Vision disorders in adolescents following concussion

青少年脑震荡后视力障碍

• 批准号: 10056506
• 负责人: LISA A Jordan
• 金额: $ 29.43万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10056506
• 关键词: 18 year old; Adolescent; Affect; Area; Asthenopia; Blurred vision; Brain Concussion; Child; Childhood; Clinical; Clinical Trials; Collaborations; Communities; Cross-Sectional Studies; Data; Diagnosis; Diplopia; Disease; Eligibility Determination; Epidemiology; Evaluation; Eye Movements; Fatigue; Frequencies; Functional disorder; Funding; Future; Goals; Grant; Headache; Health Personnel; Injury; Intervention; Literature; Manuals; Medical; Memory; Natural History; Nausea; Neurology; Outcome; Participant; Physicians; Play; Primary Health Care; Procedures; Process; Protocols documentation; Provider; Reading; Recording of previous events; Recovery; Recruitment Activity; Reporting; Research; Research Design; Resolution; Retrospective Studies; Role; Saccades; Schools; Speed; Sports Medicine; Standardization; Symptoms; Testing; Time; United States; Vertigo; Vision; Vision Disorders; Vision Tests; Visit; Visual; Youth; age group; clinical center; cognitive ability; cognitive function; cognitive performance; cognitive task; common symptom; comorbidity; comparative; comparison group; concussive symptom; evidence base; healthcare community; improved; multidisciplinary; prospective; recruit; retention rate; sample fixation; standard of care; visual motor

7. Project Summary Approximately 3.6 million concussions occur every year in the United States. The largest affected group is 11- to 18-year-olds, and the diagnosis of concussion in that age group is increasing. Children and adolescents are particularly vulnerable to the harmful effects of concussion because their higher-level cognitive functions are still developing. Although many adolescents fully recover from their concussion within four weeks, a significant number of adolescents have a prolonged recovery that may last weeks or even months. Common symptoms reported during the recovery from concussion are difficulty concentrating, blurred and/or double vision, losing one’s place when reading, and headaches. At least one vision disorder is reported to be present in 40-70% of adolescents with concussion. Persistent vision disorders during the recovery period are associated with decreased cognitive function and may be associated with prolonged concussion recovery. Despite the reported frequency of vision disorders in adolescents with concussion and the clear overlap in non-visual symptoms for concussion and vision disorders, it is still unclear what role vision disorders may play in the recovery process and their longer-term impact. Through two specific aims we will: 1) Demonstrate feasibility of high participant accrual and retention rates at 10-day, one-month, and three-month visits in concussed adolescents and in a concurrent group of non-concussed adolescents for comparative purposes; and 2) Optimize our vision test battery and develop a comprehensive manual of procedures for our natural history study on vision disorders in adolescents with concussion. Our long-term goal is to conduct a future multi-center, multidisciplinary natural history study to inform the healthcare community about vision disorders and their association with cognitive abilities throughout the recovery process.

7。项目摘要 每年在美国进行大约360万次咨询。受影响最大的 组为11至18岁，该年龄段的咨询诊断正在增加。 儿童和青少年特别容易受到咨询的有害影响，因为 他们的高级认知功能仍在发展。尽管许多青少年完全康复 从四周内的咨询中，许多青少年延长了 恢复可能持续几周甚至几个月。恢复期间报告的常见符号 从咨询中很难集中，模糊和/或双重视觉，当 阅读和标题。据报道，至少有一种视力障碍存在于40-70％ 咨询的青少年。恢复期间持续的视力障碍是 与认知功能降低相关，可能与延长咨询有关 恢复。尽管据报道，在咨询和 咨询和视力障碍的非视觉症状的明显重叠，目前尚不清楚 在恢复过程及其长期影响中，角色视力障碍可能会发挥哪些作用。通过 我们将要有两个具体的目标：1）证明高音和保留率的可行性 在脑震荡的青少年和并发小组中，为期10天，一个月和三个月的访问 出于比较目的的非引起人们的青少年； 2）优化我们的视力测试电池 并为我们的自然史研究制定全面的程序手册 青少年的疾病与咨询。我们的长期目标是进行未来的多中心 多学科自然历史研究，以告知医疗社区有关视力障碍 以及他们在整个恢复过程中与认知能力的联系。