Journal of Rehabilitation Research & Development (JRRD)

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Volume 47 Number 3, 2010
   Pages 183 — 200

Abstract — Accommodation in mild traumatic brain injury

Wesley Green, MS;1 Kenneth J. Ciuffreda, OD, PhD;1* Preethi Thiagarajan, BS Optom, MS;1 Dora Szymano-wicz, BS;1 Diana P. Ludlam, BS, COVT;1 Neera Kapoor, OD, MS2
Departments of 1Vision Sciences and 2Clinical Sciences, The State University of New York/State College of Optometry, New York, NY

Abstract — Accommodative dysfunction in individuals with mild traumatic brain injury (mTBI) can have a negative impact on quality of life, functional abilities, and rehabilitative progress. In this study, we used a range of dynamic and static objective laboratory and clinical measurements of accommodation to assess 12 adult patients (ages 18-40 years) with mTBI. The results were compared with either 10 control subjects with no visual impairment or normative literature values where available. Regarding the dynamic parameters, responses in those with mTBI were slowed and exhibited fatigue effects. With respect to static parameters, reduced accommodative amplitude and abnormal accommodative interactions were found in those with mTBI. These results provide further evidence for the substantial impact of mTBI on accommodative function. These findings suggest that a range of accommodative tests should be included in the comprehensive vision examination of individuals with mTBI.

Key words: accommodation, accommodative dysfunction, brain injury, head injury, rehabilitation, TBI, traumatic brain injury, vision, vision rehabilitation, visual dysfunction.

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Last Reviewed or Updated  Thursday, April 29, 2010 1:24 PM