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Dynamic Visual Acuity and Cervical Proprioception Following Adolescent Concussion

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MLA citation style (9th ed.)

Cornwell, Pam. Dynamic Visual Acuity and Cervical Proprioception Following Adolescent Concussion. . 0630. uindy.hykucommons.org/concern/etds/067e698f-0c75-4840-b501-57fd8ef84086?locale=en.

APA citation style (7th ed.)

C. Pam. (0630). Dynamic Visual Acuity and Cervical Proprioception Following Adolescent Concussion. https://uindy.hykucommons.org/concern/etds/067e698f-0c75-4840-b501-57fd8ef84086?locale=en

Chicago citation style (CMOS 17, author-date)

Cornwell, Pam. Dynamic Visual Acuity and Cervical Proprioception Following Adolescent Concussion. 0630. https://uindy.hykucommons.org/concern/etds/067e698f-0c75-4840-b501-57fd8ef84086?locale=en.

Note: These citations are programmatically generated and may be incomplete.

Creator
Abstract
  • Prolonged dizziness is common among adolescents after a concussion. The source of dizziness can be multi-factorial involving the vestibular, ocular, or cervical sensorimotor pathways which make treatment challenging. Research has shown a high prevalence of abnormal Dynamic Visual Acuity (DVA) in adolescents following a concussion despite a lack of objective Vestibular Ocular Reflex impairments. The purpose of this study was to examine factors correlated with DVA and cervical proprioception in adolescents with dizziness after a concussion. This quantitative, non-experimental study used a correlational design and gathered data on 14 adolescents between 12 and 18 years of age referred to vestibular physical therapy after a concussion. Data were collected on participants’ characteristics and objective measures including DVA, Cervical Joint Position Error Test (JPET), Vestibular/ocular motor screening (VOMS), neck pain, and contact versus non-contact sports involvement. Using Pearson and Spearman rho, correlations among variables were examined. No associations were identified between DVA and Cervical JPET and most participants scored below clinical cut-offs. Negative moderate statistically significant correlations were found between DVA scores and the number of PT visits and between the average Cervical JPE measures and participant’s age. Mann-Whitney U and independent t tests were used to identify differences between participants' type of sport and with or without neck pain. Contact sport participation yielded a statistical difference for Cervical JPET but not DVA. No statistical differences were found between neck pain groups for primary variables. The results highlight the importance of a comprehensive evaluation following a concussion. Future research to better understand prolonged dizziness among adolescents after a concussion is necessary.

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Date
Type
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Degree
  • Doctor of Health Science

Level
  • Doctoral

Discipline
  • College of Health Sciences

Grantor
  • University of Indianapolis

Committee member
  • Laura Morris, PT, NCS

  • Elizabeth S. Moore, PhD

  • Stephanie Miller, PT, PhD, NCS

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