{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:31:32Z","timestamp":1777563092851,"version":"3.51.4"},"reference-count":34,"publisher":"National Athletic Trainers' Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Context:<\/jats:title>\n          <jats:p>Postural control and cognitive function are adversely affected by acute mild traumatic brain injury (mTBI). Whether postural-control deficits persist beyond the acute stage in individuals with a history of mTBI is unclear.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objective:<\/jats:title>\n          <jats:p>To determine if postural-control deficits persist in individuals with a history of mTBI.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design:<\/jats:title>\n          <jats:p>Retrospective cross-sectional study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting:<\/jats:title>\n          <jats:p>University research laboratory.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants:<\/jats:title>\n          <jats:p>As part of an ongoing investigation examining cognitive and motor deficits associated with mTBI, 224 individuals participated in the study. Of these, 62 participants self-reported at least 1 previous physician-diagnosed mTBI.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Intervention(s):<\/jats:title>\n          <jats:p>Postural control was assessed using the NeuroCom Sensory Organization Test (SOT) postural-assessment battery.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s):<\/jats:title>\n          <jats:p>The SOT postural assessment yields 4 indices of postural control: a composite balance score, a visual ratio score, a somatosensory score, and a vestibular score. Postural dynamics were also examined by calculating approximate entropy of center-of-pressure excursions in the anteroposterior and mediolateral axis for each test condition.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results:<\/jats:title>\n          <jats:p>Minimal differences in the SOT indices were noted among individuals with and without a history of previous mTBI (<jats:italic>P<\/jats:italic> &gt; .05). In the group with a history of mTBI, anteroposterior postural irregularity decreased as postural difficulty increased. In contrast, the group without a history of mTBI displayed increased postural irregularity in the mediolateral direction.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions:<\/jats:title>\n          <jats:p>Individuals with a history of mTBI exhibited altered postural dynamics compared with individuals without a history of mTBI. These findings support the notion that changes in cerebral functioning that affect postural control may persist long after acute injury resolution.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-46.1.85","type":"journal-article","created":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T18:48:34Z","timestamp":1294426114000},"page":"85-91","source":"Crossref","is-referenced-by-count":129,"title":["Previous Mild Traumatic Brain Injury and Postural-Control Dynamics"],"prefix":"10.4085","volume":"46","author":[{"given":"Jacob J.","family":"Sosnoff","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven P.","family":"Broglio","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunghoon","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Department of Exercise Science, University of Georgia, Athens"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"key":"i1062-6050-46-1-85-Finkelstein1","series-title":"The Incidence and Economic Burden of Injuries in the United States","author":"Finkelstein, E. A.","year":"2006","unstructured":"Finkelstein, E. A., P. S.Corso, and T. R.Miller. The Incidence and Economic Burden of Injuries in the United States. New York, NYOxford University Press. 2006."},{"issue":"5","key":"i1062-6050-46-1-85-Langlois1","series-title":"J Head Trauma Rehabil","first-page":"375","article-title":"The epidemiology and impact of traumatic brain injury: a brief overview.","volume":"21","author":"Langlois, J. A.","year":"2006","unstructured":"Langlois, J. A., W.Rutland-Brown, and M. M.Wald. The epidemiology and impact of traumatic brain injury: a brief overview.J Head Trauma Rehabil2006. 