Evidence map›Paper›PMID 39187006›Full record

ArticleArchives of physical medicine and rehabilitation2024

Increased Auditory Dual Task Cost During Gait Initiation in Adult Patients With Persistent Concussion Symptoms.

Kelsey N Bryk, Scott Passalugo, Li- Shan Chou, Darcy S Reisman, Jocelyn F Hafer, Jennifer A Semrau, Thomas A Buckley

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2024. 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.

Kelsey N BrykDepartment of Kinesiology and Applied Physiology, University of Delaware, DE; Biomechanics & Movement Sciences, University of Delaware, Newark, DE.
Scott PassalugoDepartment of Kinesiology and Applied Physiology, University of Delaware, DE; Biomechanics & Movement Sciences, University of Delaware, Newark, DE.
Li- Shan ChouIowa State University, Department of Human Sciences, Ames, IA.
Darcy S ReismanBiomechanics & Movement Sciences, University of Delaware, Newark, DE; Department of Physical Therapy, University of Delaware, Newark, DE; Interdisciplinary Neuroscience Graduate Program, University of Delaware, Newark, DE.
Jocelyn F HaferDepartment of Kinesiology and Applied Physiology, University of Delaware, DE; Biomechanics & Movement Sciences, University of Delaware, Newark, DE.
Jennifer A SemrauDepartment of Kinesiology and Applied Physiology, University of Delaware, DE; Biomechanics & Movement Sciences, University of Delaware, Newark, DE; Interdisciplinary Neuroscience Graduate Program, University of Delaware, Newark, DE.
Thomas A BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, DE; Biomechanics & Movement Sciences, University of Delaware, Newark, DE; Interdisciplinary Neuroscience Graduate Program, University of Delaware, Newark, DE. Electronic address: TBuckley@udel.edu.

Funding

Unresolved Post-Concussion Balance Deficits and Subsequent Musculoskeletal Injury.R03NS104371 · NINDS · UNIVERSITY OF DELAWARE · PI BUCKLEY, THOMAS A. · 2018 to 2019
$164k
NINDS NIH HHS R03 NS104371
6 · The paper itself

Abstract

objectiveTo compare dual task cost (DTC) during gait initiation (GI) between a population of patients with persistent concussion symptoms (PCS) and age-matched healthy participants.

designCohort study.

settingUniversity research center.

participantsA cohort sample including 15 participants with PCS (43.9±11.7y, 73.3% female) and 23 age-matched healthy participants (42.1±10.3y, 65.2% female) as controls.

interventionsParticipants were tested on a single occasion where they performed 5 trials of single task and 5 trials of dual task GI with 12-camera motion capture and 3 force plates.

main outcome measuresThe dependent variables of interest were the DTC for the center of pressure (COP) displacement and velocity during the anticipatory postural adjustment (APA) phase, the COP-center of mass (COP-COM) separation, and the response accuracy during the auditory cognitive tasks.

resultsThere were significant group differences with worse DTC for the PCS participants in anterior (A)/posterior (P) displacement (PCS, -37.5±22.1%; Control, -9.7±39.2%; P=.016, d=0.874), APA medial (M)/lateral (L) velocity (PCS, -34.8±28.8%; Control, -17.0±40.21%; P=.041, d=0.866), and the peak COP-COM separation (PCS, -7.3±6.7%; Control, 0.6±6.5%; P=.023, d=1.200). There were no significant group differences in the APA A/P velocity (PCS, -38.8±33.1%; Control, -19.8±43.9%; P=.094), APA M/L displacement (PCS, -34.8±21.8%; Control, -10.6±25.3%; P=.313), or cognitive task performance (PCS, -2.7±10.8%; Control, -0.2±4.3%; P=.321).

conclusionsPCS participants had greater (worse) DTC during both the planning and execution of the task, with large effect sizes (d>0.80). PCS participants also used a posture-second strategy whereby attentional resources were inappropriately allocated to the cognitive task. These deficits may challenge a patient's ability to complete activities of daily living and limit their functional independence.

Indexed as

Brain ConcussionGaitPostural BalanceAdultCase-Control StudiesCohort StudiesFemaleHumansMaleMiddle AgedTask Performance and AnalysisBalanceMild traumatic brain injuryPostural controlRehabilitation

Identifiers

PMID39187006
PMCPMC11620944

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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.