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Related Concept Videos

  1. Home
  3. Research Domains
  5. Health Sciences
  7. Allied Health And Rehabilitation Science
  9. Occupational Therapy
  11. Scoping Review: Intervention For Ocular Motor Disorders In Children And Adults With Mild Traumatic Brain Injury.
  1. Home
  3. Research Domains
  5. Health Sciences
  7. Allied Health And Rehabilitation Science
  9. Occupational Therapy
  11. Scoping Review: Intervention For Ocular Motor Disorders In Children And Adults With Mild Traumatic Brain Injury.

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Scoping review: Intervention for ocular motor disorders in children and adults with mild traumatic brain injury.

Angela M Chen, Aaron D Salzano1, Allegra P Burgher2

  • 1Pacific University, College of Optometry, Forest Grove, Oregon.

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|February 14, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Interventions like watchful waiting and vision therapy show promise for post-mild traumatic brain injury (mTBI) ocular motor disorders. However, more high-quality research is needed to confirm their effectiveness.

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Area of Science:

  • Neurology
  • Ophthalmology
  • Rehabilitation Science

Background:

  • Ocular motor disorders are common after mild traumatic brain injury (mTBI).
  • Existing interventions vary across disciplines, with limited evidence of effectiveness.

Purpose of the Study:

  • To conduct a scoping review of interventions for mTBI-related ocular motor disorders in children and adults.
  • To synthesize current evidence on intervention strategies and their reported outcomes.

Main Methods:

  • Searched multiple databases (PubMed, Embase, PEDro, OVID, Clinical Key, Google Scholar, REHABDATA) for intervention studies.
  • Included English-language studies from 2003-2024 involving mTBI participants with pre-intervention ocular motor assessment.
  • Followed PRISMA-ScR guidelines for data extraction and synthesis.

Main Results:

  • Sixty-seven studies were included, with only 4% judged as low risk of bias.
  • Interventions comprised watchful waiting (46%), vestibular rehabilitation (19%), vision rehabilitation/therapy (15%), and optical intervention (6%).
  • Studies reported improvement in ocular motor domains for nearly 80% of watchful waiting interventions and 100% for vestibular rehabilitation, vision rehabilitation/therapy, and optical interventions.

Conclusions:

  • While interventions like watchful waiting, vestibular rehabilitation, vision rehabilitation/therapy, and optical interventions show potential for improving post-mTBI ocular motor deficits, most studies have a high risk of bias.
  • There is a critical need for high-quality randomized controlled trials with standardized protocols and reassessment to validate these interventions.
  • Further research should focus on diverse age groups and recovery stages to establish definitive treatment guidelines.