21 (5):375\u2013378."},{"issue":"1","key":"i1062-6050-46-1-85-McCrea1","series-title":"Clin J Sport Med","first-page":"13","article-title":"Unreported concussion in high school football players: implications for prevention.","volume":"14","author":"McCrea, M.","year":"2004","unstructured":"McCrea, M., T.Hammeke, G.Olsen, P.Leo, and K.Guskiewicz. Unreported concussion in high school football players: implications for prevention.Clin J Sport Med2004. 14 (1):13\u201317."},{"issue":"1","key":"i1062-6050-46-1-85-Broglio1","series-title":"Sports Med","first-page":"53","article-title":"The effect of sport concussion on neurocognitive function, self-report symptoms, and postural control: a meta-analysis.","volume":"38","author":"Broglio, S. P.","year":"2008","unstructured":"Broglio, S. P. and T. W.Puetz. The effect of sport concussion on neurocognitive function, self-report symptoms, and postural control: a meta-analysis.Sports Med2008. 38 (1):53\u201367."},{"issue":"3","key":"i1062-6050-46-1-85-Guskiewicz1","series-title":"Clin J Sport Med","first-page":"182","article-title":"Postural stability assessment following concussion: one piece of the puzzle.","volume":"11","author":"Guskiewicz, K. M.","year":"2001","unstructured":"Guskiewicz, K. M.\n          \n          Postural stability assessment following concussion: one piece of the puzzle.\n          Clin J Sport Med\n          2001. 11 (3):182\u2013189."},{"issue":"suppl 7","key":"i1062-6050-46-1-85-Guskiewicz2","series-title":"Med Sci Sports Exerc","first-page":"S213","article-title":"Alternative approaches to the assessment of mild head injury in athletes.","volume":"29","author":"Guskiewicz, K. M.","year":"1997","unstructured":"Guskiewicz, K. M., B. L.Riemann, D. H.Perrin, and L. M.Nashner. Alternative approaches to the assessment of mild head injury in athletes.Med Sci Sports Exerc1997. 29 (suppl 7):S213\u2013S221."},{"issue":"4","key":"i1062-6050-46-1-85-Peterson1","series-title":"Clin J Sport Med","first-page":"230","article-title":"Evaluation of neuropsychological domain scores and postural stability following cerebral concussion in sports.","volume":"13","author":"Peterson, C. L.","year":"2003","unstructured":"Peterson, C. L., M. S.Ferrara, M.Mrazik, S. G.Piland, and R.Elliot. Evaluation of neuropsychological domain scores and postural stability following cerebral concussion in sports.Clin J Sport Med2003. 13 (4):230\u2013237."},{"issue":"3","key":"i1062-6050-46-1-85-Guskiewicz3","series-title":"J Athl Train","first-page":"263","article-title":"Postural stability and neuropsychological deficits after concussion in collegiate athletes.","volume":"36","author":"Guskiewicz, K. M.","year":"2001","unstructured":"Guskiewicz, K. M., S. E.Ross, and S. W.Marshall. Postural stability and neuropsychological deficits after concussion in collegiate athletes.J Athl Train2001. 36 (3):263\u2013273."},{"issue":"11","key":"i1062-6050-46-1-85-Cavanaugh1","series-title":"Sports Med","first-page":"935","article-title":"A nonlinear dynamic approach for evaluating postural control: new directions for the management of sport-related cerebral concussion.","volume":"35","author":"Cavanaugh, J. T.","year":"2005","unstructured":"Cavanaugh, J. T., K. M.Guskiewicz, and N.Stergiou. A nonlinear dynamic approach for evaluating postural control: new directions for the management of sport-related cerebral concussion.Sports Med2005. 35 (11):935\u2013950."},{"key":"i1062-6050-46-1-85-Newell1","series-title":"Applications of Nonlinear Dynamics to Developmental Process Modeling","first-page":"63","article-title":"Degrees of freedom and the development of postural center of pressure profiles.","author":"Newell, K. M.","year":"1998","unstructured":"Newell, K. M.\n          \n          Degrees of freedom and the development of postural center of pressure profiles.