Evidence map›Paper›PMID 36094515›Full record

ArticleJournal of athletic training2023

Association of Multidomain Assessment Outcomes With Referral for Vestibular Therapy After Concussion.

Shawn R Eagle, Anne Mucha, Alicia Trbovich, Lisa Manderino, R J Elbin, Michael W Collins, Anthony P Kontos

Abstract read
In one paragraph

Article in Journal of athletic training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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.

Shawn R EagleDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.
Anne MuchaDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.
Alicia TrbovichDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.
Lisa ManderinoDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.
R J ElbinDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.
Michael W CollinsDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.
Anthony P KontosDepartment of Neurological Surgery, School of Medicine, University of Pittsburgh, PA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextMultiple aspects of a multidomain assessment have been validated for identifying concussion; however, researchers have yet to determine which components are related to referral for vestibular therapy.

objectiveTo identify which variables from a multidomain assessment were associated with receiving a referral for vestibular therapy after a concussion.

designRetrospective chart review, level of evidence 3. PATIENTS OR OTHER

participantsParticipants (n = 331; age = 16.9 ± 7.2 years; 39.3% female) were diagnosed with a concussion per international consensus criteria by a clinical neuropsychologist after presenting to a concussion specialty clinic. MAIN OUTCOME MEASURE(S): Medical chart data were extracted from the first clinical visit regarding preinjury medical history, computerized neurocognition, Post-Concussion Symptom Scale, Concussion Clinical Profiles Screen, and Vestibular Ocular Motor Screening within 16.2 ± 46.7 days of injury. We built 5 backwards logistic regression models to associate the outcomes from each of the 5 assessments with referral for vestibular therapy. A final logistic regression model was generated using variables retained in the previous 5 models as potential predictors of referral for vestibular therapy.

resultsThe 5 models built from individual components of the multidomain assessment predicted referral for vestibular therapy (R2 = 0.01-0.28) with 1 to 6 statistically significant variables. The final multivariate model (R2 = 0.40) retained 9 significant variables, represented by each of the 5 multidomain assessments except neurocognition. Variables that had the strongest association with vestibular therapy referral were motor vehicle accident mechanism of injury (odds ratio [OR] = 15.45), migraine history (OR = 3.25), increased headache when concentrating (OR = 1.81), and horizontal vestibular ocular reflex (OR = 1.63).

conclusionsWe demonstrated the utility of a multidomain assessment and identified outcomes associated with a referral for vestibular therapy after a concussion.

Indexed as

Athletic InjuriesBrain ConcussionPost-Concussion SyndromeAdolescentAdultChildFemaleHumansMaleReferral and ConsultationRetrospective StudiesYoung Adultmild traumatic brain injury, Post-Concussion Symptom Scale, Concussion Clinical Profiles Screen, Vestibular Ocular Motor Screening

Identifiers

PMID36094515
PMCPMC11220899

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.