ArticleOptometry and vision science : official publication of the American Academy of Optometry2017
Academic Difficulty and Vision Symptoms in Children with Concussion.
Article in Optometry and vision science : official publication of the American Academy of Optometry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 50 citations in OpenAlex.
- CONCUSS randomised clinical trial of vergence/accommodative therapy for concussion-related symptomatic convergence insufficiency.British journal of sports medicine · 2026Trial
- Visual Impairment and the Incidence of Concussions Among Youth Football Athletes.Orthopaedic journal of sports medicine · 2026Article
- Article
- Article
- Prognostic Utility of Oculomotor Assessments in Determining Return-to-Learn Time in Acutely Concussed College Student-Athletes: A Pilot Study.Neurotrauma reports · 2023Article
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
- Ambulatory Assessment in Concussion Clinical Care and Rehabilitation.Frontiers in digital health · 2022Article
- Article
- Characteristics of Concussion in Elementary School-Aged Children: Implications for Clinical Management.The Journal of pediatrics · 2020Article
- Utility of 1 Measurement Versus Multiple Measurements of Near Point of Convergence After Concussion.Journal of athletic training · 2020Article
- Peripheral Vestibular and Balance Function in Athletes With and Without Concussion.Journal of neurologic physical therapy : JNPT · 2019Article
- Review of the Management of Pediatric Post-Concussion Syndrome-a Multi-Disciplinary, Individualized Approach.Current reviews in musculoskeletal medicine · 2019Review
- Considerations for Testing and Treating Children with Central Vestibular Impairments.Seminars in hearing · 2018Review
- Neurosensory Deficits Vary as a Function of Point of Care in Pediatric Mild Traumatic Brain Injury.Journal of neurotrauma · 2018Article
- Understanding the effects of mild traumatic brain injury on the pupillary light reflex.Concussion (London, England) · 2017Review
- Neurosensory Screening and Symptom Provocation in Pediatric Mild Traumatic Brain Injury.The Journal of head trauma rehabilitationArticle
- Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicineReview
- The Effect of in-Service Methodology on Learning Transfer for School Personnel Managing Students following Concussion.SAGE open nursingArticle
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 2 countries.
Funding
Abstract
purposeAcademic difficulty is reported in children with prolonged post-concussive symptoms. Despite growing evidence that vestibular-ocular and vision-specific dysfunction are common in children after concussion, vision is rarely mentioned in return-to-learn protocols. The purpose of this project was to evaluate a cohort of children with prolonged post-concussive symptoms to determine if vision symptoms are associated with those reporting academic difficulty.
methodsData were obtained from the Children's of Alabama Concussion Clinic REDCap dataset from the period January 2007 to October 2013. From this dataset of 1033 concussion events, a cohort of 276 children aged 5 to 18 years with three or more concussion-related symptoms present for 10 days or more was identified. A cross-sectional cohort study was undertaken to evaluate the association of concussion symptoms, SCAT2 scores, and demographic and concussion severity markers to reported educational difficulty among children with prolonged post-concussive symptoms. Univariate and multivariate logistic regression techniques were used to model the association of reported educational difficulty to self-reported vision abnormalities.
resultsMean age was 13.8 years. Median time since the concussive event was 21 days, with 33% (95/276) reporting their concussion more than 30 days before data collection. Academic difficulty was reported by 29% (79/270) and vision abnormalities in 46% (128/274). After model reduction, vision symptoms (OR 2.17, 95% CI 1.02, 4.62), hearing disturbance (OR 2.39, 95% CI 1.06, 5.36), and concentration difficulty (OR 21.62, 95% CI 9.50, 44.47) remained associated with academic difficulty. For those with symptoms 30 days or more after concussion, only vision (OR 3.15, 95% CI 1.06, 9.38) and concentration difficulty (OR 15.33, 95% CI 4.99, 47.05) remained statistically significant.
conclusionsVision problems were commonly reported in children with concussions and were independently associated with those reporting academic difficulty. Comprehensive vision assessment should be considered in children reporting academic difficulty and in the development of return-to-learn protocols.
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Registered trials
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