\n          In:\n          \n            \n              Newell, K. M. and P. C. M.Molenaar. eds.Applications of Nonlinear Dynamics to Developmental Process Modeling. Hillsdale, NJLawrence Erlbaum Assoc. 1998. 63\u201384."},{"issue":"19","key":"i1062-6050-46-1-85-McCrea2","series-title":"JAMA","first-page":"2556","article-title":"Acute effects and recovery time following concussion in collegiate football players: the NCAA Concussion Study.","volume":"290","author":"McCrea, M.","year":"2003","unstructured":"McCrea, M., K. M.Guskiewicz, S. W.Marshall, et al. Acute effects and recovery time following concussion in collegiate football players: the NCAA Concussion Study.JAMA2003. 290 (19):2556\u20132563."},{"issue":"5","key":"i1062-6050-46-1-85-Omalu1","series-title":"Neurosurgery","first-page":"1086","article-title":"Chronic traumatic encephalopathy in a National Football League player, part II.","volume":"59","author":"Omalu, B. I.","year":"2006","unstructured":"Omalu, B. I., S. T.DeKosky, R. L.Hamilton, et al. Chronic traumatic encephalopathy in a National Football League player, part II.Neurosurgery2006. 59 (5):1086\u20131092."},{"issue":"1","key":"i1062-6050-46-1-85-Omalu2","series-title":"Neurosurgery","first-page":"128","article-title":"Chronic traumatic encephalopathy in a National Football League player.","volume":"57","author":"Omalu, B. I.","year":"2005","unstructured":"Omalu, B. I., S. T.DeKosky, R. L.Minster, M. I.Kamboh, R. L.Hamilton, and C. H.Wecht. Chronic traumatic encephalopathy in a National Football League player.Neurosurgery2005. 57 (1):128\u2013134."},{"issue":"6","key":"i1062-6050-46-1-85-Guskiewicz4","series-title":"Med Sci Sports Exerc","first-page":"903","article-title":"Recurrent concussion and risk of depression in retired professional football players.","volume":"39","author":"Guskiewicz, K. M.","year":"2007","unstructured":"Guskiewicz, K. M., S. W.Marshall, J.Bailes, et al. Recurrent concussion and risk of depression in retired professional football players.Med Sci Sports Exerc2007. 39 (6):903\u2013909."},{"issue":"4","key":"i1062-6050-46-1-85-Guskiewicz5","series-title":"Neurosurgery","first-page":"719","article-title":"Association between recurrent concussion and late-life cognitive impairment in retired professional football players.","volume":"57","author":"Guskiewicz, K. M.","year":"2005","unstructured":"Guskiewicz, K. M., S. W.Marshall, J.Bailes, et al. Association between recurrent concussion and late-life cognitive impairment in retired professional football players.Neurosurgery2005. 57 (4):719\u2013726."},{"key":"i1062-6050-46-1-85-Nashner1","series-title":"Handbook of Balance Function Testing","first-page":"280","article-title":"Computerized dynamic posturography.","author":"Nashner, L. M.","year":"1997","unstructured":"Nashner, L. M.\n          \n          Computerized dynamic posturography.\n          In:\n          \n            \n              Jacobson, G. P., C. W.Newman, and J. M.Kartuch. eds.Handbook of Balance Function Testing. St Louis, MOMosby Year Book. 1997. 280\u2013305."},{"key":"i1062-6050-46-1-85-Winter1","series-title":"Biomechanics and Motor Control of Human Movement","author":"Winter, D. A.","year":"1990","unstructured":"Winter, D. A.\n          \n          Biomechanics and Motor Control of Human Movement. New York, NYWiley. 1990."},{"key":"i1062-6050-46-1-85-NeuroCom1","series-title":"NeuroCom System Operator's Manual. 8th ed","year":"2001","unstructured":"NeuroCom International Inc\n          \n          NeuroCom System Operator's Manual. 8th ed. Clackamas, ORNeuroCom International. 2001."},{"issue":"6","key":"i1062-6050-46-1-85-Pincus1","series-title":"Proc Natl Acad Sci U S A","first-page":"2297","article-title":"Approximate entropy as a measure of system complexity.","volume":"88","author":"Pincus, S. M.","year":"1991","unstructured":"Pincus, S. M.\n          \n          Approximate entropy as a measure of system complexity.\n          Proc Natl Acad Sci U S A\n          1991. 