{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T02:13:04Z","timestamp":1790215984122,"version":"4.1.0"},"reference-count":10,"publisher":"Human Kinetics","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"Context<\/jats:bold>:<\/jats:italic> Current tools for sideline assessment of balance following a concussion may not be sufficiently sensitive to identify impairments, which may place athletes at risk for future injury. Quantitative field-expedient balance assessments are becoming increasingly accessible in sports medicine and may improve sensitivity to enable clinicians to more readily detect these subtle deficits. Objective<\/jats:bold>:<\/jats:italic> To determine the validity of the postural sway assessment on the Biodex BioSway\u2122 compared with the gold standard NeuroCom Smart Equitest System. Design<\/jats:bold>:<\/jats:italic> Cross-sectional cohort study. Setting<\/jats:bold>:<\/jats:italic> Clinical research laboratory. Participants<\/jats:bold>:<\/jats:italic> Forty-nine healthy adults (29 females: 24.34 [2.45]\u00a0y, height 163.65 [7.57]\u00a0cm, mass 63.64 [7.94]\u00a0kg; 20 males: 26.00 [3.70]\u00a0y, height 180.11 [7.16]\u00a0cm, mass 82.97 [12.78]\u00a0kg). Intervention(s)<\/jats:bold>:<\/jats:italic> The participants completed the modified clinical test of sensory interaction in balance on the Biodex BioSway\u2122 with 2 additional conditions (head shake and firm surface; head shake and foam surface) and the Sensory Organization Test and Head Shake Sensory Organization Test on the NeuroCom Smart Equitest. Main Outcome Measures<\/jats:bold>:<\/jats:italic> Interclass correlation coefficient and Bland\u2013Altman limits of agreement for Sway Index, equilibrium ratio, and area of 95% confidence ellipse. Results<\/jats:bold>:<\/jats:italic> Fair\u2013good reliability (interclass correlation coefficient\u2009=\u2009.48\u2013.65) was demonstrated for the stance conditions with eyes open on a firm surface. The Head Shake Sensory Interaction and Balance Test condition on a firm surface resulted in fair reliability (interclass correlation coefficient\u2009=\u2009.50\u2013.59). The authors observed large ranges for limits of agreement across outcome measures, indicating that the systems should not be used interchangeably. Conclusions<\/jats:bold>:<\/jats:italic> The authors observed fair reliability between BioSway\u2122 and NeuroCom, with better agreement between systems with the assessment of postural sway on firm\/static surfaces. However, the agreement of these systems may improve by incorporating methods that mitigate the floor effect in an athletic population (eg,\u00a0including a head shake condition). BioSway\u2122 may provide a surrogate field-expedient measurement tool.<\/jats:p>","DOI":"10.1123\/jsr.2020-0227","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T17:37:16Z","timestamp":1599586636000},"page":"516-520","source":"Crossref","is-referenced-by-count":14,"title":["Validity of Postural Sway Assessment on the Biodex BioSway\u2122 Compared With the NeuroCom Smart Equitest"],"prefix":"10.1123","volume":"30","author":[{"given":"Daniel G.","family":"Miner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent A.","family":"Harper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen M.","family":"Glass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"2","key":"r1","series-title":"Eur J Phys Rehabil Med","first-page":"239","article-title":"The relevance of clinical balance assessment tools to differentiate balance deficits","volume":"46","author":"Mancini M","year":"2010","unstructured":"Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. Eur J Phys Rehabil Med. 2010;46(2):239\u2013248. PubMed ID: 2048522620485226"},{"issue":"5","key":"r2","series-title":"J Orthop Sports Phys Ther","doi-asserted-by":"publisher","first-page":"262","DOI":"10.2519\/jospt.2008.2406","article-title":"Effects of dynamic head tilts on sensory organization test performance: a comparison between college-age athletes and nonathletes","volume":"38","author":"Clark S","year":"2008","unstructured":"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):262\u2013268. PubMed ID: 18448882 doi:10.2519\/jospt.2008.24061844888210.2519\/jospt.2008.2406"},{"issue":"8","key":"r3","series-title":"J Athl Train","doi-asserted-by":"publisher","first-page":"879","DOI":"10.4085\/1062-6050-50.7.04","article-title":"Concussion-management practice patterns of national collegiate athletic association division II and III athletic trainers: how the other half lives","volume":"50","author":"Buckley TA","year":"2015","unstructured":"Buckley TA, Burdette G, Kelly K. Concussion-management practice patterns of national collegiate athletic association division II and III athletic trainers: how the other half lives. J Athl Train. 