Evidence map›Paper›PMID 40168632›Full record

Observational studyNeurology2025

Brain Network Functional Connectivity in Children With a Concussion.

Adrian Onicas, Stephanie Deighton, Keith O Yeates, Signe Bray, Kirk Graff, Nishard Abdeen, Miriam H Beauchamp, Christian Beaulieu, Bruce H Bjornson, William Craig and 12 more

Abstract readObservational Study
In one paragraph

Observational study in Neurology, 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. Review
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

22 authors.

Adrian OnicasTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City.ORCID 0000-0002-5953-8548
Stephanie DeightonDepartment of Psychology, Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada.
Keith O YeatesDepartment of Psychology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Canada.ORCID 0000-0001-7680-2892
Signe BrayDepartment of Radiology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Canada.
Kirk GraffDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO.
Nishard AbdeenDepartment of Radiology, University of Ottawa, Children's Hospital of Eastern Ontario Research Institute, Canada.
Miriam H BeauchampDepartment of Psychology, University of Montréal & CHU Sainte-Justine Hospital Research Center, Québec, Canada.ORCID 0000-0002-8637-6361
Christian BeaulieuDepartment of Radiology and Diagnostic Imaging, and Department of Biomedical Engineering, University of Alberta, Edmonton, Canada.
Bruce H BjornsonDivision of Neurology, Department of Pediatrics, University of British Columbia, Vancouver, Canada.ORCID 0000-0002-1465-6196
William CraigUniversity of Alberta and Stollery Children's Hospital, Edmonton, Alberta, Canada.
Mathieu DehaesDepartment of Radiology, Radio-oncology and Nuclear Medicine, Institute of Biomedical Engineering, University of Montréal and CHU Sainte-Justine Research Center, Québec, Canada.ORCID 0000-0001-9852-6761
Sylvain DeschenesDepartment of Radiology, Radio-oncology and Nuclear Medicine, University of Montréal, Québec, Canada.
Emily L DennisTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City.ORCID 0000-0001-7112-4009
Quynh DoanDepartment of Pediatrics, University of British Columbia, BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Stephen B FreedmanDepartments of Pediatric and Emergency Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada.ORCID 0000-0003-2319-6192
Bradley G GoodyearDepartment of Radiology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Canada.ORCID 0000-0001-7289-7126
Jocelyn GravelDepartment of Pediatric Emergency Medicine, CHU Sainte-Justine, University of Montréal, Québec, Canada.
Catherine LebelDepartment of Radiology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Canada.ORCID 0000-0002-0344-4032
Andrée-Anne LedouxDepartment of Cellular Molecular Medicine, University of Ottawa, Ontario, Canada.
Roger ZemekChildren's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.ORCID 0000-0001-7807-2459
Ashley L WareTBI and Concussion Center, Department of Neurology, University of Utah School of Medicine, Salt Lake City.ORCID 0000-0002-8390-4915
Pediatric Emergency Research Canada A-CAP Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPediatric concussion can disrupt functional brain network connectivity, but prospective longitudinal research is needed to clarify recovery and identify moderators of change. This study investigated network functional connectivity (FC) up to 6 months after pediatric concussion.

methodsThis prospective longitudinal concurrent cohort observational study consecutively recruited children (aged 8 to 17 years) at 5 Canadian pediatric hospital emergency departments within 48 hours of sustaining a concussion or mild orthopaedic injury (OI). Children completed 3T MRI scanning postacutely (2 to 33 days) and at either 3 or 6 months after injury (randomly assigned at the postacute visit). Reliable change between retrospective preinjury (based on parent report) and 1-month postinjury symptom ratings based on parent and child report was used to classify concussion with or without persisting symptoms. Within-network and between-network FC was computed for 8 brain networks from resting-state fMRI scans and analyzed using linear mixed-effects models, with multiple comparison correction.

resultsGroups (385 with concussion/198 with OI; 59% male; 69% White; age 12.42 ± 2.29 years) did not differ in within-network FC. Relative to OI, connectivity between the visual and ventral attention networks was lower after concussion, DISCUSSION: Time after injury, age at injury, biological sex, and persistent symptom status are important moderators of FC after pediatric concussion for children seen in emergency department settings. Postacute FC may not enhance clinical diagnosis. Although within-network connectivity is preserved, between-network connectivity differences emerge after most children clinically recover and persist up to 6 months after pediatric concussion, providing a potential objective biomarker for lasting changes in brain function.

Indexed as

BrainBrain ConcussionNerve NetAdolescentChildFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleProspective Studies

Identifiers

PMID40168632
PMCPMC11962048

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.