure measures for balance assessment in older adults. J Phys Ther Sci. 2016;28(4):13641367. PubMed doi:10.1589/jpts.28.1364

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Steindl R, Kunz K, Schrott-Fischer A, Scholtz AW. Effect of age and sex on maturation of sensory systems and balance control. Dev Med Child Neurol. 2006;48(6):477482. PubMed doi:10.1017/S0012162206001022

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    McCrory P, Meeuwisse W, Dvorak J, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017;51(11):838847. PubMed doi:10.1136/bjsports-2017-097699

    • PubMed
    • Search Google Scholar
    • Export Citation
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