Evidence map›Paper›PMID 36517989›Full record

ArticleSports health

Mild Quadriceps and Hamstring Strength Deficits Do Not Persist After Sport-Related Concussion.

Terese L Chmielewski, Shuhei Suzuki, Dominique Dubose, Daniel C Herman, James R Clugston, MaryBeth Horodyski

Open access · greenAbstract read
In one paragraph

Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 5 institutions in 1 country.

Terese L ChmielewskiTRIA Orthopedic Center, Bloomington, Minnesota.
Shuhei SuzukiTRIA Orthopedic Center, Bloomington, Minnesota.
Dominique DuboseDepartment of Rehabilitative Sciences, Bethune-Cookman University, Daytona Beach, Florida.
Daniel C HermanDepartment of Physical Medicine and Rehabilitation, University of California at Davis, Davis, California.
James R ClugstonDepartments of Community Health & Family Medicine and Neurology, University of Florida, Gainesville, Florida.ORCID 0000-0002-2103-1039
MaryBeth HorodyskiDepartment of Orthopaedic Surgery and Sports Medicine, University of Florida, Gainesville, Florida.
University of Florida · USBethune-Cookman University · USOrthopedic Center · USUniversity of California, Davis · USUniversity of Minnesota · US

Funding

Sports Concussion and Neuromuscular FunctionR21AR067381 · NIAMS · UNIVERSITY OF FLORIDA · PI CHMIELEWSKI, TERESE L · 2015 to 2016
$353k
NIAMS NIH HHS R21 AR067381
6 · The paper itself

Abstract

backgroundRisk for lower extremity musculoskeletal injury increases after sport-related concussion (SRC) and may result from unresolved motor control deficits. Muscle weakness is a deficit that could contribute to musculoskeletal injury risk. HYPOTHESIS: Athletes with SRC will demonstrate quadriceps and hamstring muscle weakness at the time of return to sport and 30 days later compared with controls. STUDY

designProspective matched cohort. LEVEL OF EVIDENCE: Level 3.

methodsA total of 31 athletes with SRC (CONCUSSION) were matched by sex, age, and activity level to controls (CONTROL). Testing was conducted at initial assessment and 30 days later; initial assessment in CONCUSSION occurred when cleared for return to play. Isokinetic testing assessed quadriceps and hamstring strength of the dominant and nondominant legs at 60 and 180 deg/s. Peak torque values were normalized to body mass (N-m/kg). Data were analyzed with repeated measures general linear models (group × time), and effect sizes were calculated.

resultsAnalysis at 60 deg/s included 26 matched pairs (15 male per group) and at 180 deg/s included 30 matched pairs (17 males per group). Time from concussion to initial assessment was 21.3 (7.8) mean (standard deviation) days. No significant interactions or main effects were detected (

conclusionIn athletes with SRC, quadriceps and hamstring strength were decreased only minimally at return to play compared with controls and the difference lessened over 30 days. CLINICAL RELEVANCE: Strength deficits may not be a major contributor to increased lower extremity musculoskeletal injury risk after SRC. Strength training could be implemented before return to play after SRC to mitigate any strength deficits.

Indexed as

Athletic InjuriesBrain ConcussionHamstring MusclesLeg InjuriesSportsHumansMaleMuscle StrengthProspective StudiesQuadriceps Muscleinjury riskisokinetic testinglower extremityneuromuscularreturn to play

Identifiers

PMID36517989
PMCPMC10293567
OpenAlexW4311507361

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.