Date of Award:


Document Type:


Degree Name:

Master of Science (MS)


Health, Physical Education, and Recreation

Committee Chair(s)

Dennis Dolny


Dennis Dolny


Trek Lyons


Lori Olsen


Postural stability assessment tools are one of the many ways concussions can be assessed and return to play decisions can be made; two of which are the Balance Error Scoring System (BESS) and force plate technology. OBJECTIVE: Validate the modified BESS used by Utah State University by comparing it to equivalent tests on the NeuroCom Balance Manager System. METHODS: 114 current or previous Utah State football players ranging in age from 18-24. Each athlete conducted a baseline BESS test during their pre-participation physical and NeuroCom testing was conducted during the summer of 2011. NeuroCom testing included a modified Clinical Test of Sensory Interaction on Balance (mCTSIB) both on a firm and foam surface, a single leg stance test with eyes open and closed on both a firm and foam surface, and a tandem walk test where end sway was recorded. BESS testing was done depending on when the athlete arrived at Utah State. Correlations were reported for athletes that arrived for the current year and also for the athletes that arrived for any year prior to that. A Welch's T-Test was conducted to analyze any differences between the two groups. The tandem stance on the foam condition for the BESS had a statistically significant difference, so that variable was excluded and the adjusted correlations were then reported. There were eight correlation conditions that were determined by the individuals who could and could not complete the entire time on the single leg stance with eyes closed on a firm as well as a foam surface. RESULTS: The only variable associated with the NeuroCom Balance Manager that had consistent correlations with the composite BESS score was the CTSIB foam condition; with a 0.28 correlation with individuals regardless of single leg stance with eyes closed, 0.39 with individuals who completed the whole time on the firm without consideration for the foam, 0.27 with individuals who did not complete the whole time on the foam without consideration for the firm and 0.39 with individuals who could complete the whole time on the firm but not on the foam. CONCLUSION: There appears to be some correlation with CTSIB foam conditions and the composite BESS.




This work made publicly available electronically on July 30, 2012.