Evidence map›Paper›PMID 26838933›Full record

ArticleThe American journal of sports medicine2016

Physical Activity Level and Symptom Duration Are Not Associated After Concussion.

David R Howell, Rebekah C Mannix, Bridget Quinn, J Andrew Taylor, Can Ozan Tan, William P Meehan

Abstract read
In one paragraph

Article in The American journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Acute Physical and Mental Activity Influence on Concussion Recovery.Medicine and science in sports and exercise · 2022
    Article
  6. More Physical Activity after Concussion Is Associated with Faster Return to Play among Adolescents.International journal of environmental research and public health · 2021
    Article
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Treatment of Acute Sports-Related Concussion.Current reviews in musculoskeletal medicine · 2019
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Exercise is Medicine for Concussion.Current sports medicine reports · 2018
    Review
  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

6 authors.

David R HowellThe Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA Sports Concussion Clinic, Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts, USA Brain Injury Center, Boston Children's Hospital, Boston, Massachusetts, USA David.Howell2@childrens.harvard.edu.
Rebekah C MannixBrain Injury Center, Boston Children's Hospital, Boston, Massachusetts, USA Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts, USA.
Bridget QuinnSports Concussion Clinic, Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts, USA.
J Andrew TaylorCardiovascular Research Laboratory, Spaulding Hospital Cambridge, Cambridge, Massachusetts, USA Department of Physical Medicine and Rehabilitation, Harvard Medical School, Harvard University, Boston, Massachusetts, USA.
Can Ozan TanCardiovascular Research Laboratory, Spaulding Hospital Cambridge, Cambridge, Massachusetts, USA Department of Physical Medicine and Rehabilitation, Harvard Medical School, Harvard University, Boston, Massachusetts, USA.
William P MeehanThe Micheli Center for Sports Injury Prevention, Waltham, Massachusetts, USA Sports Concussion Clinic, Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts, USA Brain Injury Center, Boston Children's Hospital, Boston, Massachusetts, USA Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA Department of Pediatrics, Harvard Medical School, Harvard University, Boston, Massachusetts, USA Department of Orthopaedics, Harvard Medical School, Harvard University, Boston, Massachusetts, USA.

Funding

RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
NICHD NIH HHS T32 HD040128
6 · The paper itself

Abstract

backgroundPhysical rest after a concussion has been described as a key component in the management of the injury. Evidence supporting this recommendation, however, is limited. PURPOSE: To examine the association between physical activity and symptom duration in a cohort of patients after a concussion. STUDY

designCohort study; Level of evidence, 2.

methodsThis study included 364 patients who were diagnosed with a concussion, were seen by a physician within 3 weeks of injury, and completed a questionnaire at the initial clinic visit. The questionnaire assessed the postconcussion symptom scale (PCSS) score, previous number of concussions, presence of the loss of consciousness or amnesia at the time of injury, and prior treatment for headaches. During each follow-up clinic visit, physical activity level was self-reported. A Cox proportional hazard model was constructed to determine the association between symptom duration, initial clinic visit responses, and self-reported physical activity level after the injury.

resultsStudy participants ranged in age from 8 to 27 years (mean age, 15.0 years) and had sustained a mean of 0.8 prior concussions; 222 patients (61%) were male. On initial examination, the mean PCSS score was 34.7. The mean symptom duration was 48.9 days after the injury. Among the variables included in the model, initial PCSS score and female sex were independently associated with symptom duration, while physical activity level after the injury was not. For participants aged between 13 and 18 years, however, higher levels of physical activity after the injury were associated with a shorter symptom duration.

conclusionResults from this study indicate that physical activity after the injury may not be universally detrimental to the recovery of concussion symptoms.

Indexed as

Motor ActivityAdolescentAdultAthletic InjuriesChildCohort StudiesFemaleHumansMalePost-Concussion SyndromeSelf ReportSurveys and QuestionnairesTime FactorsYoung Adultbrain concussionmild traumatic brain injuryphysical activityrehabilitation

Identifiers

PMID26838933
PMCPMC5348918

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.