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A large proportion of concussion patients with long-term consequences of concussion experience visually related symptoms such as headache, blurred vision, double vision, and fatigue.
These patients often have difficulties coordinating the movement of the two eyes (convergence insufficiency) which is essential for single and clear vision to be obtained and is hence a likely explanation for the symptoms.
100 patients with long-term symptoms of concussion and convergence insufficiency will be offered either exercises or placebo treatment the evaluate the effect of exercises aimed at improving coordination between the two eyes.
The study will provide data to support clinicians in deciding whether to use exercises or not as a treatment of symptoms for patients with convergence insufficiency as a long-term consequence of concussion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vergence exercises | Experimental | Orthoptic vergence exercises |
|
| Generic treatment | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vergence exercises (Orthoptic exercises) | Other | Vergence exercises as described by the Convergence Insufficiency Treatment Trials Group (CITT) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Convergence Insufficiency Symptom Survey (CISS) week 18 | Questionnaire assessing the frequency of eye and visually related symptom during near work | Duration (5 minutes) and performed at week 18 |
| Convergence Insufficiency Symptom Survey (CISS) week 36 | Questionnaire assessing the frequency of eye and visually related symptom during near work | Duration (5 minutes) and performed at week 36 |
| Near point of convergence - week 18 | Psychophysical test of the eyes ability to converge | Duration (2 minutes) and performed at week 18 |
| Near point of convergence - week 36 | Psychophysical test of the eyes ability to converge | Duration (2 minutes) and performed at week 36 |
| Positive fusional vergence at 40 cm - week 18 | Psychophysical test of the slow fusional adaptation | Duration (2 minutes) and performed at week 18 |
| Positive fusional vergence at 40 cm - week 36 | Psychophysical test of the slow fusional adaptation | Duration (2 minutes) and performed at week 36 |
| Vergence facility at 40 cm - week 18 | Psychophysical test of fast fusional adaptation | Duration (2 minutes) and performed at week 18 |
| Measure | Description | Time Frame |
|---|---|---|
| Rivermead post-concussional symptoms questionnaire (RPQ) - week 18 | Questionnaire assessing the frequency of symptoms during activities of daily living | Duration (5 minutes) and performed at week 18 |
| Rivermead post-concussional symptoms questionnaire (RPQ) - week 36 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marianne L Maagaard, MSc | Contact | +45 22 91 92 01 | mlm@eadania.dk | |
| Ivan Nisted, MPH | Contact | +45 30 82 57 64 | ivn@eadania.dk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Danish College of Optometry and Vision Science | Recruiting | Randers | Central Region, Denmark | 8960 | Denmark |
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| ID | Term |
|---|---|
| D001924 | Brain Concussion |
| D015835 | Ocular Motility Disorders |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Randomized clinical trial
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| Placebo | Genetic | Generic management plan with non-visual elements |
|
| Vergence facility at 40 cm - week 36 | Psychophysical test of fast fusional adaptation | Duration (2 minutes) and performed at week 36 |
Questionnaire assessing the frequency of symptoms during activities of daily living |
| Duration (5 minutes) and performed at week 36 |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016489 | Head Injuries, Closed |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |
| D003389 | Cranial Nerve Diseases |
| D005128 | Eye Diseases |