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Neuromotor changes in participants with a concussion history can be detected with a custom smartphone app
Rhea, Christopher K. ; Yamada, Masahiro ; Kuznetsov, Nikita A. ; Jakiela, Jason T. ; LoJacono, Chanel T. ; Ross, Scott E. ; Haran, F. J. ; Bailie, Jason M. ; Wright, W. Geoffrey
Rhea, Christopher K.
Yamada, Masahiro
Kuznetsov, Nikita A.
Jakiela, Jason T.
LoJacono, Chanel T.
Ross, Scott E.
Haran, F. J.
Bailie, Jason M.
Wright, W. Geoffrey
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Journal article
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2022-12-15
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Health and Rehabilitation Sciences
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http://dx.doi.org/10.1371/journal.pone.0278994
Abstract
Neuromotor dysfunction after a concussion is common, but balance tests used to assess neuromotor dysfunction are typically subjective. Current objective balance tests are either cost- or space-prohibitive, or utilize a static balance protocol, which may mask neuromotor dysfunction due to the simplicity of the task. To address this gap, our team developed an Android-based smartphone app (portable and cost-effective) that uses the sensors in the device (objective) to record movement profiles during a stepping-in-place task (dynamic movement). The purpose of this study was to examine the extent to which our custom smartphone app and protocol could discriminate neuromotor behavior between concussed and non-concussed participants. Data were collected at two university laboratories and two military sites. Participants included civilians and Service Members (N = 216) with and without a clinically diagnosed concussion. Kinematic and variability metrics were derived from a thigh angle time series while the participants completed a series of stepping-in-place tasks in three conditions: eyes open, eyes closed, and head shake. We observed that the standard deviation of the mean maximum angular velocity of the thigh was higher in the participants with a concussion history in the eyes closed and head shake conditions of the stepping-in-place task. Consistent with the optimal movement variability hypothesis, we showed that increased movement variability occurs in participants with a concussion history, for which our smartphone app and protocol were sensitive enough to capture.
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Rhea CK, Yamada M, Kuznetsov NA, Jakiela JT, LoJacono CT, Ross SE, et al. (2022) Neuromotor changes in participants with a concussion history can be detected with a custom smartphone app. PLoS ONE 17(12): e0278994. https://doi.org/10.1371/journal.pone.0278994
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PLoS ONE, Vol. 17
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