Comparison of Visual Symptom Frequency and Occupational Issues Between Patients With and Without Concussion

Stephanie Schurr ¹, Caitlyn Foy ², Tanya Polonenko ³

⁰Stephanie Schurr, OTD, OT Reg. (Ont.), is Clinical Manager, Physical Rehabilitation, St. Joseph's Care Group, Thunder Bay, Ontario, Canada; schurrs@tbh.net.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association +

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February 29, 2024

View abstract on PubMed

Summary

Concussion significantly impacts vision and daily activities, affecting occupational performance and satisfaction. Occupational therapy is crucial for assessing and managing these vision-related challenges post-injury.

Area Of Science

Neuroscience
Ophthalmology
Occupational Therapy

Background

Concussion can lead to persistent visual symptoms impacting daily life.
Occupational therapy practitioners play a key role in managing post-concussion recovery.
Understanding the link between vision and occupational performance is vital.

Purpose Of The Study

To compare vision symptoms and occupational performance in individuals with and without concussion.
To investigate the relationship between visual deficits and functional outcomes after concussion.

Main Methods

Cross-sectional study conducted in a sports medicine clinic.
Participants included adolescents and adults with concussion (n=20) and musculoskeletal injuries (n=19).
Evaluated visual functions (accommodation, convergence, vergence, eye movements) and occupational performance using standardized measures.

Main Results

Individuals with concussion showed significant differences in vision symptoms (Convergence Insufficiency Symptom Survey-Concussion Version) and vergence measures.
Impaired visual function correlated with poorer occupational performance and satisfaction in the concussion group.
Near point of convergence and positive fusional vergence were significantly affected by concussion.

Conclusions

Concussion adversely affects vision and occupational functioning.
Occupational therapy practitioners are well-positioned to screen for and address vision issues post-concussion.
Integrating vision screening into occupational therapy assessments is recommended for clients with concussion.