Predictors of poor reading performance in student-athletes following sport-related concussion

Sherry, Natalie; Trbovich, Alicia; Holland, Cynthia L.; Eagle, Shawn R.; Bitzer, Hannah B.; Kontos, Anthony P.

doi:10.1080/21622965.2020.1850449

Cited by 5 publications

(3 citation statements)

References 42 publications

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“…Initial investigations were focused on academic reintegration timeframes ( 1 ), faculty and staff knowledge of concussion ( 2 , 3 ), and impacts on academics ( 4 ). Since then, investigations have addressed more precise aims, namely faculty perspectives of RTL and classroom accommodations ( 5 , 6 ), peer-mentoring programs for students recovering from concussion ( 7 ), the Athletic Trainers' role in RTL ( 8 ), and factors mediating reading performance ( 9 , 10 ). Most recently, preliminary consensus recommendations were introduced ( 11 ), signifying that college RTL is distinct from K-12, and requires unique attention.…”

Section: Introductionmentioning

confidence: 99%

Commentary: Establishing the college Return to Learn team for concussion: a practical approach

Bevilacqua

McPherson

2023

Front. Public Health

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Section: Introductionmentioning

confidence: 99%

Commentary: Establishing the college Return to Learn team for concussion: a practical approach

Bevilacqua

McPherson

2023

Front. Public Health

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“…Vision is a crucial neurological sensory and motor system needed to interpret and interact with the world, and therefore visual dysfunction can significantly impact the ability for patients to return to activities like work, sport, school and military duty 17. Ocular motor impairments like difficulties converging the eyes have been associated with prolonged recovery18 and worse neurocognitive impairment,19 directly impacting a patient’s ability to learn and work 20 21. Visual symptoms post-mTBI may include but are not limited to blurry vision, double vision, difficulties with reading, light sensitivity, and physical symptoms like headache or dizziness triggered by visual tasks like computer or reading 20 22…”

Section: Introductionmentioning

confidence: 99%

Ocular motor disorders in children and adults with mTBI: a scoping review protocol

Theis,

Chen,

Burgher

et al. 2023

BMJ Open

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IntroductionOcular motor function is susceptible to neurological injury because it requires a large portion of brain circuitry including every lobe of the brain, brainstem, thalamus, basal ganglia, cerebellum, cranial nerves and visual tracts. While reports of a high frequency of ocular motor dysfunctions after mild traumatic brain injury (mTBI) span multidisciplinary journals, there is no scoping review of the signs, diagnostic assessments and criteria, and appropriate management of ocular motor disorders post-mTBI. Post-mTBI ocular motor dysfunction has been reported to respond to active treatment. The objective of this scoping review is to map the available evidence on the diagnostic assessment and treatment modalities currently used in the management of mTBI-related ocular motor disorders in children and adults. This scoping review also aims to identify gaps in the current literature and provide suggestions for future research.Methods and analysisThis review will include populations with reported concussion and/or mTBI without restrictions on age, race, sex or time since injury. The review will evaluate the reported symptoms related to ocular motor dysfunction, types of assessments and diagnostic criteria used, reported treatments, and the level of evidence supporting the reported treatments. This review will exclude literature on brain injury of non-traumatic aetiology and moderate/severe traumatic brain injury. Ocular motor dysfunction after mTBI appears in journals across multiple disciplines. Thus, multiple databases will be evaluated including Pubmed, Embase, PEDro, OVID, Clinical Key, Google Scholar and REHABDATA. Literature will be searched from inception to present day. Evidence sources will include experimental study designs including randomised controlled trials, non-randomised controlled trials and interrupted time-series. Additionally, analytical observational studies including prospective and retrospective cohort studies, case series, cross-sectional studies and clinical practice guidelines will be considered for inclusion. Data will be extracted on clinical presentation, frequency, assessment, diagnostic criteria management strategies and outcomes of concussion and mTBI-related ocular motor disorders.Ethics and disseminationThis scoping review will use data from existing publications and does not require ethical approval by an institutional review board. Results will be disseminated through publication in a peer-reviewed scientific journal and presented at relevant conferences and as part of future workshops with professionals involved with diagnosis and management of patients with mTBI.

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“… 10 Recently, near point of convergence (NPC) scores were shown to positively correlate with reading rate in concussed student-athletes, ages 14–22. 11 These data are logical, in that academic tasks demand prolonged, repetitive, and accurate visual and oculomotor function. Moreover, school activities (e.g., reading, viewing) closely mimic smooth pursuit, saccadic, and accommodative assessments, further underpinning the relevance of an oculomotor screening in-clinic.…”

Section: Introductionmentioning

confidence: 99%

Prognostic Utility of Oculomotor Assessments in Determining Return-to-Learn Time in Acutely Concussed College Student-Athletes: A Pilot Study

Vanderhorst,

Rawlings,

Germansky

et al. 2023

Neurotrauma Reports

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We sought to discover which oculomotor test (King-Devick [KD], near point of convergence [NPC], and accommodative facility [AF]) would best produce a prognostic model for an RTL time frame. An observational cohort design was used to longitudinally track division I and III student-athletes with concussion at a private university in New York State. Measurements included pre-RTL oculomotor testing (NPC, KD, and AF), along with daily text messages and phone calls. Participants were considered returned-to-learn once they had returned to baseline symptoms and had attended 2 days of classes. Our data promote KD score and class attendance as the best-fit prognostic model, with every second accrued on the KD test equating to 5.29 h of RTL time. Further, attending class throughout recovery, versus not, shortened RTL time by a mean 170.50 h, or 7.1 days. Five variables produced a significant attenuating association with concussion symptoms: time post-injury ( p = 0.01); caffeine ( p = 0.05); alcohol ( p = 0.01); music ( p = 0.01); and physical activity ( p = 0.01). Three variables produced a significant worsening association with concussion symptoms: screen time ( p = 0.05); music ( p = 0.01); and class attendance ( p = 0.01). The findings present a preliminary evidence-based model to prognosticate RTL time. To our knowledge, this is the second longitudinal study, and the first overall, to present objective data for guiding and prognosticating RTL, respectively. Correspondingly, these data should assist clinicians with objectively steering RTL in-clinic.

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Predictors of poor reading performance in student-athletes following sport-related concussion

Cited by 5 publications

References 42 publications

Commentary: Establishing the college Return to Learn team for concussion: a practical approach

Commentary: Establishing the college Return to Learn team for concussion: a practical approach

Ocular motor disorders in children and adults with mTBI: a scoping review protocol

Prognostic Utility of Oculomotor Assessments in Determining Return-to-Learn Time in Acutely Concussed College Student-Athletes: A Pilot Study

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