Evidence map›Paper›PMID 33306100›Full record

ArticleMilitary medicine2021

Greater Severity and Functional Impact of Post-traumatic Headache in Veterans With Comorbid Neck Pain Following Traumatic Brain Injury.

Bahar Shahidi, Robyn W Bursch, Jennifer S Carmel, Ashleigh C Carranza, Kelsey M Cooper, Jayme V Lee, Colleen N O'Connor, Scott F Sorg, Katrina S Maluf, Dawn M Schiehser

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

Article in Military medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 21 citations in OpenAlex.

  1. Observational
  2. Observational
  3. Observational
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

10 authors at 3 institutions in 1 country.

Bahar ShahidiDepartment of Orthopaedic Surgery, University of California San Diego, La Jolla, CA 92037, USA.
Robyn W BurschDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Jennifer S CarmelDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Ashleigh C CarranzaDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Kelsey M CooperDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Jayme V LeeDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Colleen N O'ConnorDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Scott F SorgVeterans Association San Diego Healthcare System, Research Service, San Diego, CA 92161, USA.
Katrina S MalufDepartment of Physical Therapy, San Diego State University, School of Exercise and Nutritional Sciences, San Diego, CA 92182, USA.
Dawn M SchiehserVeterans Association San Diego Healthcare System, Research Service, San Diego, CA 92161, USA.
San Diego State University · USUniversity of California, San Diego · USVA San Diego Healthcare System · US

Funding

Imaging Markers of Central and Peripheral Impairment and Chronic Post-traumatic HeadacheR21NS109852 · NINDS · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI MONROE, KATRINA S., SCHIEHSER, DAWN M. · 2019 to 2020
$425k
NINDS NIH HHS R21 NS109852
6 · The paper itself

Abstract

backgroundPost-traumatic headache (PTH) is a commonly experienced symptom after mild traumatic brain injury (mTBI). Blast injury- or blunt injury-related mechanisms for mTBI in veterans can also affect musculoskeletal structures in the neck, resulting in comorbid neck pain (NP). However, it is unknown whether the presence of comorbid NP may be associated with a different pattern of headache symptoms, physical functioning, or emotional functioning compared to those without comorbid NP. The purpose of this study is to examine the role of comorbid NP in veterans with mTBI and PTH. DESIGN AND

methodsThis was a cross-sectional investigation of an existing dataset that included 33 veterans who met inclusion criteria for PTH after mTBI. Standardized measures of headache severity and frequency, insomnia, fatigue, mood disorders, and physical and emotional role function were compared between groups with and without comorbid NP.

resultsThe majority of participants with PTH reported comorbid NP (n = 22/33, 67%). Those with comorbid NP experienced more headache symptoms that were severe or incapacitating, as compared to mild or moderate for those without NP (φ = 0.343, P = .049); however, no differences in headache frequency (φ = 0.231, P = .231) or duration (φ = 0.129, P = .712) were observed. Participants with comorbid NP also reported greater insomnia (d = 1.16, P = .003) and fatigue (d = 0.868, P = .040) as well as lower physical functioning (d = 0.802, P = .036) and greater bodily pain (d = 0.762, P = .012). There were no differences in anxiety, depression, mental health, emotional role limitations, vitality, or social functioning between those with and without comorbid NP (d ≤ 0.656, P ≥ .079).

conclusionsA majority of veterans with mTBI and PTH in our sample reported comorbid NP that was associated with greater headache symptom severity and physical limitations, but not with mood or emotional limitations. Preliminary findings from this small convenience sample indicate that routine assessment of comorbid NP and associated physical limitations should be considered in veterans with mTBI and PTH.

Indexed as

Brain ConcussionBrain Injuries, TraumaticPost-Traumatic HeadacheVeteransCross-Sectional StudiesHumansNeck Pain

Identifiers

PMID33306100
PMCPMC8562894
OpenAlexW3112294991

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.