Evidence map›Paper›PMID 38511887›Full record

ArticleBrain injury2024

Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.

Mathew J Wingerson, Baylie Schmitz, Katherine L Smulligan, Gregory A Walker, Samantha Magliato, Julie C Wilson, David R Howell

Abstract readComparative Study
In one paragraph

Article in Brain injury, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. NSAID Use Is Not Associated With Persisting Symptoms in Adolescent Concussion.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
    Article
  2. 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.

Mathew J WingersonDepartment of Orthopedics, University of Colorado School of Medicine, Denver Colorado, USA.
Baylie SchmitzDoctor of Occupational Therapy Program, Northern Arizona University, Phoenix, Arizona, USA.
Katherine L SmulliganDepartment of Orthopedics, University of Colorado School of Medicine, Denver Colorado, USA.
Gregory A WalkerDepartment of Orthopedics, University of Colorado School of Medicine, Denver Colorado, USA.
Samantha MagliatoDepartment of Orthopedics, University of Colorado School of Medicine, Denver Colorado, USA.
Julie C WilsonDepartment of Orthopedics, University of Colorado School of Medicine, Denver Colorado, USA.
David R HowellDepartment of Orthopedics, University of Colorado School of Medicine, Denver Colorado, USA.ORCID 0000-0002-2955-0191

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Modulating Exercise Dosage to Improve Concussion Rehabilitation: A Randomized Clinical TrialR01HD108133 · NICHD · UNIVERSITY OF COLORADO DENVER · PI David R. Howell · 2022 to 2026
$3.3M
Sex Differences in Brain Structure and Function After Sports-Related ConcussionR01NS100952 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI KOERTE, INGA KATHARINA · 2017 to 2022
$2.9M
Improving quantitative recovery outcomes from concussion with aerobic exercise trainingR03HD094560 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2018 to 2019
$318k
A novel smartphone-based tool to quantify dual-task gait performance for concussion assessmentR43NS108823 · NINDS · CONTROL ONE, LLC · PI LUGADE, VIPUL · 2019 to 2019
$150k
2022 Pediatric Research in Sports Medicine (PRiSM) Annual ConferenceR13AR080451 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2022 to 2024
$45k
NCATS NIH HHS UL1 TR002535NIAMS NIH HHS R13 AR080451NICHD NIH HHS R01 HD108133NICHD NIH HHS R03 HD094560NINDS NIH HHS R01 NS100952NINDS NIH HHS R43 NS108823
6 · The paper itself

Abstract

objectiveWe examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.

methodsWe evaluated athletes 6-18 years old within 21-days of concussion. They reported symptoms (Health and Behavior Inventory), with cognitive/somatic domain sub-scores calculated, and indicated if they had exercised or experienced sleep problems since injury. We grouped patients by injury season: summer months (June-August) vs. school year (September-May).

results350 patients (14.4 ± 2.4 years old; 37% female; initial visit 8.8 ± 5.3 days post-concussion) were seen for care: 24% sustained a concussion during summer months, 76% during the school year. Lower cognitive (median = 7 [IQR = 1, 15] vs. 9.5 [4, 17];

conclusionPediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months.

Indexed as

Athletic InjuriesBrain ConcussionSchoolsSeasonsAdolescentAthletesChildFemaleHumansMaleNeuropsychological TestsPost-Concussion SyndromeRecovery of FunctionacademicsMild traumatic brain injuryphysical activityrecoverysleep

Identifiers

PMID38511887
PMCPMC13383319

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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.