Evidence map›Paper›PMID 31521485›Full record

ArticleJournal of science and medicine in sport2019

Persistent vestibular-ocular impairment following concussion in adolescents.

Aaron M Sinnott, R J Elbin, Michael W Collins, Valerie L Reeves, Cyndi L Holland, Anthony P Kontos

Open access · greenAbstract read
In one paragraph

Article in Journal of science and medicine in sport, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  6. Scoping review: Intervention for ocular motor disorders in children and adults with mild traumatic brain injury.Optometry and vision science : official publication of the American Academy of Optometry · 2025
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  16. Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicine
    Review
  17. 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

6 authors at 3 institutions in 1 country.

Aaron M SinnottNeuromuscular Research Laboratory and Warrior Human Performance Research Center, Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences, University of Pittsburgh, USA.
R J ElbinDepartment of Health, Human Performance, and Recreation, Office for Sport Concussion Research, University of Arkansas, USA.
Michael W CollinsDepartment of Orthopedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh Medical Center, USA.
Valerie L ReevesDepartment of Orthopedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh Medical Center, USA.
Cyndi L HollandDepartment of Orthopedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh Medical Center, USA.
Anthony P KontosDepartment of Orthopedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh Medical Center, USA. Electronic address: akontos@pitt.edu.
University of Pittsburgh Medical Center · USUniversity of Arkansas at Fayetteville · USUniversity of Pittsburgh · US

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

objectivesThe current study investigated the role of persistent vestibular-ocular symptoms and impairment following sport-related concussion on recovery time and clinical outcomes among adolescents.

designProspective cohort.

methods50 (F-22/M-28) adolescents aged 12-20 years completed a vestibular-ocular motor screening, neurocognitive assessment, and the Post-Concussion Symptom Scale (PCSS) at clinical assessments conducted at 0-10 and 11-21 days after concussion. Participants were assigned to: 1) persistent vestibular-ocular (PERSIST), 2) vestibular-ocular improvement (IMPROVE), or 3) no vestibular-ocular impairment (NONE) groups based on vestibular-ocular motor screening conducted during each assessment. A 3 (GROUP) X 2 (TIME) ANOVA was performed on neurocognitive and symptom scores, and a between-subjects ANOVA was performed for recovery time.

results49 subjects were identified among the PERSIST (n=17), IMPROVE (n=12) and NONE (n=20) groups. There were no neurocognitive performance differences between groups at 0-10 days post-concussion, but groups differed on PCSS at 11-21 days (p=.001), with the PERSIST (29.0±24.9) group reporting higher symptoms than the NONE (5.45±10.0; p=.005) group. The PERSIST group took significantly longer to recover (34.9±11.6 days) than the NONE (22.9±14.9 days) group (p=.03). All groups improved on verbal (p<.001) and visual memory (p=.028), visual motor speed (p=.005), and reaction time (p=.004) from 0-10 to 11-20 days following SRC and no significant group by time interactions for cognitive scores identified.

conclusionsPersistent post-concussion vestibular-ocular symptoms and impairment may influence neurocognitive performance and clinical recovery following sport-related concussion.

Indexed as

AdolescentAthletic InjuriesBrain ConcussionChildFemaleHumansMaleNeuropsychological TestsOcular Motility DisordersPost-Concussion SyndromeProspective StudiesReaction TimeVestibular DiseasesYoung AdultConcussionNeurocognitiveRecoverySymptom burdenVestibularVOMS

Identifiers

PMID31521485
PMCPMC6825555
OpenAlexW2967193864

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.