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Concussion Clinical Application: Ocular

Presented by Mary Ann Roelke

Concussion Clinical Application: Ocular

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Vision problems are common after a concussion and can impact reading, balance, and daily function. This course explores the evaluation and treatment of ocular dysfunction, including convergence, divergence, accommodation issues, and perspectives from multiple disciplines regarding oculomotor control training. Participants will learn when to refer to eye specialists, how to integrate functional vision strategies, and best practices for symptom management. This course provides practical tools for addressing postconcussion visual impairments.

Learning Objectives
  • Analyze the impact of oculomotor dysfunction on occupational performance, including activities such as reading, driving, and self-care tasks
  • Determine appropriate clinical assessments for evaluating visual integrity and efficiency in patients with postconcussion syndrome
  • Implement evidence-based intervention strategies to address visual deficits related to concussion in outpatient rehabilitation settings
  • Examine the role of interdisciplinary collaboration, including referrals to vision specialists, in the management of oculomotor dysfunction
  • Plan an occupation-based treatment approach integrating visual rehabilitation techniques to support return to meaningful daily activities

Meet your instructor

A smiling woman with shoulder-length brown hair and glasses wears a red blazer before a white background, associated with medbridge.

Mary Ann Roelke

Dr. Mary Ann Roelke is a distinguished expert in adult neurologic rehabilitation at UnityPoint Health–Meriter Hospital in Madison, Wisconsin. After earning her postprofessional doctoral degree from Creighton University, she made significant contributions to the field by publishing qualitative research on concussion…

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Chapters & learning objectives

Concept Review and Eye Function

1. Concept Review and Eye Function

This chapter reviews the visual system, common postconcussion ocular symptoms, and foundational vision assessment frameworks. Participants will learn about key functions such as convergence, divergence, and accommodation and their impact on daily activities.

Evaluation

2. Evaluation

This chapter covers assessment tools, including the CP Screen, VOMS, and eye alignment tests, to identify visual impairments. It also discusses when to refer to optometry, ophthalmology, and neuro-ophthalmology for specialized care.

Discipline-Specific Perspectives on Oculomotor Training

3. Discipline-Specific Perspectives on Oculomotor Training

This chapter explores different professional perspectives on vision therapy, oculomotor training, and functional rehabilitation. It provides insight into evidence-based approaches while emphasizing interdisciplinary collaboration.

Case Study and Intervention

4. Case Study and Intervention

Through a case study, this chapter demonstrates how to apply vision-related interventions, including symptom management, environmental modifications, and functional training. It highlights clinical reasoning for addressing vision impairments within a therapy framework.

Summary

5. Summary

This chapter summarizes overarching ideas implemented with evaluations and interventions. Activity analysis and the CO-OP approach of “goal, plan, do, check” is used to help move a person toward sleep restoration and a return of their life roles and identity.