Evidence map›Paper›PMID 25706663›Full record

ArticleClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine2016

Relationship Between Cognitive Assessment and Balance Measures in Adolescents Referred for Vestibular Physical Therapy After Concussion.

Bara A Alsalaheen, Susan L Whitney, Gregory F Marchetti, Joseph M Furman, Anthony P Kontos, Michael W Collins, Patrick J Sparto

Open access · greenAbstract read
In one paragraph

Article in Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Can Neurocognitive Function Predict Lower Extremity Injuries in Male Collegiate Athletes?International journal of environmental research and public health · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Gaze Stabilization Test Following Concussion.Journal of the American Academy of Audiology · 2018
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Bara A Alsalaheen*Department of Physical Therapy, University of Michigan-Flint, Flint, Michigan; Departments of †Physical Therapy; and ‡Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania; §Department of Rehabilitation Sciences, King Saud University, Riyadh, Saudi Arabia; ¶Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania; and ‖Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Susan L Whitney
Gregory F Marchetti
Joseph M Furman
Anthony P Kontos
Michael W Collins
Patrick J Sparto
University of Pittsburgh · USAmerican Physical Therapy Association · USDuquesne University · USKing Saud University · SAUniversity of Michigan–Flint · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
CORE--THE HUMAN VIRTUAL REALITY CORE (HVRC)P30DC005205 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FURMAN, JOSEPH M · 2001 to 2011
$2.3M
Balance-Attention Interference Following ConcussionK01DC012332 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KONTOS, ANTHONY P · 2013 to 2017
$741k
NIA NIH HHS P30 AG024827NIDCD NIH HHS K01 DC012332NIDCD NIH HHS P30 DC005205
6 · The paper itself

Abstract

objectiveTo examine the relationship between cognitive and balance performance in adolescents with concussion.

designRetrospective case series.

settingTertiary. PATIENTS: Sixty patients.

interventionsCorrelation analyses were performed to describe the relationship between symptoms, cognitive measure, and balance measure at the time of initiation of vestibular physical therapy.

main outcome measuresCognitive performance was assessed using the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). The dizziness and balance function measures included dizziness severity rating, Activities-specific Balance Confidence scale (ABC), Dizziness Handicap Inventory (DHI), Functional Gait Assessment, gait speed, Timed "UP and GO," Five Times Sit to Stand, and Sensory Organization Test (SOT). To account for multiple comparisons, the False Discovery Rate method was used.

resultsPerformance measures of balance were significantly correlated with cognitive measures. Greater total symptom scores were related to greater impairment in the ABC and DHI (r = 0.35-0.39, P ≤ 0.008) and worse performance in condition 2 of the SOT (r = -0.48, P = 0.004). Among the ImPACT composite scores, lower memory scores were correlated with impaired balance performance measures (r = 0.37-0.59, P ≤ 0.012). Lower visual memory was also correlated with worse ABC scores.

conclusionsThe significant relationships reported between the cognitive performance scores and balance measures may reflect that similar levels of functioning exist across domains in individuals with protracted recovery who receive vestibular physical therapy. CLINICAL RELEVANCE: The weak-to-moderate relationships warrant the continuous use of multiple domains of assessment. A better understanding to the relationships between the domains of functioning after concussion may improve the overall management approach for adolescents with concussion.

Indexed as

CognitionPostural BalanceAdolescentBrain ConcussionDizzinessExercise TestFemaleHumansMaleMemoryNeuropsychological TestsOcular Motility DisordersPhysical Therapy ModalitiesReaction TimeRetrospective StudiesSeverity of Illness Index

Identifiers

PMID25706663
PMCPMC4856020
OpenAlexW2011176131

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.