Journal of Rehabilitation Research & Development (JRRD)

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Volume 53 Number 6, 2016
   Pages 959 — 972

Abstract — Utility of a multimodal neurophysiological assessment tool in distinguishing between individuals with and without a history of mild traumatic brain injury

Martin Baruch, PhD;1* Jeffrey T. Barth, PhD;2 David Cifu, MD;3 Martin Leibman, PhD4

1Empirical Technologies Inc, Charlottesville, VA; 2University of Virginia School of Medicine, Charlottesville, VA; 3Virginia Commonwealth University School of Medicine, and Hunter Holmes McGuire Department of Veterans Affairs Medical Center, Richmond, VA; 4Kenner Army Health Clinic, Fort Lee, VA

Abstract — This was a preliminary validation study of a multimodal concussion assessment battery incorporating eye-tracking, balance, and neurocognitive tests using a new hardware platform, the Computerized Brain Injury Assessment System. Using receiver-operating characteristics analyses, (1) we identified a subset of the most discriminating neurophysiological assessment tests, involving smooth pursuit eye movement tracking errors, corrective saccade counts, a balance score ratio sensitive to vestibular balance performance, and two neurocognitive tests of response speed and memory/incidental learning; (2) we demonstrated the enhancement in discriminatory capability of detecting concussion-related deficits through the combination of the identified subset of assessments; and (3) we demonstrated the effectiveness of a robust and readily implemented global scoring approach for both eye track and balance assessment tests. These results are significant in introducing a comprehensive solution for concussion assessment that incorporates an economical, compact, and mobile hardware system as well as an assessment battery that is multimodal and time efficient and whose efficacy has been demonstrated on a preliminary basis. This represents a significant step toward the goal of a system capable of making a dependable return-to-play/duty determination based on concussion likelihood.

Key words: assessment, balance assessment, concussion, eye tracking, mild traumatic brain injury, multimodal, neurocognitive, neurophysiological, saccade count, stability.


View HTML ?? View PDF ?? Contents Vol. 53, No. 6
This article and any supplementary material should be cited as follows:
Baruch M, Barth J???T, Cifu D, Leibman M. Utility of a multimodal neurophysiological assessment tool in distinguishing between individuals with and without a history of mild traumatic brain injury. J Rehabil Res Dev. 2016; 53(6): 959–72.
http://dx.doi.org/10.1682/JRRD.2015.06.0120
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