Evidence map›Paper›PMID 29078732›Full record

ArticleJournal of neurotrauma2018

Abnormal Turning and Its Association with Self-Reported Symptoms in Chronic Mild Traumatic Brain Injury.

Peter C Fino, Lucy Parrington, Merissa Walls, Emily Sippel, Timothy E Hullar, James C Chesnutt, Laurie A King

3 registry-linked trialsAbstract read
In one paragraph

Article in Journal of neurotrauma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–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.

NCT02748109 nacompletednot on this map

Assessment and Rehabilitation of Central Sensory Impairments for Balance in mTBI

TypeinterventionalSponsorOregon Health and Science UniversityRan2016 to 2019Enrolled132ConditionsBrain InjuryArmsVestibular Rehabilitation + audio biofeedback, Vestibular Rehabilitation
NCT03892291 completednot on this map

Objective Dual-task Turning Measures for Return-to-duty Assessments

TypeobservationalSponsorOregon Health and Science UniversityRan2018 to 2024Enrolled185ConditionsMild Traumatic Brain Injury, Gait, Balance, Veterans
NCT06381674 narecruitingnot on this mapstarted 2024, after this paper: background citation

Wearable Technology to Characterize and Treat mTBI Subtypes: Biofeedback-Based Precision Rehabilitation

TypeinterventionalSponsorOregon Health and Science UniversityRan2024 to 2028Enrolled100ConditionsMild Traumatic Brain Injury, Concussion, Rehabilitation, Balance ImpairmentArmsVestibular therapy for mTBI augmented with audio and visual real-time biofeedback, Vestibular therapy for mTBI
3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Trial
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  8. Continuous Monitoring of Head Turns: Compliance, Kinematics, and Reliability of Wearable Sensing.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article
  9. Article
  10. Article
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  12. Gait patterns during overground and virtual omnidirectional treadmill walking.Journal of neuroengineering and rehabilitation · 2024
    Article
  13. Article
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  15. Article
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  20. Review
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.

Peter C Fino1 Department of Neurology, Oregon Health & Science University , Portland, Oregon.
Lucy Parrington1 Department of Neurology, Oregon Health & Science University , Portland, Oregon.
Merissa Walls1 Department of Neurology, Oregon Health & Science University , Portland, Oregon.
Emily Sippel1 Department of Neurology, Oregon Health & Science University , Portland, Oregon.
Timothy E Hullar2 Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University , Portland, Oregon.
James C Chesnutt3 Department of Orthopedics & Rehabilitation, Neurology, and Family Medicine, Oregon Health & Science University , Portland, Oregon.
Laurie A King1 Department of Neurology, Oregon Health & Science University , Portland, Oregon.

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Oregon Clinical and Translational Research Institute KL2 SupplementKL2TR002370 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Catherine Lee Hough · 2017 to 2026
$10.1M
Oregon Clinical and Translational Research InstituteKL2TR000152 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$1.7M
NCATS NIH HHS KL2 TR000152NCATS NIH HHS KL2 TR002370NCATS NIH HHS UL1 TR002369
6 · The paper itself

Abstract

Turning is common in daily activity and requires rapid, coordinated reorientation of the head, trunk, and pelvis toward the new direction of travel. Yet, turning gait has not been well explored in populations with mild traumatic brain injury (mTBI) who may alter their turning behavior according to self-perceived symptoms or motor dysfunction. The purpose of this study was to examine turning velocities and coordination in adults with chronic mTBI (>3 months post-injury and still reporting balance complaints) during a task simulating everyday ambulation. We hypothesized that individuals with chronic mTBI would reduce their angular velocity when turning and increase the variability of head-pelvis coordination compared with controls, and that the reduction in velocity and increased variability would be associated with their self-reported symptom score. Forty-two adults (14 chronic mTBI, 28 controls) completed the Neurobehavioral Symptom Inventory before walking 12 laps around a marked course containing two 45-degree turns, four 90-degree turns, and two 135-degree turns. Inertial sensors collected angular velocities of the head and pelvis. After adjusting for covariates, participants with chronic mTBI had significantly slower lap times and peak angular velocities of the pelvis (p < 0.01) compared with the control group. The peak velocity timing (PVT) between peak velocities of the head and pelvis, and the variability of that timing was significantly greater in participants with chronic mTBI (p < 0.01). Within the chronic mTBI group, somatosensory symptoms were associated with slower angular velocities of the head and pelvis (p = 0.03) and increased PVT variability (p < 0.01). The results suggest individuals with chronic mTBI with worse somatic symptoms have impaired head stabilization during turning in situations similar to everyday life. These results encourage future research on turning gait to examine the causal relationship between symptoms and daily locomotor function in adults with chronic mTBI.

Indexed as

AdultBiomechanical PhenomenaBrain ConcussionBrain Injury, ChronicFemaleHumansMaleMiddle AgedMotor DisordersPsychomotor Performancebrain injurygaithead stabilizationinertial sensorsturning

Identifiers

PMID29078732
PMCPMC6599381

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.