Evidence map›Paper›PMID 39582423›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2025

Student concussion symptoms and tailored accommodations during use of a return to learn program in 13 public high schools.

Erik B Philipson, Aspen Avery, Julian Takagi-Stewart, Qian Qiu, Thomas Jinguji, David B Coppel, Monica S Vavilala

Abstract readMulticenter Study
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2025. 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.

Erik B PhilipsonHarborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.ORCID 0000-0001-8138-1762
Aspen AveryHarborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.
Julian Takagi-StewartDrexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Qian QiuHarborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.
Thomas JingujiDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.
David B CoppelDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA.
Monica S VavilalaHarborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.

Funding

CDC HHS R49CE003087-02NCIPC CDC HHS R49 CE003087
6 · The paper itself

Abstract

backgroundYouth concussion is common but there is a paucity of information on symptoms students report to school personnel and a gap in understanding what accommodations schools can provide.

objectiveTo examine symptoms and provision of temporary accommodations in schools for students reporting concussion symptoms.

designSecondary data analysis of a trial implementing an evidence-based student-centered return to learn (RTL) program.

settingThirteen public high schools during the 2021-2022 academic year.

participantsSixty-two students diagnosed with concussion who reported symptoms to school personnel.

interventionsThe school-based RTL program, which consists of up to four weekly check-ins with an RTL champion who evaluates symptoms and recommends symptom-tailored accommodations.

main outcome measuresSymptom profile, accommodation type, and accommodation duration.

resultsA total of 46 (74.2%) students received accommodation for ≤2 weeks and 16 (25.8%) students received accommodation for 3 (21.0%) or 4 (4.8%) weeks. Sixty-two students experienced an average of 11.2 unique symptoms during week 1. Compared to students whose symptoms resolved within the first 2 weeks, students who received accommodation for 3 or 4 weeks reported higher initial total symptom severity score (p = .02), and higher initial average severity per symptom (p = .01) at week 1. Physical symptoms were most common and received corresponding accommodations most often (75/90 reports: 83.3% of occurrences). In total, 674 (nearly 11 accommodations per student) weekly accommodations were offered.

conclusionsStudents with concussion report a large number and type of symptoms that necessitate symptom-tailored academic accommodations. High school implementation of an evidence-based RTL program may aid in identifying and addressing many RTL needs after concussion, including potential identification of students with concussion who will require longer-term support.

Indexed as

Brain ConcussionReturn to SchoolSchoolsStudentsAdolescentFemaleHumansMale

Identifiers

PMID39582423
PMCPMC11889523

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.