Evidence map›Paper›PMID 31827883›Full record

ReviewConcussion (London, England)2019

Representation of concussion subtypes in common postconcussion symptom-rating scales.

Angela Lumba-Brown, Jamshid Ghajar, Jordan Cornwell, O Josh Bloom, James Chesnutt, James R Clugston, Raina Kolluri, John J Leddy, Masaru Teramoto, Gerard Gioia

Registry-linked trialAbstract readReview
In one paragraph

Review in Concussion (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06381674 (Wearable Technology to Characterize and Treat mTBI Subtypes), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. 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
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Welcome to Volume 5 ofConcussion (London, England) · 2020
    Article
  16. Article
  17. 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

10 authors.

Angela Lumba-BrownDepartment of Emergency Medicine, Stanford University, Stanford, CA 94304, USA.ORCID https://orcid.org/0000-0002-9102-8791
Jamshid GhajarDepartment of Neurosurgery, Brain Performance Center, Stanford University, Stanford, CA 94304 USA.
Jordan CornwellDepartment of Emergency Medicine, Stanford University, Stanford, CA 94304, USA.
O Josh BloomCarolina Sports Concussion Clinic, Cary, NC 27513, USA.
James ChesnuttDepartments of Family Medicine, Neurology, Oregon Health & Science University, Portland, OR & Rebound Orthopedics & Neurosurgery, Portland, OR 97239, USA.
James R ClugstonDepartments of Community Health & Family Medicine & Neurology, University of Florida, Gainesville, FL 32611, USA.
Raina KolluriDepartment of Neurosurgery, Brain Performance Center, Stanford University, Stanford, CA 94304, USA.
John J LeddyUBMD Department of Orthopaedics & Sports Medicine, Jacobs School of Medicine & Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY 14203, USA.
Masaru TeramotoDivision of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, UT 84108, USA.
Gerard GioiaDivision of Pediatric Neuropsychology, Safe Concussion Outcome Recovery & Education Program, Children's National Health System, Departments of Pediatrics & Psychiatry & Behavioral Sciences, George Washington University School of Medicine, Rockville, MD 20850, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPostconcussion symptom-rating scales are frequently used concussion assessment tools that do not align directly with new expert, consensus-based concussion subtype classification systems. This may result in delays in concussion diagnosis, subspecialty referral and rehabilitative strategies.

objectiveTo determine the representation of subtype-directed symptomatology in common postconcussion symptom-rating scales.

methodsLiterature review and expert consensus were used to compile commonly used concussion symptom-rating scales. Statistics were generated to describe the degree of representation of the consensus symptom set.

resultsThe percentage of symptoms representing each subtype/associated condition is low overall (15-26%). The ocular-motor (11%) and vestibular subtypes (19%) and cervical strain (5%)-associated condition were the most under-represented and also had the greatest unmet needs.

conclusionConcussion subtypes do not have equal representation on commonly used concussion symptom-rating scales. There is a need for a subtype-directed symptom assessment to allow for increased accuracy of diagnosis and to guide management.

Indexed as

concussionoculomotorpostconcussion symptomsvestibular

Identifiers

PMID31827883
PMCPMC6902310

What OpenQuestion holds

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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.