{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:45:49Z","timestamp":1777527949677,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute of Neurological Disorders and Stroke of the National Institutes of Health","award":["K23NS128275-01"],"award-info":[{"award-number":["K23NS128275-01"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>\n                    Given the potential interplay of psychological symptoms following pediatric concussion and vestibular dysfunction, we conducted a prospective cohort study of participants ages 8 to 19 \u226472 hours of injury from the emergency department to assess the association between motion sickness and outcomes. Participants completed visio-vestibular testing and symptom-based surveys at enrollment, with outcome assessment at 1 and 4 weeks post-injury. We enrolled 114 participants, 19 with motion sickness history, 17 with new motion sickness after injury. Although not statistically significant following Bonferroni correction, those who developed motion sickness following concussion had higher total enrollment symptom scores (median 42 vs 21,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .015), more missed school days (median 8 vs 3,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .043), and a higher incidence of symptoms above baseline at 4 weeks (63.6% vs 38.9%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .181). Those with new motion sickness may be vulnerable to poorer outcomes after concussion, indicating potential value in motion sickness screening at presentation and vestibular-focused therapies.\n                  <\/jats:p>","DOI":"10.1177\/00099228251409543","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T17:31:02Z","timestamp":1767807062000},"page":"584-590","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Motion Sickness and Psychological and Vestibular Symptom Burden After Concussion"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0769-5554","authenticated-orcid":false,"given":"Tara","family":"Nichols","sequence":"first","affiliation":[{"name":"New York Medical College, Valhalla, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Godfrey","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia Research Institute, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristy","family":"Arbogast","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia Research Institute, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina L.","family":"Master","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia Research Institute, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Corwin","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia Research Institute, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4635"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699052.2024.2328312"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2018.5792"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2015.5.PEDS15220"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-062340"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000528"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000507"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.08.032"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2023.1064771"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neulet.2024.137767"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.06.020"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000955"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/2013.jamapediatrics.216"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-347-18"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.1187"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2024.0472"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.4.503"},{"key":"e_1_3_2_20_2","first-page":"137767","article-title":"Personality traits and anxiety levels predict susceptibility to visually induced motion sickness","volume":"830","author":"Lukacova K","year":"2023","unstructured":"Lukacova K, Keshavarz B, Campos JL. Personality traits and anxiety levels predict susceptibility to visually induced motion sickness. Neurosci Lett. 2023;830:137767.","journal-title":"Neurosci Lett"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2020-323137"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.811462"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2024.0201"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251409543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228251409543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251409543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:34:38Z","timestamp":1777394078000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228251409543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,7]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/00099228251409543"],"URL":"https:\/\/doi.org\/10.1177\/00099228251409543","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,7]]}}}