Evidence map›Paper›PMID 31855075›Full record

ArticleJournal of athletic training2020

Athletic Trainers' Concussion-Assessment and Concussion-Management Practices: An Update.

Landon B Lempke, Julianne D Schmidt, Robert C Lynall

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05886400 (The Effects of Environmental Distractions on SCAT6 Outcomes), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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.

NCT05886400 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effects of Environmental Distractions on SCAT6 Outcomes

TypeinterventionalSponsorIndiana UniversityRan2023 to 2024Enrolled48ConditionsConcussion, Brain, Mild Traumatic Brain InjuryArmsSCAT6, Visual/ Auditory Distraction
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Influence of Aerobic Exercise Volume on Postconcussion Symptoms.The American journal of sports medicine · 2021
    Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Factor Structure and Measurement Invariance Across Sex of the Sport Concussion Assessment Tool Symptom Inventory.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2024
    Observational
  12. Article
  13. Cervical spine proprioception and vestibular/oculomotor function: An observational study comparing young adults with and without a concussion history.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2024
    Observational
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  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

3 authors at 1 institution in 1 country.

Landon B LempkeUGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens.
Julianne D SchmidtUGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens.
Robert C LynallUGA Concussion Research Laboratory, Department of Kinesiology, University of Georgia, Athens.
University of Georgia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAthletic trainers (ATs) are often the first health care providers to conduct concussion assessments and carry out postinjury management. Best practices for concussion evaluation and management have changed rapidly in recent years, outdating previous reports of ATs' concussion practices.

objectiveTo examine ATs' current concussion-assessment and -management techniques.

designCross-sectional study.

settingWeb-based survey. PATIENTS OR OTHER

participantsA random convenience sample of 8777 ATs (response rate = 15.0% [n = 1307]; years certified = 15.0 ± 10.6) from the National Athletic Trainers' Association membership. MAIN OUTCOME MEASURE(S): Survey Web links were e-mailed to prospective participants, with 2 follow-up e-mails sent by the National Athletic Trainers' Association. The survey collected demographic information, the number of concussions assessed, the concussion-recovery patterns, and the assessment and return-to-participation (RTP) decision-making methods used.

resultsThe ATs reported assessing a median of 12.0 (range = 0-218) concussions per year. A total of 95.3% (953/1000) ATs cited clinical examination as the most frequently used concussion-assessment tool, followed by symptom assessment (86.7%; 867/1000). A total of 52.7% (527/1000) ATs described a 3-domain minimum multidimensional concussion-assessment battery. Published RTP guidelines were the most common RTP decision-making tool (91.0%; 864/949), followed by clinical examination (88.2%; 837/949). The ATs with master's degrees were 1.36 times (95% confidence interval [CI] = 1.02, 1.81) more likely to use a 3-domain concussion-assessment battery than ATs with only bachelor's degrees (χ

conclusionsAthletic trainers were using the clinical examination, standardized assessment tools, and a 3-domain concussion-assessment-battery approach more frequently in clinical practice than previously reported. However, despite practice improvements, nearly half of ATs were not using a 3-domain minimum concussion-assessment battery. Clinicians should strive to implement multidimensional concussion assessments in their practices to ensure optimal diagnosis and management.

Indexed as

Athletic InjuriesBrain ConcussionFirst AidPatient Care ManagementSports MedicineAdultAthletesCross-Sectional StudiesFemaleHumansMalePhysical Education and TrainingProspective StudiesQuality ImprovementSchoolsSurveys and Questionnairesdiagnosisevaluationmild traumatic brain injurysports medicine

Identifiers

PMID31855075
PMCPMC6961637
OpenAlexW2994678054

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.