Examination of Balance, Vestibular, and Ocular Functions and Activity Following Concussion


Previous research and position statements have outlined the necessity of balance and gait testing in the post-concussion evaluation of athletes. However, many of the currently available balance testing techniques lack objectivity and sensitivity to the effects of concussion. Such balance impairments may exist following concussion due to disruption of vestibular and/or ocular motor systems. However, no clinically feasible tools have been longitudinally examined to detect gait balance control deficits or to investigate how vestibular or motor dysfunction may lead to gait imbalance. Additionally, participation in physical and cognitive activities post-concussion may affect recovery. While limited evidence exists to support this notion, further investigation is necessary to improve clinical management recommendations. The proposed study will allow for the examination of tools which add value to post-concussion clinical evaluations and study-related outcomes will enhance the understanding of dynamic balance control and vestibular/ocular motor recovery, and their potential for implementation into concussion management protocols.

Study Start Date

March 2015

Estimated Completion Date

January 2017


No interventions cited


  • Nursing: Emergency/Trauma,Neurology
  • Neurology: Trauma
  • Emergency Medicine: EM Radiology/Diagnostics,Trauma
  • Physician Assistant: Emergency/Trauma,Neurology

MeSH Terms

  • Brain Concussion
  • Brain Injuries
  • Central Nervous System Diseases
  • Craniocerebral Trauma

Study ID

Children's Hospital Boston -- ch174660



Trial ID


Study Type


Trial Phase


Enrollment Quota



Children's Hospital Boston

Inclusion Criteria

    1. Age between 12 and 40 years 2. No history of concussion in the past year, and no lifetime history of more than 3 concussion 3. Diagnosed with concussion within the past 21 days (concussion group only)

Exclusion Criteria

    1. Lower extremity deficiency or injury, which may affect normal balance or gait 2. History of permanent memory loss 3. Diagnosis of Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD), learning disability, Down syndrome, or developmental delay




12 Years to 40 Years

Accepts Healthy Volunteers

Accepts Healthy Volunteers

Study Locations and Contact Information (1)

Study Location Distance Name Phone Email
Boston Childrens Hospital - Boston, Massachusetts 2.6 miles David R Howell PhD 781-216-2865 David.Howell2@childrens.harvard.edu

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