Evidence map›Paper›PMID 32844594›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2021

Relating Self-Reported Balance Problems to Sensory Organization and Dual-Tasking in Chronic Traumatic Brain Injury.

Annie-Lori C Joseph, Sara M Lippa, Brian Moore, Manjot Bagri, Jessica Row, Leighton Chan, Cris Zampieri

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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

7 authors at 3 institutions in 1 country.

Annie-Lori C JosephRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD, USA.ORCID 0000-0002-6773-7934
Sara M LippaRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Brian MooreCenter for Neuroscience and Regenerative Medicine, The Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Manjot BagriRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Jessica RowRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Leighton ChanRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Cris ZampieriRehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, MD, USA.ORCID 0000-0003-4632-7941
National Institutes of Health Clinical Center · USUniformed Services University of the Health Sciences · USWalter Reed National Military Medical Center · US

Funding

Rhenium-188 therapy of NIS-expressing breast tumorsR21CA095377 · NCI · YESHIVA UNIVERSITY · PI DADACHOVA, EKATERINA · 2002 to 2003
$334k
Intramural NIH HHS Z99 CL999999NCI NIH HHS R21 CA095377
6 · The paper itself

Abstract

backgroundIndividuals who have experienced a traumatic brain injury (TBI) often have residual balance problems. It remains unclear whether these balance problems are driven by vestibular dysfunction or gait automaticity deficits, particularly in the chronic stages of TBI recovery, because most studies include only acute/subacute cases.

objectivesCompare performance on the Sensory Organization Test vestibular score and Dual-Task test in individuals with and without subjective balance problems at least 1 year after a TBI. Investigate the ability of each test to predict perceived balance problems.

designProspective cohort study.

settingRehabilitation department within a single institution.

participantsFifty adults (21-71 years) with a history of mild, moderate, or severe TBI 1 to 5 years following nonpenetrating TBI.

interventionsN/A.

methodsMeasures included the Dual-Task test, Sensory Organization Test, Neurobehavioral Symptom Inventory, Dizziness Handicap Inventory, and assessments of four cognitive domains and depression. Participants who endorsed "feeling dizzy" and "loss of balance" on the Neurobehavioral Symptom Inventory were classified as symptomatic (n = 26) and others as asymptomatic (n = 24). T-tests, chi-square, and regression analyses predicting the Dizziness Handicap Inventory total score were performed.

resultsDual-task gait cost was negatively associated with the Dizziness Handicap Inventory (P = .044), controlling for depression and gender, whereas vestibular scores failed to predict balance-related disability. Symptomatic individuals endorsed more balance problems (P < .001) and depression symptoms (P = .007), had poorer dual-task cognitive output (P = .036), and slower dual-task gait velocity (P = .036) than asymptomatic participants. Groups did not differ on Sensory Organization Test scores.

conclusionsThe nature of balance problems in chronic TBI may be related to automaticity of gait. These findings suggest that patients in the chronic stages of TBI may benefit from dual-task assessments and interventions. Balance rehabilitation should be tailored to patient needs and assess cognition and affect.

Indexed as

Brain Injuries, TraumaticPostural BalanceDizzinessHumansProspective StudiesSelf Report

Identifiers

PMID32844594
PMCPMC10440855
OpenAlexW3081230798

What OpenQuestion holds

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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.