Evidence map›Paper›PMID 39680852›Full record

ArticleThe Physician and sportsmedicine2025

Multifaceted concussion assessment battery: sensitivity at the expense of specificity?

Caitlynn Slocum, Jody L Langdon, Barry A Munkasy, Benjamin Brewer, Jessie R Oldham, Vicky Graham, Thomas A Buckley

Abstract read
In one paragraph

Article in The Physician and sportsmedicine, 2025. 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. 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.

Caitlynn SlocumDepartment of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA.
Jody L LangdonDepartment of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA.
Barry A MunkasyDepartment of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA.
Benjamin BrewerEpidemiology Program, University of Delaware, Newark, DE, USA.
Jessie R OldhamDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Vicky GrahamSchool of Health Sciences, American Public University System, Charles Town, TW, USA.
Thomas A BuckleyDepartment of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, USA.

Funding

Identification of Persistent Impairments in Postural Control Following ConcussionR15NS070744 · NINDS · GEORGIA SOUTHERN UNIVERSITY · PI GUNN, LAURA H, MUNKASY, BARRY ALAN · 2011 to 2011
$386k
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 NS104371NINDS NIH HHS R15 NS070744
6 · The paper itself

Abstract

objectivesA multifaceted assessment battery is recommended for testing suspected concussed athletes; however, the individual tests have limitations and potentially may lead to false positive outcomes. Therefore, the purpose of this study was to psychometrically evaluate concussion assessment tools used for intercollegiate student-athletes, with a focus on the time interval between baseline and subsequent assessments.

methodsNinety-two collegiate student-athletes matched between concussion (

resultsThe sensitivity of the battery was high (78.3-95.7%), but specificity was low to moderate (6.5-52.2%) with comparison to the RCI typically performing best. The three approaches yielded AUC values between 0.51 and 0.63 which is below the discriminatory threshold (0.70) with comparison to RCI performing best. By academic year, Juniors was the only year in which the ROC exceeded the threshold (0.75). The number of tests failed did not improve any AUC values (0.51-0.69) to exceed the threshold.

conclusionsThe outcomes of this study support the premise that concussion must be evaluated using a comprehensive clinical examination including a variety of assessments to evaluate each clinical domain. Clinicians need to recognize that the multifaceted assessment battery has high sensitivity, but the overall psychometrics do not exceed the threshold for group discrimination and caution must be used in their interpretation.

Indexed as

Athletic InjuriesBrain ConcussionNeuropsychological TestsAdolescentAthletesFemaleHumansMalePsychometricsROC CurveSensitivity and SpecificityStudentsSurveys and QuestionnairesYoung Adultbalancecognitiondiagnostic criteriaMild traumatic brain injurysymptoms

Identifiers

PMID39680852
PMCPMC12094904

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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.