Evidence map›Paper›PMID 34482050›Full record

Trial reportPhysical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine2021

Neuromuscular training after concussion to improve motor and psychosocial outcomes: A feasibility trial.

David R Howell, Corrine N Seehusen, Gregory A Walker, Sarah Reinking, Julie C Wilson

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03917290 (A Sports Injury Prevention Program to Reduce Subsequent Injuries After Concussion), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03917290 nacompletednot on this map

A Sports Injury Prevention Program to Reduce Subsequent Injuries After Concussion

TypeinterventionalSponsorUniversity of Colorado, DenverRan2019 to 2022Enrolled40ConditionsBrain Concussion, Musculoskeletal Injury, Locomotion, Postural BalanceArmsNeuromuscular training
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

David R HowellSports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: David.Howell@CUAnschutz.edu.
Corrine N SeehusenSports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.
Gregory A WalkerSports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA.
Sarah ReinkingSports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA.
Julie C WilsonSports Medicine Center, Children's Hospital Colorado, Aurora, CO, USA; Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.

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

objectiveTo determine the feasibility of an 8-week neuromuscular training program initiated upon return-to-play clearance following concussion.

designFeasibility trial.

settingA single sports medicine center.

participantsWe approached n = 54 patients; n = 32 agreed to participate (59%). N = 27 participants returned for their second visit at return-to-play clearance (84%) and were randomized to neuromuscular training (n = 13) or standard-of-care (n = 14).

main outcome measuresParticipants completed three assessments: within 14 days post-concussion, immediately after return-to-play clearance, and 8-weeks following return-to-play clearance. The intervention aimed to achieve positive neuromuscular adaptations and occurred 2x/week for 8 weeks under supervision.

resultsN = 2 participants randomized to the intervention elected not to participate, both due to schedule conflicts (e.g., time required to meet with the study team). Participants began the intervention an average of 11 days after return-to-play clearance, the majority (91%) completed >75% of training sessions, and training sessions lasted an average of 18.2 ± 4.8 min. One participant stopped the intervention after 7 training sessions due to time availability.

conclusionIt is feasible to initiate a neuromuscular training program for most athletes shortly after returning to play following concussion. Clinicians and researchers may consider this approach to mitigate the increased musculoskeletal injury risk for concussion patients returning to sports.

Indexed as

Athletic InjuriesBrain ConcussionSports MedicineAthletesFeasibility StudiesHumansDual-taskGaitInjury preventionMild traumatic brain injuryQuality of lifeSymptoms

Identifiers

PMID34482050
PMCPMC9326815

What OpenQuestion holds

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Registered trials

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.