Eye Movements, Dizziness, and Mild Traumatic Brain Injury (mTBI): A Topical Review of Emerging Evidence and Screening Measures

BACKGROUND AND PURPOSE:Eye movements may be adversely affected after mild traumatic brain injury (mTBI) and should be examined. The purpose of this topical review is to provide the clinician with the most up-to-date knowledge related to eye movement abnormalities, screening measures, and evidence re...

Full description

Saved in:
Bibliographic Details
Published in:Journal of neurologic physical therapy 2019-04, Vol.43 Suppl 2 Supplement, Special Supplement: International Conference on Vestibular Rehabilitation, p.S31-S36
Main Authors: Whitney, Susan L, Sparto, Patrick J
Format: Article
Language:English
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:BACKGROUND AND PURPOSE:Eye movements may be adversely affected after mild traumatic brain injury (mTBI) and should be examined. The purpose of this topical review is to provide the clinician with the most up-to-date knowledge related to eye movement abnormalities, screening measures, and evidence related to exercise interventions that are designed to enhance outcomes in persons after mTBI. SUMMARY OF KEY POINTS:Presence of eye misalignment such as tropias or phoria or symptoms with head/eye movements such as vestibulo-ocular reflex (VOR) × 1, saccades, or smooth pursuits may slow the personʼs recovery. Tools such as the Convergence Insufficiency Symptom Survey, the Vestibular/Ocular Motor Screening, the Pediatric Vestibular Symptom Questionnaire, and the Pediatric Visually Induced Dizziness questionnaire may aid in identifying visual concerns to target in the physical therapy intervention program. There is emerging evidence that vestibular rehabilitation enhances recovery in persons after mTBI. RECOMMENDATIONS FOR CLINICAL PRACTICE:A thorough eye examination is highly recommended after mTBI to identify targeted areas for intervention.
ISSN:1557-0576
1557-0584
DOI:10.1097/NPT.0000000000000272