Evidence map›Paper›PMID 31972629›Full record

ArticleMedicine and science in sports and exercise2020

No Clinical Predictors of Postconcussion Musculoskeletal Injury in College Athletes.

Thomas A Buckley, Caroline M Howard, Jessie R Oldham, Robert C Lynall, C Buz Swanik, Nancy Getchell

Abstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–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.

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

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

  1. Pooled it
  2. Neuromuscular training after concussion to improve motor and psychosocial outcomes: A feasibility trial.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2021
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  11. Neurophysiology of ACL Injury.Orthopedic reviews · 2025
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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

6 authors.

Thomas A Buckley
Caroline M HowardDepartment of Intercollegiate Athletics, University of Delaware, Newark, DE.
Jessie R OldhamMicheli Center for Sports Injury Prevention, Boston Children's Hospital, Waltham, MA.
Robert C LynallDepartment of Kinesiology, University of Georgia, Athens, GA.
C Buz Swanik
Nancy Getchell

Funding

Unresolved Post-Concussion Balance Deficits and Subsequent Musculoskeletal Injury.R03NS104371 · NINDS · UNIVERSITY OF DELAWARE · PI BUCKLEY, THOMAS A. · 2018 to 2019
$164k
NINDS NIH HHS R03 NS104371
6 · The paper itself

Abstract

purposeThis study aimed to identify clinical predictors of postconcussion subsequent musculoskeletal (MSK) injuries.

methodsWe recruited 66 National Collegiate Athletic Association intercollegiate student-athletes with a diagnosed concussion as well as 36 National Collegiate Athletic Association student-athletes without a concussion. All participants completed a multifaceted concussion baseline consisting of 1) 22-item 0-6 self-reported symptom checklist with outcomes including both the number of symptoms endorsed (0-22) and 2) total symptom score (0-132), 3) Standard Assessment of Concussion, 4) Balance Error Scoring System, 5) Immediate Post-Concussion Assessment and Cognitive Testing, 6) clinical reaction time, and 7) the King-Devick as well as demographic and injury characteristics. The concussion participants completed the same examination acutely postconcussion, and binary logistic regression was used to identify predictors of subsequent MSK from the change scores (acute minus baseline). From the 66 concussed student-athletes, a subset 36, matched with the healthy athletes, compared the risk of subsequent MSK in the year before and year after their concussion.

resultsThe concussion participants were 1.78 times (95% confidence interval, 1.12-2.84; P = 0.015) more likely to suffer a lower extremity MSK in the year after their concussion than the control participants. The participant demographics and injury characteristics (P = 0.318) and concussion clinical outcomes (P = 0.461) did not predict subsequent MSK.

conclusionThe concussion participants were 1.78 times more likely to sustain a subsequent MSK; however, no demographic, injury characteristic, or concussion assessments predicted the MSK. Thus, clinicians are not able to utilize common neurological measures or participant demographics to identify those at risk for subsequent lower extremity MSK. Injury prevention strategies should be considered for collegiate student-athletes upon premature return to participation after a concussion to reduce the subsequent MSK.

Indexed as

AdolescentAthletic InjuriesBrain ConcussionCognitionFemaleHumansLower ExtremityMaleMusculoskeletal SystemNeuropsychological TestsPostural BalanceReaction TimeReturn to SportRisk AssessmentSex FactorsTime Factors

Identifiers

PMID31972629
PMCPMC7239710

What OpenQuestion holds

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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.