Evidence map›Paper›PMID 30820754›Full record

ReviewCurrent reviews in musculoskeletal medicine2019

Concussion Pathophysiology and Injury Biomechanics.

Rafael Romeu-Mejia, Christopher C Giza, Joshua T Goldman

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05562232 (The Effect of Creatine Monohydrate on Persistent Post-concussive Symptoms - a Pilot Study Protocol), which is not on this map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% 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.

NCT05562232 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Effect of Creatine Monohydrate on Persistent Post-concussive Symptoms - a Pilot Study Protocol

TypeinterventionalSponsorPsychiatric Research Unit, Region Zealand, DenmarkRan2023 to 2024Enrolled45ConditionsMild Traumatic Brain Injury, Concussion, BrainArmsCreatine Monohydrate
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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  17. Functional Vision Questionnaire Detects Near Triad Impairments in Adolescent Athletes With Concussion History.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2024
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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

3 authors at 1 institution in 1 country.

Rafael Romeu-MejiaDepartment of Neurosurgery, UCLA Steve Tisch BrainSPORT Program, Los Angeles, CA, USA.
Christopher C GizaDepartment of Neurosurgery, UCLA Steve Tisch BrainSPORT Program, Los Angeles, CA, USA.
Joshua T GoldmanDepartment of Neurosurgery, UCLA Steve Tisch BrainSPORT Program, Los Angeles, CA, USA. jgoldman@mednet.ucla.edu.
Mattel Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe concussion public health burden has increased alongside our knowledge of the pathophysiology of mild traumatic brain injury (mTBI). The purpose of this review is to summarize our current understanding of mTBI pathophysiology and biomechanics and how these underlying principles correlate with clinical manifestations of mTBI. RECENT

findingsChanges in post-mTBI glutamate and GABA concentrations seem to be region-specific and time-dependent. Genetic variability may predict recovery and symptom severity while gender differences appear to be associated with the neuroinflammatory response and neuroplasticity. Ongoing biomechanical research has shown a growing body of evidence in support of an "individual-specific threshold" for mTBI that varies based on individual intrinsic factors. The literature demonstrates a well-characterized timeframe for mTBI pathophysiologic changes in animal models while work in this area continues to grow in humans. Current human research shows that these underlying post-mTBI effects are multifactorial and may correlate with symptomatology and recovery. While wearable sensor technology has advanced biomechanical impact research, a definitive concussion threshold remains elusive.

Indexed as

Biomechanical impactConcussion pathophysiologyConcussion thresholdLinear-rotational accelerationMild traumatic brain injuryNeurometabolic cascade

Identifiers

PMID30820754
PMCPMC6542913
OpenAlexW2918371564

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.