Concussion, Brain, Head Injury, Sport Injury
Conditions
Brief summary
The purpose of this study is to determine the value of including dynamic vision testing into California State University, Northridge (CSUN) Athletics' established concussion protocol. The study's hypotheses are 1) dynamic vision testing will reveal vision impairments right after a person sustains a concussion, 2) these impairments may still be present upon clearance to return to play.
Detailed description
The subjects of interest are CSUN student-athletes who give consent to participate in the study. Dynamic vision will be assessed through the administration of the Dynamic Visual Acuity (DVA) test and the Gaze Stabilization Test (GST). Additionally, the 6-condition Balance Error Scoring System (BESS), which is currently a component of CSUN's established concussion protocol, will be administered to assess balance impairments. This cluster of tests will be administered three times per athlete: (1) during preseason to establish baseline measures, (2) acutely post-concussion once the athlete subject has been cleared by the team physician for return to exercise, and (3) when cleared to return to sport. The results will be used to evaluate whether or not dynamic vision results have returned to baseline by the time that CSUN Athletics clears the athlete to Return to Play.
Interventions
DIAGNOSTIC_TESTDynamic Vision Testing (Bertec Vision Advantage System) and Balance Error Scoring System
Assessment tool and computerized tests designed to evaluate postural stability and vestibulo-ocular reflex (VOR) function while assisting with return to play decision after a sports-related concussion.
Sponsors
California State University, Northridge
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* • California State University Northridge athletes * Participants are able to give consent to participate in the study * Completion of preseason testing for the 6-condition, BESS, DVA, GST with the research team * Sustained a concussion as diagnosed by the medical staff during the 2020-2021 season of play. * Sampling of convenience on a volunteer basis
Exclusion criteria
* • Athletes with preseason baseline tests on BESS or DVA that are not within the normative value range for an unimpaired individual. * The initial 6- condition BESS score is \>20 errors * The subject is unable to attain a minimum of 85 degrees per second of horizontal head rotation when performing the DVA test.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 6-Condition BESS | October 1, 2021 - October 1, 2024 | Number of errors and time subject was able to hold position |
| Gaze Stabilization Test (GST) | October 1, 2021 - October 1, 2024 | Maximum head velocity in degrees/second |
| Dynamic Visual Acuity (DVA) | October 1, 2021 - October 1, 2024 | Log of minimal angle resolvable units (LogMAR). The number of lines on an eye chart that are lost with head moving (DVA) compared to the head steady condition, known as static visual acuity (SVA) |
Countries
United States
Contacts
Primary ContactAimie Kachingwe, Dr
Backup ContactMargaret Roller, Dr
Outcome results
None listed