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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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The Gaze Stabilization Test Following Concussion.

Pamela M Dunlap1, Anne Mucha2, Dana Smithnosky2

  • 1Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA.

Journal of the American Academy of Audiology
|December 14, 2018
PubMed
Summary
This summary is machine-generated.

The gaze stabilization test (GST) shows promise for assessing vestibular dysfunction after concussion. Higher GST scores correlate with better balance confidence and less dizziness, suggesting its utility in concussion recovery.

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Area of Science:

  • Neurology
  • Sports Medicine
  • Physical Therapy

Background:

  • Concussion frequently causes vestibular and oculomotor issues, leading to prolonged recovery.
  • Current functional measures for vestibulo-ocular reflex (VOR) post-concussion are limited.

Purpose of the Study:

  • To evaluate the gaze stabilization test (GST) in concussion patients undergoing vestibular physical therapy.
  • To determine the association between GST performance and other concussion recovery metrics.
  • To investigate demographic influences on GST outcomes.

Main Methods:

  • Retrospective chart review of 158 individuals with concussion referred for vestibular physical therapy.
  • Analysis of horizontal and vertical GST scores, neurocognitive test results, and demographic data.
  • Correlational and ANOVA analyses to assess relationships and group differences.

Main Results:

  • GST performance showed weak positive correlations with balance confidence and visual-motor processing speed.
  • GST performance demonstrated weak negative correlations with dizziness handicap.
  • Males achieved significantly higher GST velocities than females.

Conclusions:

  • GST is associated with common outcome measures in vestibular rehabilitation for concussion.
  • Higher GST velocities correlate with improved perceived balance and reduced dizziness.
  • GST may serve as a functional VOR assessment tool in concussion management.