What question did this study set out to answer?

The aim is to evaluate the effectiveness of the sBESS balance test for concussion assessment in adolescents.

March 13, 2026Clinical Journal of Sport Medicine0 citations

Development of the sBESS, a Pragmatic Dual-Task Balance Test in Adolescents With Acute Concussion

JIJacqueline van IersselOttawa Hospital RWR. WebsterChildren's Hospital of Eastern Ontario LHLamia HayawiChildren's Hospital of Eastern Ontario

Key Points

The aim is to evaluate the effectiveness of the sBESS balance test for concussion assessment in adolescents.
Developed a dual-task balance test called sBESS.
Compared sBESS performance to traditional balance tests like mBESS.
Focused on adolescents with acute concussion.
Emphasized gaze stabilization during testing.
sBESS showed stronger associations with balance performance compared to mBESS.
Indicated potential for improved diagnostic and prognostic accuracy for concussion.
May inform better return-to-sport decisions for adolescents.

Abstract

Dual-task gaze stabilization with tandem stance ("sharpened BESS" sBESS) is a new vestibular dual task that is more strongly associated with gold-standard balance performance in concussed adolescents than mBESS. Diagnostic and prognostic accuracy studies are needed to determine the clinical utility of sBESS to inform concussion diagnosis and return to sport decisions.

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