Evidence map›Paper›PMID 35696602›Full record

ArticleJournal of athletic training2022

False-Positive Rates and Associated Risk Factors on the Vestibular-Ocular Motor Screening and Modified Balance Error Scoring System in US Military Personnel.

Anthony P Kontos, Katrina Monti, Shawn R Eagle, Eliot Thomasma, Cyndi L Holland, Drew Thomas, Hannah B Bitzer, Anne Mucha, Michael W Collins

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

Article in Journal of athletic training, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 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

9 authors at 3 institutions in 1 country.

Anthony P KontosDepartment of Orthopaedic Surgery, University of Pittsburgh, PA.
Katrina Monti1st Special Forces Group (Airborne), Joint Base Lewis McChord, WA.
Shawn R EagleDepartment of Neurological Surgery, University of Pittsburgh, PA.
Eliot ThomasmaBaylor University, Keller Army Community Hospital Division 1 Sports PT Fellowship, West Point, NY.
Cyndi L HollandDepartment of Orthopaedic Surgery, University of Pittsburgh, PA.
Drew ThomasThe Geneva Foundation, Tacoma, WA.
Hannah B BitzerDepartment of Orthopaedic Surgery, University of Pittsburgh, PA.
Anne MuchaCenters for Rehabilitation Services, Pittsburgh, PA.
Michael W CollinsDepartment of Orthopaedic Surgery, University of Pittsburgh, PA.
University of Pittsburgh · USBaylor University · USThe Geneva Foundation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIn 2018, the US military developed the Military Acute Concussion Evaluation-2 (MACE-2) to inform the acute evaluation of mild traumatic brain injury (mTBI). However, researchers have yet to investigate false-positive rates for components of the MACE-2, including the Vestibular-Ocular Motor Screening (VOMS) and modified Balance Error Scoring System (mBESS), in military personnel.

objectiveTo examine factors associated with false-positive results on the VOMS and mBESS in US Army Special Operations Command (USASOC) personnel.

designCross-sectional study.

settingMilitary medical clinic. PATIENTS OR OTHER

participantsA total of 416 healthy USASOC personnel completed the medical history, VOMS, and mBESS evaluations. MAIN OUTCOME MEASURE(S): False-positive rates for the VOMS (≥2 on VOMS symptom items, >5 cm for near point of convergence [NPC] distance) and mBESS (total score >4) were determined using χ2 analyses and independent-samples t tests. Multivariable logistic regressions (LRs) with adjusted odds ratios (aORs) were performed to identify risk factors for false-positive results on the VOMS and mBESS. The VOMS item false-positive rates ranged from 10.6% (smooth pursuits) to 17.5% (NPC). The mBESS total score false-positive rate was 36.5%.

resultsThe multivariable LR model supported 3 significant predictors of VOMS false-positives, age (aOR = 1.07; 95% CI = 1.02, 1.12; P = .007), migraine history (aOR = 2.49; 95% CI = 1.29, 4.81; P = .007), and motion sickness history (aOR = 2.46; 95% CI = 1.34, 4.50; P = .004). Only a history of motion sickness was a significant predictor of mBESS false-positive findings (aOR = 2.34; 95% CI = 1.34, 4.05; P = .002).

conclusionsFalse-positive rates across VOMS items were low and associated with age and a history of mTBI, migraine, or motion sickness. False-positive results for the mBESS total score were higher (36.5%) and associated only with a history of motion sickness. These risk factors for false-positive findings should be considered when administering and interpreting VOMS and mBESS components of the MACE-2 in this population.

Indexed as

Athletic InjuriesBrain ConcussionMigraine DisordersMilitary PersonnelMotion SicknessCross-Sectional StudiesHumansRisk Factorsconcussionmild traumatic brain injuryMilitary Acute Concussion Evaluation-2

Identifiers

PMID35696602
PMCPMC9205550
OpenAlexW3198144141

What OpenQuestion holds

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Registered trials

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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.