ArticleClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine2025
The Diagnostic Utility of Cervical Spine Proprioception for Adolescent Concussion.
Article in Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Physical examination of the cervical spine should be conducted in female athletes with a history of concussion.JSAMS plus · 2026Article
- 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 · 2026Article
- Article
- The Dynamic Interaction Between Psychological Health and Sleep Symptoms Following Adolescent Concussion.The Journal of pediatrics · 2026Article
- Comparing peer relationship ratings among adolescents with sport and non-sport related concussions.The Physician and sportsmedicine · 2025Article
- Cervical spine sensorimotor deficits persist in people post-concussion despite minimal symptoms.Annals of medicine · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveCervical spine proprioception may be impaired after concussion. Our objective was to determine the diagnostic utility of cervical spine proprioception for adolescent concussion.
designCross-sectional.
settingResearch laboratory.
participantsAdolescents ≤18 days of concussion and uninjured controls.
interventionsN/A. MAIN OUTCOMES: Head repositioning accuracy (HRA) testing, a measure of cervical spine proprioception. The HRA test involved patients relocating their head back to a neutral starting position with eyes closed after maximal cervical spine flexion, extension, and right and left rotations. The overall HRA error score was the mean error (distance from the starting point to self-reported return to neutral) across 12 trials: 3 trials in each direction. We used t -tests to compare group means and logistic regression (outcome = group, predictor = HRA, covariates) to calculate odds ratios. We used a receiver operator characteristic curve to evaluate area under the curve (AUC) and calculate the optimal HRA cutpoint to distinguish concussion from controls.
resultsWe enrolled and tested 46 participants with concussion (age = 15.8 ± 1.3 years, 59% female, mean = 11.3 ± 3.3 days postconcussion) and 83 uninjured controls (age = 16.1 ± 1.4 years, 88% female). The concussion group had significantly worse HRA than controls (4.3 ± 1.6 vs 2.9 ± 0.7 degrees, P < 0.001, Cohen d = 1.19). The univariable HRA model AUC was 0.81 (95% CI = 0.73, 0.90). After adjusting for age, sex, and concussion history, the multivariable model AUC improved to 0.85 (95% CI = 0.77, 0.92). The model correctly classified 80% of participants as concussion/control at a 3.5-degree cutpoint.
conclusionsAdolescents with concussion demonstrated worse cervical spine proprioception than uninjured controls. Head repositioning accuracy may offer diagnostic utility for subacute concussion.
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