Clinical Scorecard: Summarizing Sports-Related Concussion
At a Glance
| Category | Detail |
|---|---|
| Condition | Sports-related concussion (SRC) |
| Key Mechanisms | Visual sequelae including convergence insufficiency, accommodative dysfunction, and saccadic dysfunction. |
| Target Population | Athletes experiencing mild traumatic brain injury. |
| Care Setting | Optometry and sports medicine. |
Key Highlights
- SRC accounts for approximately 20% of all traumatic brain injuries.
- Advanced testing methods include the Brain Injury Vision Symptom Survey and pupillometry.
- Vision therapy can assist in concussion recovery and reduce the need for prismatic correction.
- Yoked prism and various filter options can alleviate visual symptoms.
- Neurovisual rehabilitation shows efficacy in treating binocular vision conditions post-injury.
Guideline-Based Recommendations
Diagnosis
- Systematic review of symptoms, behavioral changes, physical signs, cognitive impairments, sleep disturbances, and vision/balance disorders.
Management
- Utilize prism options, filters, ocular nutritional supplementation, and neurovisual rehabilitation.
Monitoring & Follow-up
- Assess recovery using objective measures such as pupillometry and eye tracking.
Risks
- Symptom provocation during assessments may be associated with longer recovery times.
Patient & Prescribing Data
Athletes with SRC experiencing visual dysfunction.
Small prismatic corrections and filters can improve visual symptoms during recovery.
Clinical Best Practices
- Plan for extra time or multiple visits for SRC assessments.
- Incorporate objective assessments to guide treatment decisions.
- Consider individual patient preferences when prescribing filters.
References
This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.
