Sideline Concussion Assessment Methods and the Lockhart Monitor App: Assessing the Impact of Common Athletic Playing Surfaces

Current sideline concussion assessment tools are inaccurate and biased leading to undiagnosed concussions and possibly a second, more severe concussion. This study evaluated the effects of different surface types on postural stability using the Lockhart Monitor iPhone application in order to validate its potential use as a data-driven sideline concussion assessment tool. Participants had three components of their postural sway recorded in 30 and 60-second trials on three different surface types, tile, turf, and natural grass, with eyes open and closed. The statistical analysis found that there was a significant difference between surface types for the sway area (p = 0.0268), but there was no difference for the sway path and velocity. These results call for further research to be conducted on the impact of surface types and the use of the Lockhart Monitor as a sideline concussion assessment tool with larger sample sizes and improved methodologies.