{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T07:38:09Z","timestamp":1763105889503,"version":"3.41.0"},"reference-count":27,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:sec><jats:title>Context<\/jats:title><jats:p>Multiple aspects of a multidomain assessment have been validated for identifying concussion; however, researchers have yet to determine which components are related to referral for vestibular therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify which variables from a multidomain assessment were associated with receiving a referral for vestibular therapy after a concussion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective chart review, level of evidence 3.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients or Other Participants<\/jats:title><jats:p>Participants (n = 331; age = 16.9 \u00b1 7.2 years; 39.3% female) were diagnosed with a concussion per international consensus criteria by a clinical neuropsychologist after presenting to a concussion specialty clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Medical chart data were extracted from the first clinical visit regarding preinjury medical history, computerized neurocognition, Post-Concussion Symptom Scale, Concussion Clinical Profiles Screen, and Vestibular Ocular Motor Screening within 16.2 \u00b1 46.7 days of injury. We built 5 backwards logistic regression models to associate the outcomes from each of the 5 assessments with referral for vestibular therapy. A final logistic regression model was generated using variables retained in the previous 5 models as potential predictors of referral for vestibular therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 5 models built from individual components of the multidomain assessment predicted referral for vestibular therapy (R2 = 0.01\u20130.28) with 1 to 6 statistically significant variables. The final multivariate model (R2 = 0.40) retained 9 significant variables, represented by each of the 5 multidomain assessments except neurocognition. Variables that had the strongest association with vestibular therapy referral were motor vehicle accident mechanism of injury (odds ratio [OR] = 15.45), migraine history (OR = 3.25), increased headache when concentrating (OR = 1.81), and horizontal vestibular ocular reflex (OR = 1.63).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We demonstrated the utility of a multidomain assessment and identified outcomes associated with a referral for vestibular therapy after a concussion.<\/jats:p><\/jats:sec>","DOI":"10.4085\/1062-6050-0032.22","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T14:10:47Z","timestamp":1662991847000},"page":"408-413","source":"Crossref","is-referenced-by-count":3,"title":["Association of Multidomain Assessment Outcomes With Referral for Vestibular Therapy After Concussion"],"prefix":"10.4085","volume":"58","author":[{"given":"Shawn R.","family":"Eagle","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Mucha","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Trbovich","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Manderino","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.J.","family":"Elbin","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael W.","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony P.","family":"Kontos","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine, University of Pittsburgh, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2023,7,31]]},"reference":[{"issue":"4","key":"2023073116590139400_i1062-6050-58-5-408-b01","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1136\/bjsports-2018-100338","article-title":"American Medical Society for Sports Medicine position statement on concussion in sport","volume":"53","author":"Harmon","year":"2019","journal-title":"Br J Sports Med"},{"issue":"6","key":"2023073116590139400_i1062-6050-58-5-408-b02","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1227\/NEU.0000000000001447","article-title":"Statements of agreement from the Targeted Evaluation and Active Management (TEAM) approaches to treating concussion meeting held in Pittsburgh, October 15\u201316, 2015","volume":"79","author":"Collins","year":"2016","journal-title":"Neurosurgery"},{"issue":"11","key":"2023073116590139400_i1062-6050-58-5-408-b03","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport\u2014the 5th International Conference on Concussion in Sport held in Berlin, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br J Sports Med"},{"issue":"6","key":"2023073116590139400_i1062-6050-58-5-408-b04","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1177\/1941738119865262","article-title":"Vestibulo-ocular reflex function in adolescents with sport-related concussion: preliminary results","volume":"11","author":"Alkathiry","year":"2019","journal-title":"Sports Health"},{"issue":"5","key":"2023073116590139400_i1062-6050-58-5-408-b05","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1016\/j.jpeds.2015.01.039","article-title":"Vestibular deficits following youth concussion","volume":"166","author":"Corwin","year":"2015","journal-title":"J Pediatr"},{"issue":"3","key":"2023073116590139400_i1062-6050-58-5-408-b06","doi-asserted-by":"crossref","first-page":"256","DOI":"10.4085\/1062-6050-51.11.05","article-title":"McAllister Deitrick J, Collins MW, Mucha A. 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