Evidence map›Paper›PMID 33136240›Full record

ArticleAnnals of biomedical engineering2020

Do Head Injury Biomechanics Predict Concussion Clinical Recovery in College American Football Players?

Jason P Mihalik, Avinash Chandran, Jacob R Powell, Patricia R Roby, Kevin M Guskiewicz, Brian D Stemper, Alok S Shah, Steven Rowson, Stefan Duma, Jaroslaw Harezlak and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Annals of biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Preseason Cerebrovascular Function in Adolescent Athletes.Annals of biomedical engineering · 2021
    Article
  12. Preseason Cerebrovascular Function in Adolescent Athletes.Annals of biomedical engineering · 2021
    Article
  13. 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

15 authors at 7 institutions in 2 countries.

Jason P MihalikMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, 2207 Stallings-Evans Sports Medicine Center, Chapel Hill, NC, USA. jmihalik@email.unc.edu.ORCID http://orcid.org/0000-0001-6085-8322
Avinash ChandranMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, 2207 Stallings-Evans Sports Medicine Center, Chapel Hill, NC, USA.
Jacob R PowellMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, 2207 Stallings-Evans Sports Medicine Center, Chapel Hill, NC, USA.
Patricia R RobyMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, 2207 Stallings-Evans Sports Medicine Center, Chapel Hill, NC, USA.
Kevin M GuskiewiczMatthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, 2207 Stallings-Evans Sports Medicine Center, Chapel Hill, NC, USA.
Brian D StemperDepartment of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, WI, USA.
Alok S ShahDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Steven RowsonDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA, USA.
Stefan DumaDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA, USA.
Jaroslaw HarezlakDepartment of Epidemiology and Biostatistics, Indiana University School of Public Health, Bloomington, IN, USA.
Larry RiggenDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
Steven P BroglioMichigan Concussion Center, University of Michigan, Ann Arbor, MI, USA.
Thomas W McAllisterDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Michael McCreaDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.
CARE Consortium Investigators
University of North Carolina at Chapel Hill · USIndiana University School of MedicineMedical College of Wisconsin · USVirginia Tech · USIndiana University Bloomington · USMarquette University · USUniversity of Michigan · US

Funding

U.S. Department of Defense W81XWH-14-2-0151
6 · The paper itself

Abstract

Identifying the associations between head impact biomechanics and clinical recovery may inform better head impact monitoring procedures and identify athletes who may benefit from early treatments aimed to enhance recovery. The purpose of this study was to test whether head injury biomechanics are associated with clinical recovery of symptom severity, balance, and mental status, as well as symptom resolution time (SRT) and return-to-participation (RTP) time. We studied 45 college American football players (n = 51 concussions) who sustained an incident concussion while participating in a multi-site study. Player race/ethnicity, prior concussion, medical history, position, body mass index, event type, and impact location were covariates in our multivariable analyses. Multivariable negative binomial regression models analyzed associations between our study outcomes and (1) injury-causing linear and rotational head impact severity, (2) season repetitive head impact exposure (RHIE), and (3) injury day RHIE. Median SRT was 6.1 days (IQR 5.8 days, n = 45) and median RTP time was 12.3 days (IQR 7.8 days, n = 36) across our study sample. RTP time was 86% (Ratio 1.86, 95% CI [1.05, 3.28]) longer in athletes with a concussion history. Offensive players had SRTs 49% shorter than defensive players (Ratio 0.51, 95% CI [0.29, 0.92]). Per-unit increases in season RHIE were associated with 22% longer SRT (Ratio 1.22, 95% CI [1.09, 1.36]) but 28% shorter RTP time (Ratio 0.72, 95% CI [0.56, 0.93]). No other head injury biomechanics predicted injury recovery.

Indexed as

AthletesAthletic InjuriesBrain ConcussionHead Protective DevicesAccelerationAdolescentAdultBiomechanical PhenomenaFootballHumansMaleUniversitiesAngularHead impact sensorsInjury severityMechanicsNCAA-DOD CARE Consortium

Identifiers

PMID33136240
OpenAlexW3097316834

What OpenQuestion holds

Textmetadata
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.