{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:46:08Z","timestamp":1777877168310,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T00:00:00Z","timestamp":1579564800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Balance assessment is used by clinicians as part of athlete concussion screening. The King-Devick (K-D) Balance app is designed to provide an objective balance assessment value. The purpose of this study was to investigate the responsiveness of a balance assessment using the K-D Balance app.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>The K-D Balance app will demonstrate acceptable responsiveness for balance assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Repeated-measures study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level 5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A convenience sample of 25 participants between the ages of 20 and 25 years completed testing procedures. A battery of balance tests using the K-D Balance app on an iPhone were conducted 1 week apart. After a 5-minute warm-up, 3 stances were assessed: double leg, tandem right, and tandem left. The K-D Balance app guided the test positions and test times. A value representing movement was generated by the app algorithm. Analysis included descriptive statistics along with intraclass correlation coefficient and minimal detectable change (MDC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The median score of the K-D test was 0.5 for session 1 and 0.4 for session 2. The ICC was 0.42 (95% CI, 0.04-0.70), and the MDC was 1.58.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The MDC value of 1.58 represents the threshold of meaningful change in balance, as measured with the K-D Balance app.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Clinicians can use the results of this study to objectively assess changes in balance over time using the K-D Balance app.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1941738119888656","type":"journal-article","created":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T11:52:11Z","timestamp":1579607531000},"page":"401-404","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Responsiveness of a Balance Assessment Using a Mobile Application"],"prefix":"10.1177","volume":"12","author":[{"given":"David A.","family":"Krause","sequence":"first","affiliation":[{"name":"Mayo Clinic Program in Physical Therapy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota"},{"name":"Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Mayo Clinic Program in Physical Therapy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme R.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Mayo Clinic Program in Physical Therapy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samson J.","family":"Davis","sequence":"additional","affiliation":[{"name":"Mayo Clinic Program in Physical Therapy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel W.","family":"Tindall","sequence":"additional","affiliation":[{"name":"Mayo Clinic Program in Physical Therapy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John H.","family":"Hollman","sequence":"additional","affiliation":[{"name":"Mayo Clinic Program in Physical Therapy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota"},{"name":"Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,21]]},"reference":[{"key":"bibr1-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000000656"},{"key":"bibr2-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3181b625fe"},{"key":"bibr3-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000016"},{"key":"bibr4-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2009.11.012"},{"key":"bibr5-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512444554"},{"key":"bibr6-1941738119888656","first-page":"263","volume":"36","author":"Guskiewicz KM","year":"2001","journal-title":"J Athl Train"},{"key":"bibr7-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/86.5.735"},{"key":"bibr8-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092313"},{"key":"bibr9-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2013.05.026"},{"key":"bibr10-1941738119888656","first-page":"19","volume":"35","author":"Riemann BL","year":"2000","journal-title":"J Athl Train"},{"key":"bibr11-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.02.007"},{"key":"bibr12-1941738119888656","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.86.2.420"},{"key":"bibr13-1941738119888656","volume":"1","author":"Starling AJ","year":"2015","journal-title":"Concussion"},{"key":"bibr14-1941738119888656","doi-asserted-by":"publisher","DOI":"10.3390\/s17102398"}],"container-title":["Sports Health: A Multidisciplinary 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