Evidence map›Paper›PMID 40577791›Full record

ArticleMilitary medicine2025

Patterns of Dual-Task Interference in Service Members With Mild Traumatic Brain Injury Using the Portable Warrior Test of Tactical Agility.

Crystal R Ramsey, Courtney H Harrison, Rachana R Gangwani, Karen L McCulloch

Abstract read
In one paragraph

Article in Military medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

4 authors.

Crystal R RamseyDepartment of Physical Therapy Education, School of Health Sciences, Elon University, Elon, North Carolina, 27244, United States.ORCID 0000-0002-0102-3998
Courtney H HarrisonDivision of Physical Therapy and Curriculum in Human Movement Science, Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, United States.
Rachana R GangwaniDivision of Physical Therapy and Curriculum in Human Movement Science, Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, United States.ORCID 0000-0003-1051-2686
Karen L McCullochDivision of Physical Therapy and Curriculum in Human Movement Science, Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, United States.ORCID 0000-0003-4228-0517

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
Congressionally Directed Medical Research Program W81XWH-17-2-0046NCATS NIH HHS UL1 TR002489NCATS NIH HHS UM1 TR004406
6 · The paper itself

Abstract

introductionReturn-to-duty assessment for service members (SM) following mild traumatic brain injury (mTBI) combining motor and cognitive skills in dual task (DT) scenarios may better approximate the demands of active duty service. The Portable Warrior Test of Tactical Agility (POWAR-TOTAL) is a valid mTBI assessment tool which incorporates DT assessment. MATERIALS AND

methodsForty-six SM diagnosed with mTBI and 59 healthy control (HC) SM performed the POWAR-TOTAL. Group differences in relative DT effect were categorized based on performance trade-offs and prioritizations. A paired-sample t-test was performed to examine the relationship between the motor and cognitive relative DT scores for SM with mTBI and HC. Cognitive and motor performance of the mTBI group pre- and post-intervention were compared to the HCs values using an independent t-test. Average pre- and post-intervention relative DT effects were charted on a polar plot.

resultsAlthough cognitive and motor performance differed between the HC and pre-intervention groups, relative DT effects (% change normalized by SM baseline performance) were not significantly different. Relative DT for the pre- and post-intervention mTBI group also were not significantly different. HC group and post-intervention group differences were non-significant, suggesting improvement in performance after therapy. Patterns of interference between the groups differed at mTBI pre-intervention, but were similar at post-intervention.

conclusionService members prioritized motor performance over cognitive performance, with relative dual-task costs that were small and similar in both groups. Cognitive accuracy changes over multiple trials could be minimized by an improved testing protocol. Since simple single and dual-task measures of cognitive and motor performance captured significant group differences, the calculation of POWAR-TOTAL dual-task effects does not appear to provide critical information for test interpretation.

Indexed as

Brain ConcussionMilitary PersonnelAdultFemaleHumansMaleNeuropsychological TestsTask Performance and Analysis

Identifiers

PMID40577791
PMCPMC12588711

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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.