ArticleVision research2021
Vergence, accommodation, and visual tracking in children and adolescents evaluated in a multidisciplinary concussion clinic.
Article in Vision research, 2021. 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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The trial behind it
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Who cites it
18 citing papers in PubMed, 24 citations in OpenAlex.
- CONCUSS randomised clinical trial of vergence/accommodative therapy for concussion-related symptomatic convergence insufficiency.British journal of sports medicine · 2026Trial
- Maximal aerobic exercise and acute visual performance in females: Implications for concussion side-line testing.Journal of optometryTrial
- Effectiveness of office-based vergence/accommodative therapy with movement for accommodative dysfunction in concussion-related convergence insufficiency: a secondary analysis of the CONCUSS randomised clinical trial.British journal of sports medicine · 2026Article
- Evaluating post-concussion symptom profiles using the convergence insufficiency symptom survey in a pediatric and adolescent cohort.Frontiers in neuroscience · 2026Article
- Long-term test and retest reliability of clinical vergence testing.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Article
- Post-concussion clinical findings of oculomotor function in paediatric patients with persisting symptoms compared to healthy controls.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Article
- A Study on Optometrists' Knowledge, Awareness, and Management of Traumatic Brain Injury-Related Visual Disorders in Saudi Arabia.Healthcare (Basel, Switzerland) · 2025Article
- Visual Dysfunctions in Mild Traumatic Brain Injury: A Focus on Accommodative System Impairments.Life (Basel, Switzerland) · 2025Review
- Scoping review: Intervention for ocular motor disorders in children and adults with mild traumatic brain injury.Optometry and vision science : official publication of the American Academy of Optometry · 2025Article
- Functional activity changes after vergence and accommodative rehabilitation of concussion-related convergence insufficiency: CONCUSS clinical trial fMRI results.Frontiers in neuroscience · 2025Article
- The effects of color and neutral density filters on dynamic accommodation in individuals with mild traumatic brain injury.Frontiers in neuroscience · 2025Article
- Functional Vision Questionnaire Detects Near Triad Impairments in Adolescent Athletes With Concussion History.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2024Article
- Accommodative and Vergence Responses to a Moving Stimulus in Concussion.Investigative ophthalmology & visual science · 2024Article
- OculoMotor & Vestibular Endurance Screening (MoVES) Normative, Repeatability, and Reliability Data.Brain sciences · 2024Article
- Efferent compared to afferent neural substrates of the vergence eye movement system evoked via fMRI.Frontiers in neuroscience · 2024Article
- Precision Concussion Management: Approaches to Quantifying Head Injury Severity and Recovery.Brain sciences · 2023Review
- Impact of traumatic brain injury on vision.Vision research · 2023Article
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Many patients with concussion experience visual symptoms following injury that lead to a diagnosis of convergence insufficiency, accommodative insufficiency, or saccadic dysfunction. However, these diagnostic categories are based on aggregates of clinical tests developed from a non-concussed population and therefore may not accurately describe visual deficits in the concussed population. Thus, we sought to understand individual metrics of visual dysfunction in chronically symptomatic post-concussion patients. This retrospective cross-sectional study included patients examined at the multidisciplinary concussion clinic (MDCC) at Boston Children's Hospital over four years. Patients aged 5-21 years who had a complete assessment of eye alignment, vergence, accommodation, and visual tracking, and had visual acuity better than or equal to 20/30 in each eye were included. Patients with history of amblyopia, strabismus, or ocular pathology were excluded. Chart review yielded 116 patients who met inclusion criteria (median age 15 years, 64% female). The majority of patients (52%) experienced a single concussion and most were sports-related (50%). Clinical data show vergence, accommodation, or visual tracking deficits in 95% of patients. A receded near point of convergence (NPC, 70/116) and reduced accommodative amplitude (63/116) were the most common deficits. Both NPC and accommodative amplitude were significantly correlated with one another (r = -0.5) and with measures of visual tracking (r = -0.34). Patients with chronic post-concussion symptoms show deficits in individual metrics of vergence, accommodation and visual tracking. The high incidence of these deficits, specifically NPC and accommodative amplitude, highlights the need for a detailed sensorimotor evaluation to guide personalized treatment following concussion.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.