Oculomotor Assessment in Concussion

presented by Anne Mucha, DPT, MS, NCS

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Financial: Anne Mucha receives compensation from MedBridge for this course. Anne Mucha is a provider of continuing education for APTA and other entities.

Non-Financial: Anne Mucha has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 84 Minutes, Learning Assessments: 36 Minutes

After a concussion, oculomotor system dysfunction is common and may cause headaches, blurred vision, and functional difficulty with activities such as reading and computer work. Physical therapists and occupational therapists who treat patients with concussions need to be able to screen and evaluate for oculomotor impairment. The Vestibular/Ocular Motor Screening (VOMS) is one tool that can assist clinicians in identifying important vestibular and oculomotor system deficits after a concussion. In this course, Dr. Mucha will review the VOMS and how to interpret findings. Additionally, she will discuss other important aspects of the oculomotor examination beyond the VOMS, including pursuits, saccades, vergence, accommodation, and ocular alignment testing. A review of abnormal findings, as well as when referral to another provider is needed, will be discussed. Finally, Dr. Mucha will perform a demonstration of the VOMS and other aspects of the clinical oculomotor examination.

Meet Your Instructor

Anne Mucha, DPT, MS, NCS

Anne Mucha is the coordinator of vestibular rehabilitation for the University of Pittsburgh Medical Center Sports Medicine Concussion Program and Centers for Rehab Services. She is a board-certified clinical specialist in neurologic physical therapy with advanced certification in vestibular rehabilitation. With more than 20 years of experience treating individuals with neurologic conditions, she is also…

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1. The Vestibular/Ocular Motor Screening (VOMS)

Concussion often results in a multitude of issues, including impairments in the vestibular and visual systems. Therapists who work with patients following a concussion, regardless of area of practice, should be able to screen for relevant vestibular and oculomotor impairment. This chapter will review and demonstrate the Vestibular/Ocular Motor Screening (VOMS) tool, including how to interpret findings.

2. Oculomotor Examination for Therapists Beyond the VOMS: Pursuits, Saccades, Vergence, and Accommodation

Effective concussion management requires proper assessment of the oculomotor system. As therapists are often not exposed to oculomotor examination techniques in their entry-level curriculum, this course will review key elements of the clinical oculomotor exam—including the assessment of pursuits, saccades, vergence, and accommodative function—through lecture and demonstration.

3. Oculomotor Examination for Therapists Beyond the VOMS: Ocular Alignment

Various oculomotor system impairments occur frequently following a concussion and may complicate recovery. This chapter will expand upon the previous oculomotor screening and exam chapters and conclude with a review of ocular alignment testing and demonstration. Implications of abnormal findings will be discussed.

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