Evidence map›Paper›PMID 32852299›Full record

ArticleClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine2021

Single-Task and Dual-Task Tandem Gait Performance Across Clinical Concussion Milestones in Collegiate Student-Athletes.

Jessie R Oldham, David R Howell, Christopher A Knight, Jeremy R Crenshaw, Thomas A Buckley

Open access · greenAbstract read
In one paragraph

Article in Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

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  9. Associations Between Prior Head Injury, Physical Functioning, and Frailty in the Atherosclerosis Risk in Communities Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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

5 authors at 3 institutions in 1 country.

Jessie R OldhamMicheli Center for Sports Injury Prevention, Waltham, Massachusetts.
David R HowellSports Medicine Center, Children's Hospital Colorado, Aurora, Colorado.
Christopher A KnightDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware; and.
Jeremy R CrenshawDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware; and.
Thomas A BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, Delaware; and.
University of Delaware · USChildren's Hospital Colorado · USThe Micheli Center for Sports Injury Prevention · US

Funding

Sex Differences in Brain Structure and Function After Sports-Related ConcussionR01NS100952 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI KOERTE, INGA KATHARINA · 2017 to 2022
$2.9M
A software tool for objective identification of concussion-related vision disorders using a novel eye-tracking deviceR41NS103698 · NINDS · OCULOGICA, INC. · PI MASTER, CHRISTINA L. · 2018 to 2018
$553k
Improving quantitative recovery outcomes from concussion with aerobic exercise trainingR03HD094560 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2018 to 2019
$318k
Unresolved Post-Concussion Balance Deficits and Subsequent Musculoskeletal Injury.R03NS104371 · NINDS · UNIVERSITY OF DELAWARE · PI BUCKLEY, THOMAS A. · 2018 to 2019
$164k
NICHD NIH HHS R03 HD094560NINDS NIH HHS R01 NS100952NINDS NIH HHS R03 NS104371NINDS NIH HHS R41 NS103698
6 · The paper itself

Abstract

objectiveTo determine the length of time after concussion that impaired tandem gait performance is observed.

designClinical measurement, prospective longitudinal.

settingNCAA collegiate athletic facility.

participantsEighty-eight concussed NCAA Division I student-athletes and 30 healthy controls. INDEPENDENT VARIABLES: Group (concussion/control) and time (Baseline, Acute, Asymptomatic, and RTP).

main outcome measuresParticipants completed 4 single-task and dual-task tandem gait trials. The concussion group completed tests at the following time points: preseason (Baseline), within 48 hours after concussion (Acute), on the day symptoms were no longer reported (Asymptomatic), and when cleared to return to sports (RTP). Controls completed the same protocol at similar intervals. The dual-task trials involved minimental style cognitive questions answered simultaneously during tandem gait. We analyzed the best time of the 4 trials, comparing groups with a linear mixed model.

resultsAcutely after concussion, the concussion group performed single-task tandem gait slower (worse) than controls (concussion: 11.36 ± 2.43 seconds, controls: 9.07 ± 1.78 seconds, P < 0.001). The concussion group remained significantly slower than controls (9.95 ± 2.21 vs 8.89 ± 1.65 seconds, P = 0.03) at Asymptomatic day but not RTP. There were significant group (P < 0.001) and time (P < 0.001) effects for dual-task tandem gait. The groups were not significantly different at baseline for single-task (P = 0.95) or dual-task (P = 0.22) tandem gait.

conclusionsOur results indicate that tandem gait performance is significantly impaired acutely after concussion, compared with both preseason measures and controls. Postural control impairments were not present when the student-athletes were cleared for RTP. This information can assist clinicians when assessing postural control and determining recovery after a concussive injury.

Indexed as

Athletic InjuriesBrain ConcussionAthletesGaitHumansPostural BalanceProspective StudiesStudents

Identifiers

PMID32852299
PMCPMC7887129
OpenAlexW3080183350

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.