The Association between Baseline Eye Tracking Performance and Concussion Assessments in High School Football Players.
The Association between Baseline Eye Tracking Performance and Concussion Assessments in High School Football Players.
复制标题
DOI：
10.1097/opx.0000000000001737
复制
发表时间：
2021-07-01
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
脑震荡是一种复杂的损伤，需要进行多方面的测试。脑震荡后的视力障碍很常见，但目前尚不清楚眼球跟踪在损伤后可能会受到什么影响，以及它与其他临床脑震荡评估的关系。(1)检查眼球跟踪性能(BOX分数)与其他常见脑震荡评估之间的关系；(2)确定眼球跟踪是否增加了新的信息以增强基线脑震荡评估；以及(3)检查年龄、脑震荡病史和ADHD对眼球跟踪和其他眼科测量的影响。102名男性高中足球运动员(年龄：16.0，95%可信区间：15.8，16.2)在季前基线评估中完成了一系列视觉和神经认知测试。主要观察指标为BOX评分、NPC距离、BAA距离、SAC评分和撞击综合评分。BOX评分与症状、SAC评分、NPC距离、BAA距离或任何冲击综合评分均无显著相关性。年龄、脑震荡病史、注意缺陷多动障碍和踢足球年数与脑震荡得分和鼻咽癌距离无关，但脑震荡病史与较大的下丘脑动脉距离有显著相关性(β=1.6 0；95%可信区间=0.19~3.0 1；P=0.0 3)。以10分为界值的假阳性率为12%。眼球跟踪与常用的临床脑震荡评估没有显著相关性。这些结果表明，一个客观的眼球跟踪变量可能是当前脑震荡电池的一个有价值的补充。
Concussions are complex injuries that require a multifaceted testing battery. Vision impairments are common following concussion, but it is unknown exactly how eye tracking may be affected following injury and how it is associated with other clinical concussion assessments. (1) examine the relationship between eye tracking performance (BOX score) and other common concussion evaluations, (2) identify if eye tracking adds novel information that augments baseline concussion evaluations, and (3) examine the effect of age, concussion history, and ADHD on eye tracking and other ophthalmological measures. 102 male high school football athletes (age: 16.0, 95% CI: 15.8, 16.2) completed a series of visual and neurocognitive tests during their pre-season baseline assessment. The main outcome measures were BOX score, NPC distance, BAA distance, SAC score, and ImPACT composite scores. BOX score was not significantly associated with symptoms, SAC score, NPC distance, BAA distance, or any ImPACT composite scores. Age, concussion history, ADHD, and number of prior years playing football were not significantly associated with BOX score or NPC distance, but there was a significant association between concussion history and greater BAA distance (β=1.60; 95% confidence interval = 0.19–3.01; P = 0.03). The BOX score cutoff of 10 resulted in a 12% false positive rate. Eye tracking was not significantly associated with the commonly used clinical concussion assessments. These results suggest that an objective eye tracking variable may be a valuable addition to the current concussion battery.