Biodex Balance Assessment adds the objective, neurophysical component for the management of concussion. The benefit is that clinicians are able to quantify the elements of balance – before and after an injury occurs.
Detailed summary and progress reports track recovery and provide the medical team with quantitative data to help with the return-to-play decision.
Biodex Balance Technology
Biodex Balance Assessment is conducted using either the versatile Balance System™ SD or portable BioSway™ device. The Biodex Balance System SD is a sophisticated measuring and training device for static and dynamic balance testing and training. The BioSway device is portable with a static-only platform.
The mCTSIB can be performed on either Biodex balance device, designed to systematically test the sensory selection process by compromising available somatosensory, visual, and vestibular senses while measuring an athlete’s ability to minimize postural sway. The Sway Index is an objective quantification of postural sway and is measured during the mCTSIB. The test provides a generalized assessment of how well an athlete can integrate various senses with respect to balance, and compensate when one or more of those senses are compromised. A higher Sway Index indicates a reduction in the athlete’s ability to remain steady during the test.
In addition to performing the CTSIB test, the Balance System SD and BioSway software includes the option of conducting a modified version of a Balance Error Scoring System (BESS) test of postural stability, popular for concussion management. Both systems now feature the ability to create custom sensory integration balance testing which allows for modification of existing or the creation of entirely new protocols with both the CTSIB and BESS tests.4 Both systems feature the ability to perform a modified version of the Clinical Test of Sensory Integration of Balance (CTSIB) for postural stability, popular for concussion management. Modify existing CTSIB and BESS test parameters or create custom sensory integration protocols.4
Eyes Open, Firm Surface | Information available by all three sensory inputs: Somatosensory, visual and vestibular.
Eyes Closed, Firm Surface | Visual not available; somatosensory and vestibular are available. If the athlete performs poorly, the vestibular or somatosensory may be compromised, with an increase in visual dependency.
Eyes Open, Unstable Surface | Somatosensory compromised; visual and vestibular are available. If the athlete performed poorly, visual or vestibular may be compromised, with an increase in somatosensory dependency.
Eyes Closed, Unstable Surface | Visual not available; somatosensory compromised, only vestibular available. Concussed athletes are most likely to present problems in this condition. If performance is reduced beyond normal or baseline readings, the vestibular system may be disrupted.
Research shows that athletes often demonstrate decreased stability post-concussion.1 The postural stability deficit can best be explained by a sensory interaction problem that prevents concussed athletes from accurately using and exchanging sensory information from the visual, vestibular, and somatosensory systems.1 Difficulty in postural sway control can persist even after signs and symptoms of concussion subside.2 More simply stated, the athlete may appear asymptomatic and even pass a computerized cognitive test, however, the lingering effects of a balance disturbance from head trauma would go otherwise undetected without a balance assessment.
In fact, research has shown that balance assessment, in combination with cognitive testing and a graded symptoms checklist, increases overall sensitivity to greater than 90%.3
Measuring Postural Sway
Postural stability testing is an accepted objective measure in the evaluation of athletes with acute cerebral concussion. Large negative effects in postural sway are often identified at both immediate and follow-up assessment points, demonstrating the need for assessment of postural control as part of a concussion protocol. Biodex Balance Assessment goes beyond objective balance testing for changes in postural sway. Using the Clinical Test of Sensory Integration of Balance (CTSIB), independent testing of all three sensory feedback systems can determine the individual’s reliance on the visual, vestibular and somatosensory systems.
Clinical Test of Sensory Integration of Balance
The Clinical Test of Sensory Integration of Balance (CTSIB) is the accepted, standardized assessment that identifies and tracks disturbances in balance and the three associated sensory systems. Combined with today’s technological advances, this test provides the sports medicine community with a more accurate and objective assessment tool for evaluating postural stability.
Elements of the Biodex Balance Assessment Program
These devices provide the Clinical Test of Sensory Integration of Balance (mCTSIB) and the Balance Error Scoring System (BESS) test for postural stability, both suitable for concussion. The mCTSIB and BESS tests can be customized to suit your facility’s needs.
Both products not only provide a balance assessment program for concussion management, but also offer multiple rehabilitation training protocols that can be used across a broad scope of athletic populations for general orthopedic and neuromuscular rehabilitation and athletic conditioning.
DISCLAIMER: The information provided is not intended to be a substitute for professional medical advice but as a guideline to assessing athletes following a concussion. Always seek the care of a physician or other qualified healthcare provider with any questions or concerns you may have about a medical condition. If there is any question/concern about the athlete’s status then recommend not returning to play.
Available exclusively to our customers using Balance Assessment in support of a concussion management program, Biodex provides an assortment of marketing materials to attract athletes, parents, community sports teams, school coaches and athletic directors, as well as referring pediatricians. Materials can be customized to reflect your facility and used to broadcast the role of Balance Assessment in the management of concussion.
Balance System SD
950-440 | Balance System SD
Includes Indexed CTSIB Pad, Printer and Printer Stand.
950-460 | BioSway | 15.6″ LCD with Tabletop Stand and Case, 115V/230V 50/60Hz
Includes: Instrumented platform, CTSIB Indexed Pad, 15.6″ color display with tabletop stand/wall mount bracket, AC adapter for 100-240 V input, and two blindfolds.
950-465 | Adjustable Height Stand for 15.6″ Display
950-464 | HP Office Jet Printer (compact portable printer)
950-467 | HP InkJet Printer
950-466 | Printer Stand
*Software Upgrades Available.
Contact Biodex Customer Service or click here to download.