The data and conclusions of research presented at meetings should be viewed as preliminary until published in a peer-reviewed journal. Drs. “Concussion is a three-legged stool. Researchers at the NYU Langone Concussion Center reviewed studies that involved athletes who sustained a concussion during sporting activities and found the vision test, known as the King-Devick test, was 86 percent sensitive in detecting whether a concussion had occurred, as confirmed by clinical diagnosis. Even repetitive subconcussive impacts—despite a lack of symptoms—have been shown to temporarily impair ocular near point of convergence (NPC) in football players.3. The most common eye problems include: Ask patients how they are doing with reading and navigation, said Dr. Moss. For the study, 2000 active-duty military personnel 19 to 44 years of age were evaluated using the eye test. “It records visual memory, several types of saccadic movement, and smooth pursuits to see if these can be correlated with diagnosis of mTBI,” said Dr. Kaufman. or March 2016;34(3):1-14. “One of the most important things is not to miss a traumatic optic neuropathy, Horner syndrome, or cranial nerve palsy,” she said, “which suggests there may be more to this than a simple concussion. Their injuries were diagnosed by a neurologist or neuro-optometrist. A recent study found that 56% of concussions are diagnosed in the ER, with another 29% diagnosed in a physician’s office.1. www.concussionfoundation.org/learning-center/concussion-clinics. Dr. Galetta, himself a former collegiate athlete, added, “In the heat of a game, there is a lot of chaos and confusion on sidelines, so anything that helps eliminate guesswork is needed.”. Among adolescents, nearly half had been clinically diagnosed with more than one eye symptom as result of their concussion. The history and exam are critical, said Dr. Balcer. At the start of the season, they all took the K-D, as well as two other sideline screening tests: the BESS, which measures balance; and the SAC, which measures abilities such as short-term memory (asking the athlete to memorize and recall five words) and "orientation" (asking the player to name the day, month and year). Ms. Waskiewicz also incorporates tasks integral to the patients’ work. She couldn’t drive, and watching TV or reading made her nauseous. Patients are encouraged to continue the exercises at home. If they notice any potential signs of concussion after a game or practice, they should take their child to the doctor immediately, she said. “We’ve learned that vision is an important—and intricate—piece of neurological disorders. WebMD does not provide medical advice, diagnosis or treatment. Jason S. Calhoun. She said she has a low threshold for obtaining neuro-imaging, if it has not already been performed. This is important, as athletes are especially vulnerable to a more serious head injury if they sustain a second hit shortly after the initial concussion.2 (Technically, any ath­lete diagnosed with a concussion should be pulled from play, but that doesn’t always happen. "Parents know their kids best," Broglio agreed. “People might just say they’re having trouble reading, which could be due to a variety of things,” she said. One potential downside of specialized concussion centers, said Dr. Moss, is that when you’re a hammer, every­thing is a nail. Although eye movement recordings may sound attractive, said Dr. Galetta, they aren’t practical for the sidelines, given the costs and need for equip­ment calibration and data interpretation. All rights reserved. One common prob­lem Ms. Waskiewicz sees in concussion patients is convergence insufficiency, which often causes eyestrain and headache. It addresses vestibular problems when the brain receives abnormal signals about the position and movement of the head in space.6. Although it’s difficult to track how many are now in existence, the Concussion Leg­acy Foundation offers a free online tool to connect patients with concussion centers and specialists.1, NYU Langone’s Concussion Center incorporates an inter­disciplinary approach to treat­ing TBI in patients of all ages and from a range of injuries, including sports, car crashes, and work accidents, said Dr. Balcer. It includes a thorough evaluation of the skills typically impaired by concussions. 3 Kawata K et al. The K-D test (which was developed by a team of optometrists who test kids for dyslexia) gauges the amount of time it takes to read num­bers with variable spacing on 3 test cards. “Unless the patient is complaining of certain visual problems, there may not be a role for an emergent ophthalmic exam,” Dr. Moss said. WEDNESDAY, Feb. 26, 2014 (HealthDay News) -- A simple vision test given on the sidelines can help identify athletes who've suffered a concussion… (Note: The SCAT 3 is for those older than age 13. “If the student athlete passes the SCAT 3,” he said, “we have him perform a modified doll’s head maneuver in both the vertical and horizontal gaze. That is beginning to change. And athletes hit in the head may suffer brain injury even if not diagnosed with concussion. How Long Does Coronavirus Live On Surfaces? According to the U.S. Centers for Disease Control and Prevention, more than 173,000 U.S. children and teens land in the ER each year because of a concussion suffered during sports or recreational activities, like bike riding. A non-invasive treatment using therapeutic light, syntonic phototherapy can be successful in restoring balance to the autonomic nervous system, which supports the rehabilitation of visual skills.Vision therapy: A series of in-office and at-home activities and exercises designed to improve the visual skills that have been affected by a head injury.

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