Onodera Hidetaka, Mogamiya Takuma, Yatabe Kanaka, Fujiya Hiroto, Murata Hidetoshi
Department of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital, Kanagawa, Japan.
Department of Rehabilitation Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Kanagawa, Japan.
Sports Med Int Open. 2024 Mar 12;8:a21831077. doi: 10.1055/a-2183-1077. eCollection 2024.
Ocular motility has been linked to Sports Concussion Assessment Tool 5 scores. However, the link between ocular motility changes and assessment result changes remains unclear. Hence, we investigated that potential link in patients with sports-related concussions. We retrospectively included participants aged≥18 years who were diagnosed with a sports-related concussion. They underwent smooth pursuit eye movement assessment for allocation to the good improvement (rate of fundamental frequency≥15%) or minor improvement (<15%) groups. Sports Concussion Assessment Tool 5 scores were determined at baseline and two weeks later, and score changes were compared between the groups. Thirteen men (mean±standard deviation age: 20.6±5.0 years) were included: eight (19.0±4.5 years) in the good improvement group and five (20.6±5.7 years) in the minor improvement group. Symptom number (median=2.0 vs. 0.0), symptom severity (median=22.0 vs. 3.0), single-leg stance (median=4.0 vs. 0.5), tandem stance (median=1.0 vs. 0.0), and total errors (median=5.0 vs. 0.5) were worse (all p<0.05) in the minor improvement group. Smooth pursuit eye movement improvements measured using eye-tracking technology was linked to symptom recovery in patients with sports-related concussions. Therefore, ocular motility may be an objective indicator of sports-related concussions. Future studies with more patients are needed to confirm these findings.
眼球运动与运动性脑震荡评估工具5评分相关。然而，眼球运动变化与评估结果变化之间的联系仍不明确。因此，我们对与运动相关脑震荡患者的这种潜在联系进行了调查。我们回顾性纳入了年龄≥18岁、被诊断为与运动相关脑震荡的参与者。他们接受了平稳跟踪眼球运动评估，以分配到改善良好组（基频率≥15%）或改善较小组（<15%）。在基线和两周后测定运动性脑震荡评估工具5评分，并比较两组之间的评分变化。纳入了13名男性（平均±标准差年龄：20.6±5.0岁）：改善良好组8名（19.0±4.5岁），改善较小组5名（20.6±5.7岁）。改善较小组的症状数量（中位数=2.0对0.0）、症状严重程度（中位数=22.0对3.0）、单腿站立（中位数=4.0对0.5）、前后站立（中位数=1.0对0.0）和总错误数（中位数=5.0对0.5）均更差（所有p<0.05）。使用眼动追踪技术测量的平稳跟踪眼球运动改善与与运动相关脑震荡患者的症状恢复相关。因此，眼球运动可能是与运动相关脑震荡的一个客观指标。需要更多患者参与的未来研究来证实这些发现。
