Authors

  1. Buttner, Fionn BSc
  2. Howell, David R. PhD
  3. Doherty, Cailbhe PhD
  4. Blake, Catherine PhD
  5. Ryan, John MBBS, FRCEM, FRCSEd, FFSEM, DCH, DipSportsMed
  6. Delahunt, Eamonn PhD

Abstract

Objectives: To investigate (i) the presence of vestibular and oculomotor impairments and (ii) the self-perceived effects of concussion-associated dizziness on health-related quality of life among amateur athletes 6 months and 1 year following sport-related concussion compared with nonconcussed, control athletes.

 

Design: Prospective, matched-cohort study.

 

Setting: Clinical assessment laboratory.

 

Participants: Amateur athletes who were diagnosed with sport-related concussion within 1 week of injury, and sex-, age-, and activity-matched nonconcussed, control athletes.

 

Main Measures: Participants were evaluated 6 months and 1 year following sport-related concussion and enrollment in the longitudinal study using the Vestibular and Oculo-Motor Screening and the Dizziness Handicap Inventory. We performed multivariate analyses of variance and chi-square analyses to compare concussion and control group scores at each study assessment.

 

Results: Forty-seven participants with concussion and 47 control participants completed the study. The concussion group reported similar mean symptom provocation scores on the Vestibular and Oculo-Motor Screening and exhibited a similar near-point convergence distance compared with the control group at the 6-month and 1-year study assessments. The concussion and control groups had similar perceptions of the effects of dizziness on their health-related quality of life at both study assessments.

 

Conclusion: Meaningful differences in vestibular and oculomotor symptom provocation and self-perceived effects of dizziness on everyday life were not observed between concussed and nonconcussed, control athletes 6 months and 1 year following sport-related concussion.