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Vision Training Methods for Sports Concussion Mitigation and Management
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Vision Therapy for Post-Concussion Vision Disorders.

Michael Gallaway1, Mitchell Scheiman, G Lynn Mitchell

  • 1*OD, PhD †OD, PhD, FAAO ‡MAS Pennsylvania College of Optometry at Salus University, Philadelphia, Pennsylvania (MG, MS); and The Ohio State University College of Optometry, Columbus, Ohio (GLM).

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|August 10, 2016
PubMed
Summary
This summary is machine-generated.

Vision problems are common after concussion, with convergence insufficiency and accommodative insufficiency being the most frequent. Vision therapy is highly effective for these post-concussion vision disorders when treatment is completed.

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Area of Science:

  • Ophthalmology
  • Neurology
  • Sports Medicine

Background:

  • Concussion can lead to a variety of vision disorders.
  • Oculomotor dysfunctions are frequently observed following traumatic brain injuries.

Purpose of the Study:

  • To determine the frequency and types of vision disorders associated with concussion.
  • To assess the success rate of vision therapy for these conditions in private practice settings.

Main Methods:

  • A retrospective review of 218 patient records with concussion diagnoses over 18 months.
  • Diagnoses included vergence, accommodative, and eye movement disorders based on clinical criteria.
  • Vision therapy recommendations were based on clinical findings and patient symptoms.

Main Results:

  • 82% of patients had oculomotor problems, with convergence insufficiency (47%) and accommodative insufficiency (42%) being most prevalent.
  • Vision therapy was recommended for 80% of patients; 54% completed treatment.
  • Of those completing therapy, 85% with convergence insufficiency and 33% with accommodative insufficiency were successful, with others showing improvement.

Conclusions:

  • Post-concussion vision problems, particularly convergence and accommodative insufficiency, are prevalent.
  • Vision therapy demonstrates a high success or improvement rate for patients who complete the treatment.
  • Comprehensive vision testing is recommended for patients with a history of concussion.