Near Point of Convergence Deficits and Treatment Following Concussion: A Systematic Review.

Journal of Sport Rehabilitation
Ashley L SantoElizabeth F Teel

Abstract

Convergence dysfunction following concussion is common. Near point of convergence (NPC) is a quick and easy assessment that may detect oculomotor dysfunction such as convergence insufficiency (CI), but NPC measurements are rarely reported. Convergence dysfunction is treatable in otherwise healthy patients; the effectiveness of oculomotor therapy following concussion is unclear. The purpose of this article was to systematically review the literature and answer the following clinical questions: (1) Is performance on NPC negatively affected in patients diagnosed with a concussion compared with pre-injury levels or healthy controls? (2) In patients diagnosed with concussion, what is the effect of oculomotor/vision therapy on NPC break measurements? The search was conducted in CINAHL, SPORTDiscus, MEDLINE, and PubMed using terms related to concussion, mild traumatic brain injury, convergence, vision, and rehabilitation. Literature considered for review included original research publications that collected measures of NPC break in concussion patients, with a pretest-posttest comparison or comparison with a healthy control group. A literature review was completed; 242 relevant articles were reviewed, with 18 articles meeting criteria...Continue Reading

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Citations

Oct 16, 2020·International Journal of Environmental Research and Public Health·Daniel Mon-LópezManuel Sillero-Quintana
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Jul 31, 2021·Optometry and Vision Science : Official Publication of the American Academy of Optometry·Jessie R OldhamDavid R Howell

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