Vestibular performance in high-level soccer and ice hockey players: Sport-specific norm values and implications.
J Sci Med Sport
; 25(1): 81-88, 2022 Jan.
Article
en En
| MEDLINE
| ID: mdl-34509343
ABSTRACT
OBJECTIVES:
Quantitative vestibular testing in athletes after sports-related concussion (SRC) has become more popular due to accompanying injuries of the peripheral-vestibular organs that require targeted treatment. Sports-specific normative values are currently not available. Taking into account potential adaptational mechanisms, we obtained sports-specific, age- and peak-head-velocity-corrected normative values of peripheral-vestibular function and postural-stability in football (soccer, FB) and ice-hockey (IH) players.DESIGN:
Retrospective single-center case-control study.METHOD:
Pre-seasonal angular vestibulo-ocular reflex (aVOR) gains and cumulative-saccadic-amplitudes were obtained using the video-head-impulse test and performance in the balance-error-scoring-system (BESS) was recorded and compared in high-level FB-players (nâ¯=â¯510, 197 females) and IH-players (nâ¯=â¯210, males only) (age-rangeâ¯=â¯13-39y) and in healthy normals (nâ¯=â¯49, 22 females). Statistical analysis was performed using a generalized linear model.RESULTS:
aVOR-gain values were significantly higher for FB-players than for IH-players (1.07⯱â¯0.21 vs. 0.98⯱â¯0.13, pâ¯<â¯0.001) and controls (1.07⯱â¯0.21 vs. 0.97⯱â¯0.17, pâ¯<â¯0.001). Significant age-related changes in aVOR-gains were only observed for the anterior and posterior canals in the IH-players. Cumulative-saccadic-amplitudes were clearly below established cut-off values (0.73°/trial). BESS scores were significantly higher in IH-players than in FB-players (15.4⯱â¯5.1 vs. 11.2⯱â¯4.9, pâ¯<â¯0.001).CONCLUSIONS:
The significantly better performance of the FB players in the vertical aVOR-gains and the BESS compared to the IH-players could be related to sports-specific differences influencing visuo-vestibular and balance performance. Therefore, we recommend using the established normative aVOR-gain values for high-level FB-players, whereas in IH obtaining individual pre-seasonal (baseline) aVOR-gain values is proposed. Further studies should add sports-specific normative aVOR-gain values for IH and other sports.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fútbol
/
Hockey
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Sci Med Sport
Asunto de la revista:
MEDICINA ESPORTIVA
Año:
2022
Tipo del documento:
Article