Evidence map›Paper›PMID 34667859›Full record

ArticleLaryngoscope investigative otolaryngology2021

Reliability of two dissociating tests of phoria in artificially created phoria in normal adults.

Janet O Helminski, Sarah Keller, Melissa Suckow, Amy Stein, Lauren Grieco, Rima Lintakas, Caroline Reinders

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 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
0.3field-weighted citation impact, top 43% 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, 3 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

7 authors at 1 institution in 1 country.

Janet O HelminskiPhysical Therapy Program, College of Health Sciences Midwestern University Downers Grove Illinois USA.ORCID https://orcid.org/0000-0001-8905-9903
Sarah KellerPhysical Therapy Program, College of Health Sciences Midwestern University Downers Grove Illinois USA.
Melissa SuckowCollege of Optometry Midwestern University Downers Grove Illinois USA.
Amy SteinOffice of Research Sponsored Programs Midwestern University Downers Grove Illinois USA.
Lauren GriecoPhysical Therapy Program, College of Health Sciences Midwestern University Downers Grove Illinois USA.
Rima LintakasPhysical Therapy Program, College of Health Sciences Midwestern University Downers Grove Illinois USA.
Caroline ReindersPhysical Therapy Program, College of Health Sciences Midwestern University Downers Grove Illinois USA.
Midwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ability of physical therapists (PTs) to accurately identify and reliably measure phoria/tropia is critical in the differential diagnosis of individuals with acute vestibular syndrome and concussion/mild traumatic brain injury.

objectivesTo determine if PTs may reliably measure phoria and to determine the reliability of two dissociating tests of phoria, the prism neutralized Maddox rod test and modified Thorington method, in normal adults with artificially created phoria.

methodsThirty adults (mean age 24.87 ± 4.74 years) were randomly assigned to wear trial lenses (1, 2, 4, or 6 pd prism left, plain glass right) to create phoria. In sitting and supine, phoria was measured using prism neutralized Maddox rod test and modified Thorington method. Mean, SD, and range of first neutral endpoint were calculated for each examiner. Percentage of trials in agreement (≤ 2 and 4 pd); comparisons within the linear mixed effects regression model; and inter-rater reliability between examiners was calculated with the intra-class correlation coefficient (ICC).

resultsParticipants underwent 20 measurements by each examiner. Trial agreement between examiners was 74% (range 13%-100%) in horizontal and 91% (range 63%-100%) in vertical plane. Maddox rod test had significantly different means between two examiners (

conclusionPTs may reliably measure artificially created phorias using prism neutralized Maddox rod test and modified Thorington method.

Indexed as

dissociative testocular misalignment testphoria testskew deviationvertical diplopia

Identifiers

PMID34667859
PMCPMC8513437
OpenAlexW3197761785

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.