88 (6):2297\u20132301."},{"issue":"4","key":"i1062-6050-46-1-85-Kesselman1","series-title":"Psychophysiology","first-page":"470","article-title":"Testing treatment effects in repeated measures design: an update for psychophysiological researchers.","volume":"35","author":"Kesselman, H. J.","year":"1998","unstructured":"Kesselman, H. J.\n          \n          Testing treatment effects in repeated measures design: an update for psychophysiological researchers.\n          Psychophysiology\n          1998. 35 (4):470\u2013478."},{"issue":"24","key":"i1062-6050-46-1-85-Collins1","series-title":"JAMA","first-page":"2283","article-title":"Current issues in managing sports-related concussion.","volume":"282","author":"Collins, M. W.","year":"1999","unstructured":"Collins, M. W., M. R.Lovell, and D. B.McKeag. Current issues in managing sports-related concussion.JAMA1999. 282 (24):2283\u20132285."},{"issue":"4","key":"i1062-6050-46-1-85-Lovell1","series-title":"Clin J Sport Med","first-page":"193","article-title":"Does loss of consciousness predict neuropsychological decrements after concussion?","volume":"9","author":"Lovell, M. R.","year":"1999","unstructured":"Lovell, M. R., G. L.Iverson, M. W.Collins, D. B.McKeag, and J. C.Maroon. Does loss of consciousness predict neuropsychological decrements after concussion?Clin J Sport Med1999. 9 (4):193\u2013198."},{"issue":"6","key":"i1062-6050-46-1-85-Broglio2","series-title":"Neurosurgery","first-page":"1050","article-title":"Sensitivity of the concussion assessment battery.","volume":"60","author":"Broglio, S. P.","year":"2007","unstructured":"Broglio, S. P., S. N.Macciocchi, and M. S.Ferrara. Sensitivity of the concussion assessment battery.Neurosurgery2007. 60 (6):1050\u20131057."},{"issue":"11","key":"i1062-6050-46-1-85-Cavanaugh2","series-title":"Br J Sports Med","first-page":"805","article-title":"Detecting altered postural control after cerebral concussion in athletes with normal postural stability.","volume":"39","author":"Cavanaugh, J. T.","year":"2005","unstructured":"Cavanaugh, J. T., K. M.Guskiewicz, C.Giuliani, S.Marshall, V.Mercer, and N.Stergiou. Detecting altered postural control after cerebral concussion in athletes with normal postural stability.Br J Sports Med2005. 39 (11):805\u2013811."},{"issue":"3","key":"i1062-6050-46-1-85-Cavanaugh3","series-title":"J Athl Train","first-page":"305","article-title":"Recovery of postural control after cerebral concussion: new insights using approximate entropy.","volume":"41","author":"Cavanaugh, J. T.","year":"2006","unstructured":"Cavanaugh, J. T., K. M.Guskiewicz, C.Giuliani, S.Marshall, V. S.Mercer, and N.Stergiou. Recovery of postural control after cerebral concussion: new insights using approximate entropy.J Athl Train2006. 41 (3):305\u2013313."},{"issue":"13","key":"i1062-6050-46-1-85-Lipsitz1","series-title":"JAMA","first-page":"1806","article-title":"Loss of \u2018complexity\u2019 and aging. Potential applications of fractals and chaos theory to senescence.","volume":"267","author":"Lipsitz, L. A.","year":"1992","unstructured":"Lipsitz, L. A. and A. L.Goldberger. Loss of \u2018complexity\u2019 and aging. Potential applications of fractals and chaos theory to senescence.JAMA1992. 267 (13):1806\u20131809."},{"key":"i1062-6050-46-1-85-Newell2","series-title":"Handbook of the Psychology of Aging. 6th ed","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/B9-78-012101-2\/64950-0112","article-title":"Aging, complexity and motor performance: healthy and disease states.","author":"Newell, K. M.","year":"2006","unstructured":"Newell, K. M., D. E.Vaillancourt, and J. J.Sosnoff. Aging, complexity and motor performance: healthy and disease states.In:Birren, J. E. and K. W.Schaie. eds.Handbook of the Psychology of Aging. 6th ed. Amsterdam, The NetherlandsElsevier. 2006. 163\u2013182."