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

RTL athletic trainer college concussion return to learn student-athlete

Journal

Neurotrauma reports
ISSN: 2689-288X
Titre abrégé: Neurotrauma Rep
Pays: United States
ID NLM: 101773091

Informations de publication

Date de publication:
2023
Historique:
medline: 28 8 2023
pubmed: 28 8 2023
entrez: 28 8 2023
Statut: epublish

Résumé

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 (

Identifiants

pubmed: 37636337
doi: 10.1089/neur.2023.0027
pii: 10.1089/neur.2023.0027
pmc: PMC10457635
doi:

Types de publication

Journal Article

Langues

eng

Pagination

515-521

Informations de copyright

© Maya Vanderhorst et al., 2023; Published by Mary Ann Liebert, Inc.

Déclaration de conflit d'intérêts

No competing financial interests exist.

Références

Vision (Basel). 2018 Aug 21;2(3):
pubmed: 31735897
Appl Neuropsychol Child. 2022 Jul-Sep;11(3):364-372
pubmed: 33428451
Musculoskelet Sci Pract. 2017 Dec;32:51-56
pubmed: 28866427
Am J Sports Med. 2018 Oct;46(12):NP64-NP66
pubmed: 30280934
Ophthalmic Physiol Opt. 2001 Sep;21(5):356-60
pubmed: 11563422
Optom Vis Sci. 2009 Nov;86(11):1287-94
pubmed: 19786929
Clin J Sport Med. 2018 Jan;28(1):13-20
pubmed: 29257777
Brain Inj. 2020 Jul 28;34(9):1193-1201
pubmed: 32697613
J Pediatr. 2014 Dec;165(6):1207-15
pubmed: 25262302
Br J Sports Med. 2017 Jun;51(11):838-847
pubmed: 28446457
Br J Sports Med. 2017 Jun;51(11):851-858
pubmed: 28446451
BMJ Open. 2021 Apr 20;11(4):e044487
pubmed: 33879486
Br J Sports Med. 2019 Feb;53(4):250
pubmed: 29500251
Curr Eye Res. 2020 May;45(5):636-644
pubmed: 31675903
Am J Sports Med. 2016 Jan;44(1):220-5
pubmed: 26582799
Optom Vis Sci. 2017 Jan;94(1):60-67
pubmed: 27668641
Med Sci Sports Exerc. 2020 Jun;52(6):1256-1262
pubmed: 31972629
Am J Sports Med. 2014 May;42(5):1197-203
pubmed: 24569704
Dialogues Clin Neurosci. 2015 Sep;17(3):327-35
pubmed: 26487813
Am J Sports Med. 2022 Mar;50(4):1106-1119
pubmed: 35179972
J Am Coll Health. 2022 Aug 9;:1-9
pubmed: 35943951
Am J Sports Med. 2016 Jan;44(1):226-33
pubmed: 26546304
Concussion. 2019 Sep 20;4(2):CNC63
pubmed: 31608152
Clin J Sport Med. 2020 May;30(3):203-209
pubmed: 32341286
JAMA Ophthalmol. 2020 Apr 1;138(4):350-357
pubmed: 32053162
J Neurosurg Pediatr. 2022 Jul 29;:1-8
pubmed: 35907196
Ophthalmic Physiol Opt. 2007 Jan;27(1):22-30
pubmed: 17239187
J Athl Train. 2022 Jul 1;57(7):678-687
pubmed: 33626145
Clin Optom (Auckl). 2022 Jun 02;14:83-92
pubmed: 35677714
JAMA Pediatr. 2019 Apr 1;173(4):319-325
pubmed: 30715132
Clin J Sport Med. 2013 Sep;23(5):339-42
pubmed: 23727697
J Athl Train. 2023 Feb 1;58(2):97-105
pubmed: 34709396
J Sci Med Sport. 2022 Nov;25(11):930-934
pubmed: 36130846
J Athl Train. 2016 Apr;51(4):329-35
pubmed: 27111584

Auteurs

Maya Vanderhorst (M)

Department of Public Policy, Rochester Institute of Technology, Rochester, New York, USA.

Alex Rawlings (A)

Department of Exercise Science, Rochester Institute of Technology, Rochester, New York, USA.

Megan Germansky (M)

Department of Exercise Science, Rochester Institute of Technology, Rochester, New York, USA.

Ayana Chodak (A)

Department of Exercise Science, Rochester Institute of Technology, Rochester, New York, USA.

Amanda Krohn (A)

Department of Athletics, Rochester Institute of Technology, Rochester, New York, USA.

Melissa Wilson (M)

Department of Athletics, Rochester Institute of Technology, Rochester, New York, USA.

Robert Bauman (R)

Department of Athletics, Rochester Institute of Technology, Rochester, New York, USA.

Benjamin Emke (B)

Department of Athletics, Rochester Institute of Technology, Rochester, New York, USA.

Robert Parody (R)

Department of Mathematics, Rochester Institute of Technology, Rochester, New York, USA.

Zachary W Bevilacqua (ZW)

Department of Exercise Science, Rochester Institute of Technology, Rochester, New York, USA.

Classifications MeSH