Evidence map›Paper›PMID 39383478›Full record

ArticleJMIR pediatrics and parenting2024

Fact or Fiction-Accelerometry Versus Self-Report in Adherence to Pediatric Concussion Protocols: Prospective Longitudinal Cohort Study.

Carol DeMatteo, Sarah Randall, Josephine Jakubowski, Kathy Stazyk, Joyce Obeid, Michael Noseworthy, Michael Mazurek, Brian W Timmons, John Connolly, Lucia Giglia and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR pediatrics and parenting, 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

13 authors.

Carol DeMatteoDepartment of Rehabilitation Sciences, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada, 1 9055259140.ORCID http://orcid.org/0000-0002-0053-2379
Sarah RandallDepartment of Rehabilitation Sciences, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada, 1 9055259140.ORCID http://orcid.org/0000-0002-2589-8510
Josephine JakubowskiDepartment of Rehabilitation Sciences, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada, 1 9055259140.ORCID http://orcid.org/0000-0002-0743-7913
Kathy StazykDepartment of Rehabilitation Sciences, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada, 1 9055259140.ORCID http://orcid.org/0000-0001-6976-0364
Joyce ObeidDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-6209-1505
Michael NoseworthySchool of BioMedical Engineering, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0003-1464-159X
Michael MazurekDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0009-0005-3902-4952
Brian W TimmonsDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-4063-9656
John ConnollyDepartment of Psychology and Behaviour, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0001-8869-5369
Lucia GigliaDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0009-0008-7757-4412
Geoffrey HallDepartment of Psychology and Behaviour, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-3398-6692
Chia-Yu LinCanChild Centre for Childhood Disability Research, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-3873-729X
Samantha PerrottaDepartment of Rehabilitation Sciences, McMaster University, 1400 Main Street West, Hamilton, ON, L8S 1C7, Canada, 1 9055259140.ORCID http://orcid.org/0009-0003-5677-4953

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Concussion, or mild traumatic brain injury, is a growing public health concern, affecting approximately 1.2% of the population annually. Among children aged 1-17 years, concussion had the highest weighted prevalence compared to other injury types, highlighting the importance of addressing this issue among the youth population. Objective: This study aimed to assess adherence to Return to Activity (RTA) protocols among youth with concussion and to determine if better adherence affected time to recovery and the rate of reinjury. Methods: Children and youth (N=139) aged 5-18 years with concussion were recruited. Self-reported symptoms and protocol stage of recovery were monitored every 48 hours until symptom resolution was achieved. Daily accelerometry was assessed with the ActiGraph. Data were collected to evaluate adherence to the RTA protocol based on physical activity cutoff points corresponding to RTA stages. Participants were evaluated using a battery of physical, cognitive, and behavioral measures at recruitment, upon symptom resolution, and 3 months post symptom resolution. Results: For RTA stage 1, a total of 13% of participants were adherent based on accelerometry, whereas 11% and 34% of participants were adherent for stage 2 and 3, respectively. The median time to symptom resolution was 13 days for participants who were subjectively reported adherent to the RTA protocol and 20 days for those who were subjectively reported as nonadherent (P=.03). No significant agreement was found between self-report of adherence and objective actigraphy adherence to the RTA protocol as well as to other clinical outcomes, such as depression, quality of life, and balance. The rate of reinjury among the entire cohort was 2% (n=3). Conclusions: Overall, adherence to staged protocols post concussion was minimal when assessed with accelerometers, but adherence was higher by self-report. More physical activity restrictions, as specified in the RTA protocol, resulted in lower adherence. Although objective adherence was low, reinjury rate was lower than expected, suggesting a protective effect of being monitored and increased youth awareness of protocols. The results of this study support the move to less restrictive protocols and earlier resumption of daily activities that have since been implemented in more recent protocols.

Indexed as

actigraphyadherenceguidelinespediatric concussionreturn to schoolreturn to sport

Identifiers

PMID39383478
PMCPMC11482736

What OpenQuestion holds

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LicenceCC BY
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.