2015;50(8):879\u2013888. PubMed ID: 26196701 doi:10.4085\/1062-6050-50.7.042619670110.4085\/1062-6050-50.7.04"},{"issue":"2","key":"r4","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1016\/j.apmr.2003.03.005","article-title":"The effect of foot position on the modified clinical test of sensory interaction and balance","volume":"85","author":"Wrisley DM","year":"2004","unstructured":"Wrisley DM, Whitney SL. The effect of foot position on the modified clinical test of sensory interaction and balance. Arch Phys Med Rehabil. 2004;85(2):335\u2013338. PubMed ID: 14966723 doi:10.1016\/j.apmr.2003.03.00510.1016\/j.apmr.2003.03.00514966723"},{"issue":"2","key":"r5","series-title":"Sports Health","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1177\/1941738117741651","article-title":"Postural stability in healthy child and youth athletes: the effect of age, sex, and concussion-related factors on performance","volume":"10","author":"Paniccia M","year":"2018","unstructured":"Paniccia M, Wilson KE, Hunt A, et\u00a0al. Postural stability in healthy child and youth athletes: the effect of age, sex, and concussion-related factors on performance. Sports Health. 2018;10(2):175\u2013182. PubMed ID: 29131721 doi:10.1177\/194173811774165110.1177\/194173811774165129131721"},{"issue":"2","key":"r6","series-title":"J Sport Rehabil","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1123\/jsr.7.2.95","article-title":"Intertester and intratester reliability of a dynamic balance protocol using the biodex stability system","volume":"7","author":"Schmitz R","year":"1998","unstructured":"Schmitz R, Arnold B. Intertester and intratester reliability of a dynamic balance protocol using the biodex stability system. J Sport Rehabil. 1998;7(2):95\u2013101. doi:10.1123\/jsr.7.2.9510.1123\/jsr.7.2.95"},{"issue":"3","key":"r7","series-title":"J Sport Rehabil","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1123\/jsr.9.3.240","article-title":"Factors affecting reliability of the biodex balance system: a summary of four studies","volume":"9","author":"Hinman MR","year":"2000","unstructured":"Hinman MR. Factors affecting reliability of the biodex balance system: a summary of four studies. J Sport Rehabil. 2000;9(3):240\u2013252. doi:10.1123\/jsr.9.3.24010.1123\/jsr.9.3.240"},{"issue":"3","key":"r8","series-title":"Med Sci Sports Exerc","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1249\/MSS.0000000000002163","article-title":"Clinical and device-based metrics of gait and balance in diagnosing youth concussion","volume":"52","author":"Corwin DJ","year":"2020","unstructured":"Corwin DJ, McDonald CC, Arbogast KB, et\u00a0al. Clinical and device-based metrics of gait and balance in diagnosing youth concussion. Med Sci Sports Exerc. 2020;52(3):542\u2013548. PubMed ID: 31524833 doi:10.1249\/MSS.000000000000216310.1249\/MSS.000000000000216331524833"},{"key":"r9","series-title":"J Sports Med","doi-asserted-by":"publisher","first-page":"5127374","DOI":"10.1155\/2016\/5127374","article-title":"Efficiency of an active rehabilitation intervention in a slow-to-recover paediatric population following mild traumatic brain injury: a pilot study","volume":"2016","author":"Imhoff S","year":"2016","unstructured":"Imhoff S, Fait P, Carrier-Toutant F, Boulard G. Efficiency of an active rehabilitation intervention in a slow-to-recover paediatric population following mild traumatic brain injury: a pilot study. J Sports Med. 2016;2016:5127374. PubMed ID: 28078321 doi:10.1155\/2016\/512737410.1155\/2016\/5127374"},{"key":"r10","series-title":"Biomed Res Int","doi-asserted-by":"publisher","first-page":"8185710","DOI":"10.1155\/2019\/8185710","article-title":"Kinematic validation of postural sway measured by biodex biosway (force plate) and SWAY balance (accelerometer) technology","volume":"2019","author":"Dewan BM","year":"2019","unstructured":"Dewan BM, Roger James C, Kumar NA, Sawyer SF. Kinematic validation of postural sway measured by biodex biosway (force plate) and SWAY balance (accelerometer) technology. Biomed Res Int. 2019;2019:8185710. PubMed ID: 31930140 doi:10.1155\/2019\/81857103193014010.1155\/2019\/8185710"}],"container-title":["Journal of Sport Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/30\/3\/article-p516.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/30\/3\/article-p516.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/30\/3\/article-p516.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T23:28:38Z","timestamp":1756337318000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/30\/3\/article-p516.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,1]]},"references-count":10,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1123\/jsr.2020-0227","relation":{},"ISSN":["1056-6716","1543-3072"],"issn-type":[{"value":"1056-6716","type":"print"},{"value":"1543-3072","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,1]]}}}