Evidence map›Paper›PMID 32948449›Full record

SynthesisJournal of science and medicine in sport2021

The effects of repetitive head impacts on postural control: A systematic review.

Elena M Bonke, Julia Southard, Thomas A Buckley, Claus Reinsberger, Inga K Koerte, David R Howell

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of science and medicine in sport, 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
1.2field-weighted citation impact, top 20% 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, 22 citations in OpenAlex.

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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 at 6 institutions in 2 countries.

Elena M BonkeDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, LMU University Hospital Munich, Ludwig-Maximilians-University, Germany; Graduate School of Systemic Neurosciences, Ludwig-Maximilians-University, Germany.
Julia SouthardDepartment of Psychology and Neuroscience, Regis University, USA.
Thomas A BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, USA.
Claus ReinsbergerInstitute of Sports Medicine, Paderborn University, Germany.
Inga K KoerteDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, LMU University Hospital Munich, Ludwig-Maximilians-University, Germany; Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, USA; Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, USA.
David R HowellSports Medicine Center, Children's Hospital Colorado, USA; Department of Orthopedics, University of Colorado School of Medicine, USA. Electronic address: David.Howell@CUAnschutz.edu.
Brigham and Women's Hospital · USLudwig-Maximilians-Universität München · DEPaderborn University · DERegis University · USUniversity of Colorado Denver · USUniversity of Delaware · 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
Improving quantitative recovery outcomes from concussion with aerobic exercise trainingR03HD094560 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2018 to 2019
$318k
A novel smartphone-based tool to quantify dual-task gait performance for concussion assessmentR43NS108823 · NINDS · CONTROL ONE, LLC · PI LUGADE, VIPUL · 2019 to 2019
$150k
NICHD NIH HHS R03 HD094560NINDS NIH HHS R01 NS100952NINDS NIH HHS R43 NS108823
6 · The paper itself

Abstract

objectivesThe purpose of our study was to investigate the association between repetitive head impact (RHI) exposure and postural control.

designSystematic review.

methodsPubMed, Embase and PsycInfo were searched using a self-developed search term including the keywords balance OR postural control AND repetitive OR sub-concussive head impacts. Twenty-one studies excluding non-peer reviewed studies, secondary studies, cross-sectional studies, animal studies, and studies investigating concussion were included for further analyses. We rated Level of Evidence and quality using the Centre for Evidence-Based Medicine tool, the Quality Assessment for the Systematic Review of Effectiveness, and the Sub-concussion Specific Tool.

resultsAll included studies were grouped into Category I and II studies. Category I included trials investigating the effects of controlled soccer heading on postural control (n=8) and Category II studies were cohort studies investigating on-the-field changes between preseason and postseason assessments on postural control measures (n=13). Findings were heterogeneous, with a tendency towards no effects of RHI on clinical postural control measures. Most laboratory studies in Category I used instrumented assessments whereas on-the-field studies in Category II used both instrumented and non-instrumented assessments.

conclusionsDue to heterogeneous findings, future studies aiming to investigate the effects of RHI on different athlete populations are needed on other participant cohorts. Furthermore, the combination of objective clinical balance measures may be a promising approach to accurately measure how, and to what degree, postural control may be affected by RHI.

Indexed as

Postural BalanceAdolescentAthletesBrain ConcussionChildFemaleHumansMaleNon-Randomized Controlled Trials as TopicRandomized Controlled Trials as TopicSensation DisordersSex FactorsSoccerStudentsTime FactorsYoung AdultAthletesBrain concussionContact sportPostural balanceSoccerSub-concussion

Identifiers

PMID32948449
PMCPMC7854930
OpenAlexW3083806432

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.