Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery
# Background An estimated 11% of Canadian adolescents will sustain a sport-related concussion each year. However, diagnostic tools to detect and monitor concussive outcomes are limited. # Purpose To evaluate the feasibility and test-retest reliability of the Highmark Interactive Equilibrium (HIE...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2022-04-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://ijspt.scholasticahq.com/article/32527-feasibility-and-reliability-of-a-novel-game-based-test-of-neurological-function-in-youth-the-equilibrium-test-battery |
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| _version_ | 1825197042059706368 |
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| author | Heather A Shepherd Cody R van Rassel Amanda M Black Robert F Graham Keith Owen Yeates Carolyn A Emery Kathryn J Schneider |
| author_facet | Heather A Shepherd Cody R van Rassel Amanda M Black Robert F Graham Keith Owen Yeates Carolyn A Emery Kathryn J Schneider |
| author_sort | Heather A Shepherd |
| collection | DOAJ |
| description | # Background
An estimated 11% of Canadian adolescents will sustain a sport-related concussion each year. However, diagnostic tools to detect and monitor concussive outcomes are limited.
# Purpose
To evaluate the feasibility and test-retest reliability of the Highmark Interactive Equilibrium (HIEQ) test battery in uninjured adolescents.
# Study Design
Observational study with repeated measurements.
# Methods
Participants completed the HIEQ test battery, a game-based platform on an iPad application, that assesses balance, cognitive function, and visual function, for up to 15 consecutive school days in a group classroom setting. Feasibility for use of the HIEQ was evaluated by (1) recruitment rates; (2) retention rates; (3) test completion without assistance; and (4) adverse events. Test-retest reliability was examined using Bland Altman 95% limits of agreement and intraclass correlation coefficients comparing the first and second and second and third obtained scores. Reliability across multiple baseline assessments was also analyzed using intraclass correlations for the second to sixth and seventh to eleventh obtained scores.
# Results
Fifty-five uninjured high school students (31 females and 24 males, mean age = 16.24 \[1.09\]) from three high schools participated in the study. Three participants (5%) completed all 15 days of testing, and 73% completed at least 10 of 15 test days. No adverse events were reported. Although the test was feasible, all subtests showed wide limits of agreement from first to second and from second to third testing occasions. Results indicate poor-to-moderate reliability (\<0.50 to 0.75) across those intervals, as well as across the second to sixth and seventh to eleventh testing occasions.
# Conclusion
The HIEQ is feasible in high school students; however, performance was characterized by wide limits of agreement and poor-to-moderate reliability across test occasions. Future evaluation of the HIEQ in visual and auditory distraction free individual testing settings is warranted.
# Level of Evidence
Level 3. |
| format | Article |
| id | doaj-art-c7d1213ecb6148da80074335e7d08693 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-c7d1213ecb6148da80074335e7d086932025-02-11T20:27:27ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-04-01173Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test BatteryHeather A ShepherdCody R van RasselAmanda M BlackRobert F GrahamKeith Owen YeatesCarolyn A EmeryKathryn J Schneider# Background An estimated 11% of Canadian adolescents will sustain a sport-related concussion each year. However, diagnostic tools to detect and monitor concussive outcomes are limited. # Purpose To evaluate the feasibility and test-retest reliability of the Highmark Interactive Equilibrium (HIEQ) test battery in uninjured adolescents. # Study Design Observational study with repeated measurements. # Methods Participants completed the HIEQ test battery, a game-based platform on an iPad application, that assesses balance, cognitive function, and visual function, for up to 15 consecutive school days in a group classroom setting. Feasibility for use of the HIEQ was evaluated by (1) recruitment rates; (2) retention rates; (3) test completion without assistance; and (4) adverse events. Test-retest reliability was examined using Bland Altman 95% limits of agreement and intraclass correlation coefficients comparing the first and second and second and third obtained scores. Reliability across multiple baseline assessments was also analyzed using intraclass correlations for the second to sixth and seventh to eleventh obtained scores. # Results Fifty-five uninjured high school students (31 females and 24 males, mean age = 16.24 \[1.09\]) from three high schools participated in the study. Three participants (5%) completed all 15 days of testing, and 73% completed at least 10 of 15 test days. No adverse events were reported. Although the test was feasible, all subtests showed wide limits of agreement from first to second and from second to third testing occasions. Results indicate poor-to-moderate reliability (\<0.50 to 0.75) across those intervals, as well as across the second to sixth and seventh to eleventh testing occasions. # Conclusion The HIEQ is feasible in high school students; however, performance was characterized by wide limits of agreement and poor-to-moderate reliability across test occasions. Future evaluation of the HIEQ in visual and auditory distraction free individual testing settings is warranted. # Level of Evidence Level 3.https://ijspt.scholasticahq.com/article/32527-feasibility-and-reliability-of-a-novel-game-based-test-of-neurological-function-in-youth-the-equilibrium-test-battery |
| spellingShingle | Heather A Shepherd Cody R van Rassel Amanda M Black Robert F Graham Keith Owen Yeates Carolyn A Emery Kathryn J Schneider Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery International Journal of Sports Physical Therapy |
| title | Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery |
| title_full | Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery |
| title_fullStr | Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery |
| title_full_unstemmed | Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery |
| title_short | Feasibility and Reliability of a Novel Game-Based Test of Neurological Function in Youth: The Equilibrium Test Battery |
| title_sort | feasibility and reliability of a novel game based test of neurological function in youth the equilibrium test battery |
| url | https://ijspt.scholasticahq.com/article/32527-feasibility-and-reliability-of-a-novel-game-based-test-of-neurological-function-in-youth-the-equilibrium-test-battery |
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