Journal
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
Volume 51, Issue 2, Pages 175-191Publisher
JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2013.01.0027
Keywords
accommodation; accommodative dysfunction; accommodative training; acquired brain injury; mild traumatic brain injury; neuroplasticity; oculomotor learning; oculomotor rehabilitation; traumatic brain injury; vision rehabilitation
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Funding
- U.S. Department of Defense (DoD) [W81XWH-10-1-1041, W81XWH-12-1-0240]
- College of Optometrists in Vision Development
- SUNY graduate program
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Accommodative dysfunction is a common oculomotor sequelae of mild traumatic brain injury (mTBI). This study evaluated a range of dynamic (objective) and static (subjective) measures of accommodation in 12 nonstrabismic individuals with mTBI and near vision-related symptoms before and after oculomotor training (OMT) and placebo (P) training (6 wk, two sessions per week, 3 h of training each). Following OMT, the dynamics of accommodation improved markedly. Clinically, there was a significant increase in the maximum accommodative amplitude both monocularly and binocularly. In addition, the near vision symptoms reduced along with improved visual attention. None of the measures were found to change significantly following P training. These results provide evidence for a significant positive effect of the accommodatively based OMT on accommodative responsivity. Such improvement is suggestive of oculomotor learning, demonstrating considerable residual brain-visual system plasticity in the adult compromised brain.
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