Evidence map›Paper›PMID 29864101›Full record

ArticleJournal of neurologic physical therapy : JNPT2018

Prospective Changes in Vestibular and Ocular Motor Impairment After Concussion.

R J Elbin, Alicia Sufrinko, Morgan N Anderson, Samantha Mohler, Philip Schatz, Tracey Covassin, Anne Mucha, Michael W Collins, Anthony P Kontos

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of neurologic physical therapy : JNPT, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  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

9 authors.

R J ElbinDepartment of Health, Human Performance and Recreation (R.J.E., S.M.), Office for Sport Concussion Research, University of Arkansas, Fayetteville; UPMC Sports Medicine Concussion Program (A.S., A.M., M.W.C., A.P.K.), Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Psychology (P.S.), Saint Joseph's University, Philadelphia, Pennsylvania; Department of Kinesiology (M.N.A, T.C.), Michigan State University, East Lansing; and UPMC Centers for Rehabilitation Services (A.M.), Pittsburgh, Pennsylvania.
Alicia Sufrinko
Morgan N Anderson
Samantha Mohler
Philip Schatz
Tracey Covassin
Anne Mucha
Michael W Collins
Anthony P Kontos

Funding

Balance-Attention Interference Following ConcussionK01DC012332 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KONTOS, ANTHONY P · 2013 to 2017
$741k
NIDCD NIH HHS K01 DC012332
6 · The paper itself

Abstract

background and purposeThe utility of prospective changes on the Vestibular/Ocular Motor Screening (VOMS) assessment are unknown, and 2 methods of scoring are published in the literature. Total scores are the total symptom scores for each VOMS component, and change scores are the difference between the pretest total symptom score and component total symptom scores. This study documented prospective changes in vestibular and ocular motor impairments and symptoms in high school athletes with concussion using the total and change scoring methods and compared the percentage of scores over clinical cutoffs using the total and change scoring methods for the VOMS.

methodsSixty-three athletes (15.53 ± 1.06 years) completed the VOMS at baseline (ie, preinjury), 1 to 7 days, and 8 to 14 days after concussion. A series of repeated-measures multivariate analyses of variance were conducted on total and change scores. A 2-way repeated-measures analysis of variance was performed on the near-point convergence distance. A series of χ analyses compared scores exceeding clinical cutoffs between the total and change scoring methods.

resultsTotal scoring revealed impairments (Wilks λ = 0.39, F16,47 = 4.54, P < 0.001, η = 0.61) on all VOMS components at 1 to 7 and 8 to 14 days compared to baseline. Change scoring revealed postinjury impairments compared with baseline (Wilks λ = 0.58, F14,49 = 2.52, P = 0.009, η = 0.42) on all components at 1 to 7 days; however, impairments at 8 to 14 days were revealed only for the vertical vestibular oculomotor reflex and vestibular motor sensitivity components. Total scoring identified significantly more scores over cutoffs at 1 to 7 days (χ1,63 = 5.97, P = 0.02) compared with change scores. DISCUSSION AND

conclusionsBoth total and change scoring methods on the VOMS are useful for identifying impairments following concussion.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A230).

Indexed as

AdolescentAthletic InjuriesBrain ConcussionEye MovementsFemaleHumansMaleNeurologic ExaminationProspective StudiesVestibule, Labyrinth

Identifiers

PMID29864101
PMCPMC6005756

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.