Authors
Paul Rollett, OD, FCOVD Garrett Morandi, PhD

Effect of Vision Therapy on Measures of Oculomotor Function in Patients Presenting with Post-Concussion Syndrome

publication date
2019-12-06
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Abstract/Introduction

Oculomotor  dysfunction  is  a  common  symptom  of  post-concussion  syn-drome  (PCS).  In  this  study,  the  efficacy  of  Vision  Therapy  (VT)  for  the treatment  of  PCS-related  symptoms  of  the  visual  system  was  investigated  retrospectively.  Overall,  56  patients  were  selected,  all  of  whom  presented  with  clinical  impairment  of  at  least  one  measure  of  oculomotor  function-ing. Activities related to VT were wide-ranging and case-dependent, but all aimed to improve one of the five  main areas of visual function. Following the  completion  of  VT,  all  patients  demonstrated  statistically  or  clinically  significant improvements, as defined by the use of Morgan’s norms, in atleast  one  measure  of  oculomotor  functioning  related  to  PCS. In  general,  improvements  in  measures  of  oculomotor  functioning  were  greatest  for  near  point  of  convergence,  vergence  facility  and  accommodative  facility.  Patients  who  received  20  sessions  of  VT  had  improved  and  less  variable  outcomes than those who received 5-10 sessions of VT. In addition, VT im-proved symptoms of visual discomfort in patients presenting with PCS. The results of this retrospective analysis demonstrate significant improvements in measured outcomes for all patients who received VT, and support VT as a treatment option for symptoms of PCS.


Conclusion/Results

The results of this retrospective analysis support the findings of previous studies and demonstrate statistically and clinically significant improvements of measured oculomotor functioning in patients presenting with oculomotor deficiencies associated with PCS and support VT as a viable treatment option for associated symptoms. Further-more, the present results suggest that longer treatment times (20 VT sessions) might improve measured outcomes compared to those in patients who receive 10 or less VT sessions; however, the impact of delayed VT treatment re-mains unclear. Although no placebo group was   available in this study, the results demonstrate significant improve-ments in measured outcomes for all patients receiving VT and support VT as a treatment option for PCS.


Testimonials


Vision therapy is well worth the response, time and effort. Our Son had a hard time focusing and writing neatly. After vision therapy Seth could complete a task in half the time if previously took. His abilities to focus improved greatly and so did his handwriting.

Also, he was better at listening. As a parent, we wanted learning to be fun for our Son, and vision therapy made this possible.


Amanda T.

Vision Therapy is well worth the expense, time and effort. Our son had a hard time focusing handwriting neatly. After vision therapy Seth could complete a task in half the time it previously took his abilities to focus and improved greatly and so did his handwriting.

Also, he was better at listening. As a parent you wanted learning to be fun for our son and vision therapy made this possible.


Alexa H.

Vision Therapy has given or son the tools he needs to be able to scan and read the written word more effectively and efficiently.

He love working with John and these working sessions give him the motivation to gladly work on his homework assignments.

It amazed us to see the difference in the tracking of his eyes and along a line of it's from the beginning to the end of the treatment.

Dr. McBryar , Kristen and John  are all marvelous and we would recommend them to anyone I only wish that we would have found them sooner!


Charlotte M.

Prior to coming to the institute for vision development my son complained of daily headaches. Therapy has eliminated his headaches completely. I love knowing my son is able to learn pain-free for the rest of his life because of the work that has been done over just a few weeks in this office. He he absolutely loved coming that didn't even feel like going to a doctor or therapy. We are grateful for the relief he was able to find by coming here.

Thank you!


Olivia C.

Seems much less frustrated with life

Reads non-stop and fast

Spelling abilities have been hugely improved

Seems much more confident

Thank You!!!


Kelly O.

When we first came to the practice, my son did not have huge issues, but lots of small ones- trouble with reading, sports (hitting the baseball consistently), coordination, etc- that were not easily detectable,but when put together presented issues. The staff here were all very professional and loving towards him. While I was concerned in the reading, my son was concerned with the athletic side. Seeing improvement night off the bat gave him confidence that i have nor seen in him and made him want to not only Come to therapy, but also made him want to work hard. He has surpassed his grade level and above in reading and hit his first home run this year! Thank you!!!


Alice M.
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