Re-conceptualizing postural control assessment in sport-related concussion: Transitioning from the reflex/hierarchical model to the systems model

Manaseer Thaer S.; Gross Douglas P.; Mrazik MartinScneider KathrynWhittaker Jackie L.

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Re-conceptualizing postural control assessment in sport-related concussion: Transitioning from the reflex/hierarchical model to the systems model

机译：Re-conceptualizing postural control assessment in sport-related concussion: Transitioning from the reflex/hierarchical model to the systems model

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Background: While postural control impairment is common following sport-related concussion, few investigations have studied the physiological basis for this impairment. Both the Reflex/Hierarchical Model and the Systems Model are commonly used to characterize the physiological basis of postural control. Purpose: To discuss the physiological basis of postural control impairment resulting from sport-related concussion based on these models and suggest directions for future research. Methods: Narrative literature review. Findings: Postural control impairment seen with sport-related concussion is a multifaceted construct that can result from deficits in numerous systems that underlie postural control as described by the Systems Model, rather than a unidimensional construct that stems from the central nervous systems' inability to integrate sensory input to control posture as per the Reflex/Hierarchical Model. Conclusion: We recommend a transition away from the Hierarchical/Reflex Model of postural control towards the Systems Model in the conceptualization of sport-related concussion. Future research on postural control following sport-related concussion should account for the multifaceted nature of the resulting postural control impairment based on the Systems Model. Clinically, there is a need for a clinical postural control test that allows examination across the affected systems under single-task, dual-task, and sport-specific paradigms.

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《Physiotherapy theory and practice》 |2021年第9期|763-774|共12页
作者
Manaseer Thaer S.; Gross Douglas P.; Mrazik MartinScneider KathrynWhittaker Jackie L.;
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作者单位

Univ Alberta, Fac Rehabil Med, Dept Phys Therapy, Edmonton, AB, Canada;

Univ Alberta, Fac Rehabil Med, Dept Educ Psychol, Edmonton, AB, Canada;

Univ Calgary, Fac Kinesiol, Sport Injury Prevent Res Ctr, Calgary, AB, Canada;

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正文语种英语
中图分类治疗学;
关键词
Traumatic brain injuries; brain concussion; sports; postural stability;

Re-conceptualizing postural control assessment in sport-related concussion: Transitioning from the reflex/hierarchical model to the systems model

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