Evidence map›Paper›PMID 33188963›Full record

ReviewJournal of sport and health science2021

Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation.

Terese L Chmielewski, Justin Tatman, Shuhei Suzuki, MaryBeth Horodyski, Darcy S Reisman, Russell M Bauer, James R Clugston, Daniel C Herman

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of sport and health science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 57 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

8 authors at 5 institutions in 1 country.

Terese L ChmielewskiTRIA Orthopedic Center, Bloomington, MN 55431, USA. Electronic address: terese.chmielewski@tria.com.
Justin TatmanTRIA Orthopedic Center, Bloomington, MN 55431, USA.
Shuhei SuzukiTRIA Orthopedic Center, Bloomington, MN 55431, USA; ATP Tour Inc., Ponte Vedra Beach, FL 32082, USA.
MaryBeth HorodyskiDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL 32607, USA.
Darcy S ReismanDepartment of Physical Therapy, University of Delaware, Newark, DE 19716, USA.
Russell M BauerDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL 32611, USA.
James R ClugstonDepartment of Community Health & Family Medicine, University of Florida, Gainesville, FL 32603, USA.
Daniel C HermanDepartment of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL 32607, USA.
Orthopedic Center · USUniversity of Florida · USUniversity of Florida Health · USTRIA Orthopaedic Center · USUniversity of Delaware · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review presents a conceptual framework and supporting evidence that links impaired motor control after sport-related concussion (SRC) to increased risk for musculoskeletal injury. Multiple studies have found that athletes who are post-SRC have higher risk for musculoskeletal injury compared to their counterparts. A small body of research suggests that impairments in motor control are associated with musculoskeletal injury risk. Motor control involves the perception and processing of sensory information and subsequent coordination of motor output within the central nervous system to perform a motor task. Motor control is inclusive of motor planning and motor learning. If sensory information is not accurately perceived or there is interference with sensory information processing and cognition, motor function will be altered, and an athlete may become vulnerable to injury during sport participation. Athletes with SRC show neuroanatomic and neurophysiological changes relevant to motor control even after meeting return to sport criteria, including a normal neurological examination, resolution of symptoms, and return to baseline function on traditional concussion testing. In conjunction, altered motor function is demonstrated after SRC in muscle activation and force production, movement patterns, balance/postural stability, and motor task performance, especially performance of a motor task paired with a cognitive task (i.e., dual-task condition). The clinical implications of this conceptual framework include a need to intentionally address motor control impairments after SRC to mitigate musculoskeletal injury risk and to monitor motor control as the athlete progresses through the return to sport continuum.

Indexed as

AthletesAthletic InjuriesBrainBrain ConcussionFeedback, SensoryHumansMovementMuscle, SkeletalMuscle StrengthMusculoskeletal SystemNeurologic ExaminationNeurophysiological MonitoringPerceptual DisordersPostural BalancePsychomotor PerformanceReturn to SportClinical managementConcussionInjuryMotor controlRehabilitation

Identifiers

PMID33188963
PMCPMC7987572
OpenAlexW3100904106

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.