Evidence map›Paper›PMID 31241531›Full record

ArticleClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine2019

Clinical Utility of Oculomotor and Electrophysiological Measures in Identifying Concussion History.

Patrick S Ledwidge, Jessie N Patterson, Dennis L Molfese, Julie A Honaker

Open access · greenAbstract read
In one paragraph

Article in Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. The clinical utility of the cervical vestibular-evoked myogenic potential (cVEMP) in university-level athletes with concussion.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  3. Article
  4. Article
  5. 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

4 authors at 2 institutions in 1 country.

Patrick S LedwidgeDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska.
Jessie N PattersonCenter for Brain, Biology, and Behavior, University of Nebraska-Lincoln, Lincoln, Nebraska.
Dennis L MolfeseDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska.
Julie A HonakerCenter for Brain, Biology, and Behavior, University of Nebraska-Lincoln, Lincoln, Nebraska.
University of Nebraska–Lincoln · USCleveland Clinic · US

Funding

Developmental Implications of Early Childhood SleepR01HD073202 · NICHD · TRUSTEES OF INDIANA UNIVERSITY · PI BATES, JOHN E, MOLFESE, VICTORIA JANE · 2012 to 2016
$3.0M
NICHD NIH HHS R01 HD073202
6 · The paper itself

Abstract

objectiveTo examine whether oculomotor and electrophysiological measures improve the clinical performance of the typical concussion protocol for classifying collegiate athletes with a history of concussion.

designCross-sectional.

settingUniversity Athletic Medicine and Research Facility.

participantsForty-five varsity collegiate athletes. INDEPENDENT VARIABLES: Collegiate varsity athletes with or without a history of a diagnosed concussion.

main outcome measuresMultivariate receiver operating curve and area under the curve (AUC) analyses tested the clinical performance of the typical concussion protocol (symptoms, postural control, neuropsychological abilities). We examined differences in clinical performance between this protocol and after adding reflexive saccade and event-related potential (ERP) indices. Hypotheses were formed after data collection.

resultsSignificant AUCs were demonstrated for the typical concussion protocol (model 1: AUC = 0.75, P = 0.007), after adding reflexive saccade eye excursion gain (model 2: AUC = 0.80, P = 0.001), and ERPs (model 3: AUC = 0.79, P = 0.002). The AUC for reflexive saccades and ERPs was significant (model 4: AUC = 0.70, P = 0.030). Model 2's increased clinical performance compared with model 1 was nonsignificant, χ(2) = 1.871, P = 0.171.

conclusionsAll 4 models demonstrated adequate sensitivity and specificity for classifying athletes with a previous concussion. Adding reflexive saccades and ERPs did not significantly increase clinical performance of the typical concussion protocol. Future research should determine the clinical utility of saccades and ERPs for acute postconcussion assessments.

Indexed as

Evoked PotentialsSaccadesAdolescentArea Under CurveAthletesAthletic InjuriesBrain ConcussionCross-Sectional StudiesFemaleHumansMaleNeuropsychological TestsPostural BalanceSensitivity and SpecificityYoung Adult

Identifiers

PMID31241531
PMCPMC5893446
OpenAlexW2760829036

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.