},{"issue":"1","key":"i1062-6050-46-1-85-Vaillancourt1","series-title":"Neurobiol Aging","first-page":"1","article-title":"Changing complexity in human behavior and physiology through aging and disease.","volume":"23","author":"Vaillancourt, D. E.","year":"2002","unstructured":"Vaillancourt, D. E. and K. M.Newell. Changing complexity in human behavior and physiology through aging and disease.Neurobiol Aging2002. 23 (1):1\u201311."},{"issue":"1","key":"i1062-6050-46-1-85-Piirtola1","series-title":"Gerontology","first-page":"1","article-title":"Force platform measurements as predictors of falls among older people: a review.","volume":"52","author":"Piirtola, M.","year":"2006","unstructured":"Piirtola, M. and P.Era. Force platform measurements as predictors of falls among older people: a review.Gerontology2006. 52 (1):1\u201316."},{"issue":"4","key":"i1062-6050-46-1-85-Sosnoff1","series-title":"Exp Brain Res","first-page":"563","article-title":"Cognitive and motor function are associated following mild traumatic brain injury.","volume":"187","author":"Sosnoff, J. J.","year":"2008","unstructured":"Sosnoff, J. J., S. P.Broglio, and M. S.Ferrara. Cognitive and motor function are associated following mild traumatic brain injury.Exp Brain Res2008. 187 (4):563\u2013571."},{"issue":"9","key":"i1062-6050-46-1-85-Broglio3","series-title":"J Neurotrauma","first-page":"1463","article-title":"The persistent effects of concussion on neuroelectric indices of attention.","volume":"26","author":"Broglio, S. P.","year":"2009","unstructured":"Broglio, S. P., M. B.Pontifex, P.O'Connor, and C. H.Hillman. The persistent effects of concussion on neuroelectric indices of attention.J Neurotrauma2009. 26 (9):1463\u20131470."},{"issue":"14","key":"i1062-6050-46-1-85-Pontifex1","series-title":"Neuropsychologia","first-page":"3210","article-title":"The association between mild traumatic brain injury history and cognitive control.","volume":"47","author":"Pontifex, M. B.","year":"2009","unstructured":"Pontifex, M. B., P. M.O'Connor, S. P.Broglio, and C. H.Hillman. The association between mild traumatic brain injury history and cognitive control.Neuropsychologia2009. 47 (14):3210\u20133216."},{"issue":"5","key":"i1062-6050-46-1-85-Jantzen1","series-title":"AJR Am J Neuroradiol","first-page":"738","article-title":"A prospective functional MR imaging study of mild traumatic brain injury in college football players.","volume":"25","author":"Jantzen, K. J.","year":"2004","unstructured":"Jantzen, K. J., B.Anderson, F. L.Steinberg, and J. A.Kelso. A prospective functional MR imaging study of mild traumatic brain injury in college football players.AJR Am J Neuroradiol2004. 25 (5):738\u2013745."},{"issue":"1","key":"i1062-6050-46-1-85-Aubry1","series-title":"Br J Sports Med","first-page":"6","article-title":"Summary and agreement statement of the first International Conference on Concussion in Sport, Vienna 2001: recommendations for the improvement of safety and health of athletes who may suffer concussive injuries.","volume":"36","author":"Aubry, M.","year":"2002","unstructured":"Aubry, M., R.Cantu, J.Dvorak, et al. Summary and agreement statement of the first International Conference on Concussion in Sport, Vienna 2001: recommendations for the improvement of safety and health of athletes who may suffer concussive injuries.Br J Sports Med2002. 36 (1):6\u201310."}],"container-title":["Journal of Athletic Training"],"original-title":[],"link":[{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/46\/1\/article-p85.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/46\/1\/85\/1452606\/1062-6050-46_1_85.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/46\/1\/article-p85.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/nata.kglmeridian.com\/downloadpdf\/journals\/attr\/46\/1\/article-p85.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:41:51Z","timestamp":1749688911000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/46\/1\/article-p85.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":34,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-46.1.85","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}