Visual perturbation impacts upright postural stability in athletes with an acute concussion

Brain Inj. 2018;32(12):1566-1575. doi: 10.1080/02699052.2018.1497812. Epub 2018 Jul 26.

Abstract

Objective: The impact that visual perturbation has on upright postural stability in an athlete with a concussion has not been established. The present study aimed to characterize the influence that visual perturbation stimuli have on upright balance among athletes with acute concussions.

Design: A 2X2X2 repeated measure designed was used.

Method: The present study examined the influence visual perturbation has on individuals suffering from an acute concussion. Fourteen participants (7 with a concussion and 7 matched controls) underwent various balance assessments with and without visual perturbation.

Results: Overall, athletes with acute concussions demonstrated impairments in balance 24-48 hours following a concussion. However, when assessed using a visual perturbation task, athletes with acute concussions demonstrated improved balance, while control subjects did not show any significant changes during the same visual perturbation task.

Conclusion: An athlete's ability to disregard visual perturbation stimuli is imperative for successful participation in sports. Due to the observed alterations in balance when given a visual perturbation task, it is suggested that athletes with acute concussions place more attention on the balance task and may disregard other less meaningful tasks.

Keywords: Sports-related concussion; balance; mild traumatic brain injury; vision.

MeSH terms

  • Adaptation, Physiological
  • Adolescent
  • Athletes
  • Athletic Injuries / physiopathology*
  • Athletic Injuries / rehabilitation
  • Biomechanical Phenomena
  • Brain Concussion / physiopathology*
  • Brain Concussion / rehabilitation
  • Female
  • Humans
  • Male
  • Neuropsychological Tests*
  • Postural Balance / physiology*
  • Proprioception / physiology
  • Sports Medicine*
  • Visual Perception / physiology*
  • Young Adult