Evidence map›Paper›PMID 28520668›Full record

Trial reportThe Journal of head trauma rehabilitation

Structural Connectivity Related to Persistent Symptoms After Mild TBI in Adolescents and Response to Aerobic Training: Preliminary Investigation.

Weihong Yuan, Shari L Wade, Catherine Quatman-Yates, Jason A Hugentobler, Paul J Gubanich, Brad G Kurowski

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 7 pooled it
3.5field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 7 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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 at 1 institution in 1 country.

Weihong YuanPediatric Neuroimaging Research Center (Dr Yuan), Division of Physical Medicine and Rehabilitation (Drs Wade and Kurowski), and Division of Sports Medicine (Drs Quatman-Yates and Gubanich and Mr Hugentobler), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and University of Cincinnati, College of Medicine, Cincinnati, Ohio (Drs Yuan, Wade, and Kurowski).
Shari L Wade
Catherine Quatman-Yates
Jason A Hugentobler
Paul J Gubanich
Brad G Kurowski
Cincinnati Children's Hospital Medical Center · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
Efficacy of Methylphenidate for Management of Long-term Attention Problems inTBIK23HD074683 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI KUROWSKI, BRAD G · 2013 to 2016
$426k
SHORT TERM RESEARCH TRAININGT35HD007468 · NICHD · UNIVERSITY OF NEW MEXICO · PI SCHADE, DAVID S · 1993 to 1997
–
NCATS NIH HHS KL2 TR001426NCATS NIH HHS UL1 TR000077NICHD NIH HHS K23 HD074683NICHD NIH HHS T35 HD007468
6 · The paper itself

Abstract

objectiveTo quantify structural connectivity abnormalities in adolescents with mild traumatic brain injury (mTBI) and to investigate connectivity changes following aerobic training using graph theory and diffusion tensor imaging tractography.

settingOutpatient research setting.

participantsTwenty-two children (age: 15.83 ± 1.77 years, 10 females) with 4 to 16 weeks of persistent symptoms after mTBI and a matched healthy comparison group.

designRandomized clinical trial of aerobic training and stretching comparison combined with case-control comparison. MAIN MEASURES: (1) Five global network measures: global efficiency (Eglob), mean local efficiency, modularity, normalized clustering coefficient (γ), normalized characteristic path length (λ), and small-worldness (σ). (2) The self-reported Post-Concussion Symptom Inventory score.

resultsAt initial enrollment, adolescents with mTBI had significantly lower Eglob and higher γ, λ, and σ (all P < .05) than healthy peers. After the intervention, significantly increased Eglob and decreased λ (both P < .05) were found in the aerobic training group. Improvement in Post-Concussion Symptom Inventory scores was significantly correlated with the Eglob increase and λ decrease in the aerobic training and λ decrease in the stretching comparison group (all P < .05).

conclusionThis pilot study showed initial evidence that structural connectivity analysis was sensitive to brain network abnormalities and may serve as an imaging biomarker in children with persistent symptoms after mTBI.

Indexed as

Image Processing, Computer-AssistedAdolescentBrain ConcussionCase-Control StudiesDiffusion Tensor ImagingExerciseExercise TherapyFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMonitoring, PhysiologicPilot ProjectsPost-Concussion SyndromeRisk Assessment

Identifiers

PMID28520668
PMCPMC5668180
OpenAlexW2614633151

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.