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Oculomotor and balance deficits in the concussed population

What clinical tests can be used to predict persistent concussion symptoms?

Concussion symptoms can range from a variety of presentations, including: dizziness, headache, balance deficits, and visual changes. After sustaining mild Traumatic Brain Injury (mTBI), symptoms may develop and persist, and go on to become classified as post concussion syndrome (PCS) if persisting beyond three months. This paper closely examined some of the most common concussion symptoms, and evaluated the ongoing deficits of those who sustained a concussion between three months and two years ago.

A correlation between FGA scores and persistence concussion symptoms was found. Additionally, subjective reporting on the DHI can be insightful for a multidisciplinary team approach to managing concussion, especially since it is divided into further subcategories of emotional and functional deficits.

While many of the objective tests and subjective assessment tools highlighted in this study are commonplace in current concussion assessment, the findings seem to support a multi-disciplinary approach to address concussion symptoms. The tests and measures also can be useful in identifying those who may be at risk of persistent/ chronic symptoms following mTBI.

> From: D'Silva et al., Front Neurol 12 (2021) 642457 (Epub ahead of print). All rights reserved to The Author(s). Click here for the online summary.

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