Evidence map›Paper›PMID 37856171›Full record

ArticleMilitary medicine2024

Reconsidering Vestibular/Ocular Motor Screening Cutoff Scores for Concussion.

Margaret M Weightman, Laurie A King, Peter C Fino, Leland E Dibble, Ryan Pelo, Patrick G Michielutti, Holly Richard, Lucy Parrington, Mark E Lester, Carrie W Hoppes

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Military medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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

10 authors at 6 institutions in 2 countries.

Margaret M WeightmanCourage Kenny Research Center, Allina Health, Minneapolis, MN 55407, USA.ORCID 0000-0002-8984-5987
Laurie A KingDepartment of Neurology, Oregon Health & Science University, Portland, OR 97239, USA.
Peter C FinoDepartment of Health & Kinesiology, University of Utah, Salt Lake City, UT 84112, USA.
Leland E DibbleDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT 84108, USA.
Ryan PeloDepartment of Physical Therapy and Athletic Training, University of Utah, Salt Lake City, UT 84108, USA.
Patrick G MichieluttiCourage Kenny Research Center, Allina Health, Minneapolis, MN 55407, USA.
Holly RichardArmy-Baylor University Doctoral Program in Physical Therapy, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA.
Lucy ParringtonDepartment of Dietetics, Human Nutrition and Sport, La Trobe University, Melbourne, Victoria 3086, Australia.
Mark E LesterDepartment of Physical Therapy, University of Texas-Rio Grande Valley, Edinburg, TX 78539, USA.
Carrie W HoppesArmy-Baylor University Doctoral Program in Physical Therapy, Joint Base San Antonio-Fort Sam Houston, TX 78234, USA.ORCID 0000-0001-5104-7448
University of Utah · USAllina Health · USBaylor University · USLa Trobe University · AUOregon Health & Science University · USThe University of Texas Rio Grande Valley · US

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Congressionally Directed Medical Research Programs W81XWH1820049NCATS NIH HHS UL1 TR002369
6 · The paper itself

Abstract

introductionVestibular/Ocular Motor Screening (VOMS) is often part of a comprehensive evaluation to identify acute mild traumatic brain injury. Most of the reports describe the use of the VOMS in adolescents/young adults and not in older adults or military service members. The purpose of this study was to describe VOMS findings in healthy civilians and active duty military service members up to the age of 50 years. MATERIALS AND

methodsSeventy-seven healthy civilians between 18 and 50 years of age (22 males, age 31.8 [9.0] years) participated across three sites in addition to 40 healthy active duty service members (25 males, age 27.5 [4.9] years) from one site. Demographics, Neurobehavioral Symptom Inventory scores, mean near point convergence (NPC) distance, and Total Symptom Change (TSS) scores from the VOMS were evaluated.

resultsFor civilians, the group mean NPC distance was 4.98 (3.8) cm. For military service members, the group mean NPC distance was 6.17 (4.57) cm. For civilians, the mean TSS was 1.2 (2.3) with 53.2% reporting 0 TSS, 27.3% reporting one TSS, and 19.5% reporting two or more TSS. For military service members, the mean TSS was 0.20 (0.72) with 92.5% reporting 0 TSS, 0% reporting one TSS, and 7.5% reporting two or more TSS. Age did not correlate with the mean NPC distance and TSS in healthy civilians and active duty military service members.

conclusionsReconsideration of the Military Acute Concussion Evaluation, Version 2 cutoff value for abnormal mean NPC distance may be warranted to improve diagnostic accuracy in both civilian and military adult populations. Similarly, re-evaluating criteria for interpreting the TSS results of the VOMS, specifically in civilians, may be warranted.

Indexed as

Athletic InjuriesBrain ConcussionMilitary PersonnelAdolescentAdultAgedChildHumansMaleMiddle AgedYoung Adult

Identifiers

PMID37856171
PMCPMC13032069
OpenAlexW4387765413

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.