Concussion recovery: Dual-task performance and prioritization

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES: The objective of this study was to assess a clinically feasible DT protocol consisting of the Balance Error Scoring System (BESS) and Standard Assessment of Concussion (SAC) administered simultaneously during and beyond clinically determined concussion recovery.

METHOD: We recruited 28 collegiate student-athletes (14 post-concussion, 14 control) who performed a DT BESS and SAC assessment at three timepoints: 1) clinical recovery, 2) return to play (RTP) day, and 3) 30 days post-concussion. Scores on each component were assessed with a linear mixed model ANOVA with repeated measures and task prioritization was assessed with a Chi-Square.

RESULTS: There was not a significant group by time interaction for the BESS ( F: 0.48, p  = 0.625, ή 2  = 0.018) or SAC ( F: 1.927, p  = 0.156, ή 2  = 0.069), but there was a significant difference in task prioritization at RTP ( χ 2: 13.4, p  = 0.010).

CONCLUSION: While group performance did not differ over time, the concussion participants had a range of task prioritizations at RTP, including mutual interference, which could help identify athletes with incomplete neurological recovery.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalPhysician and Sportsmedicine
Early online dateDec 4 2025
DOIs
StatePublished - Dec 4 2025

Scopus Subject Areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Keywords

  • Balance error scoring system
  • balance
  • biomechanics
  • return to play
  • standard assessment of concussion

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