The diagnostic accuracy of EyeGuide Focus testing for concussion in elite male Rugby players.

IF 1.9 4区医学 Q2 ORTHOPEDICS

Physician and Sportsmedicine Pub Date : 2025-01-17 DOI:10.1080/00913847.2025.2451606

Gordon Ward Fuller, James Brown, Michael Dunlop, Martin Raftery, Éanna Cian Falvey

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引用次数: 0

Abstract

Introduction: Smooth pursuit eye movements may be affected by head impacts. The EyeGuide Focus system is a simple, portable, test of visual tracking. This study investigated the diagnostic accuracy of EyeGuide measurements for detection of concussion during elite Rugby matches.

Methods: A prospective diagnostic case-control study was performed in the elite 2021/2022 United Rugby Championship competition. The study population comprised consecutive players identified with match-related head impact events during the World Rugby Head Injury Assessment process, randomly chosen uninjured players, and players with match-related musculoskeletal injuries. The index test was blinded EyeGuide assessment performed by independent assessors. The reference standard was concussion diagnosed by the team doctor. Distributions of EyeGuide scores were compared between concussed and non-concussed players and receiver operator characteristic curves constructed.

Results: EyeGuide testing was performed in 262 cases, comprising 55 concussed players and 207 non concussed players (33 head impact events, 97 uninjured controls, and 79 musculoskeletal injury controls). The distributions of EyeGuide score were similar between concussed and non-concussed cases (medians 20,120 Vs 21,522, p = 0.3; difference -1,402, 95% CI -5,332-3,865). The c-index for the receiver operating characteristic curve was 0.46 (95% CI 0.36-0.55).

Conclusions: EyeGuide Focus scores did not appear to discriminate between concussed and non-concussed players in a cohort of elite Rugby players.

查看原文本刊更多论文

EyeGuide聚焦测试对优秀橄榄球运动员脑震荡诊断的准确性。

导语：平滑的眼球运动可能会受到头部撞击的影响。EyeGuide Focus系统是一种简单、便携的视觉跟踪测试。本研究调查了EyeGuide测量在精英橄榄球比赛中检测脑震荡的诊断准确性。方法：在2021/2022 XXXXX（匿名同行评审）精英竞赛中进行前瞻性诊断病例对照研究。研究人群包括在世界橄榄球头部损伤评估过程中连续发生与比赛相关的头部撞击事件的球员，随机选择的未受伤球员以及与比赛相关的肌肉骨骼损伤球员。指标测试由独立评估员进行盲法EyeGuide评估。参照标准是队医诊断的脑震荡。比较脑震荡运动员与非脑震荡运动员的EyeGuide评分分布，并构建接收操作者特征曲线。结果：对262例进行了EyeGuide测试，包括55例脑震荡运动员和207例非脑震荡运动员（33例头部撞击事件，97例未受伤对照组，79例肌肉骨骼损伤对照组）。EyeGuide评分在脑震荡和非脑震荡患者中的分布相似(中位数20,120 Vs 21,522, p = 0.3；差异-1,402,95% CI -5,332 - 3,865)。受试者工作特征曲线的c指数为0.46 （95% CI 0.36-0.55）。结论：在精英橄榄球运动员的队列中，EyeGuide Focus评分似乎没有区分脑震荡和非脑震荡球员。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.