Iring-Sanchez Stephanie, Dungan Michaela E, Jones Andrew, Malakhov Mitchell, Mohan Stuti, Yaramothu Chang
Massachusetts Eye and Ear, Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA 02114, USA.
School of Applied Engineering and Technology, New Jersey Institute of Technology, Newark, NJ 07102, USA.
Brain Sci. 2024 Jul 14;14(7):704. doi: 10.3390/brainsci14070704.
This study aims to assess oculomotor and vestibular endurance by utilizing the Oculomotor and Vestibular Endurance Screening (MoVES) assessment in athletes' pre-season and post-season and after a suspected head injury to detect impairment. Athletes ( = 311, 19.4 ± 1.3 years) were recruited to perform the following seven tasks: (1) horizontal saccades, (2) vertical saccades, (3) vergence jumps, (4) horizontal vestibular-oculomotor reflex (VOR), (5) vertical VOR, (6) amplitude of accommodation (AoA), and (7) near point of convergence (NPC). At pre-season, the observed number of eye movements in 60 s are horizontal saccades (74 ± 13 initial 30 s; 67 ± 11 latter 30 s), vertical saccades (70 ± 13; 66 ± 10), vergence jumps (48 ± 12; 45 ± 13), horizontal VOR (38 ± 11; 38 ± 11), and vertical VOR (8 ± 11; 38 ± 11). These results establish a normative database for eye movements within the MoVES assessment and show consistency in the number of movements from pre-season to post-season. The initial results show a trending decrease in the number of eye movements in the initial days post-head injury, which improves to pre-season measures 14-21 days post-injury. This foundation can be used by future studies to explore the extent of binocular and vestibular endurance dysfunctions caused by head injuries that subside within two weeks.
本研究旨在通过在运动员赛季前、赛季后以及疑似头部受伤后使用动眼和前庭耐力筛查(MoVES)评估来评估动眼和前庭耐力,以检测损伤情况。招募了运动员(n = 311,19.4±1.3岁)来执行以下七项任务:(1)水平扫视,(2)垂直扫视,(3)聚散跳跃,(4)水平前庭眼反射(VOR),(5)垂直VOR,(6)调节幅度(AoA),以及(7)集合近点(NPC)。在赛季前,60秒内观察到的眼动次数为水平扫视(最初30秒74±13次;后30秒67±11次)、垂直扫视(70±13次;66±10次)、聚散跳跃(48±12次;45±13次)、水平VOR(38±11次;38±11次)以及垂直VOR(8±11次;38±11次)。这些结果建立了MoVES评估中眼动的标准数据库,并显示了从赛季前到赛季后运动次数的一致性。初步结果显示,头部受伤后的最初几天眼动次数呈下降趋势,在受伤后14 - 21天恢复到赛季前水平。该基础可供未来研究用于探索两周内消退的头部损伤所导致的双眼和前庭耐力功能障碍的程度。