{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:30:04Z","timestamp":1786692604356,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                    <jats:bold>Importance:<\/jats:bold>\n                    Occupational therapy practitioners\u2019 knowledge of and advocacy for clients with visual symptoms postconcussion can have a considerable impact on recovery.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To compare the frequency of vision symptoms and occupational performance deficits in a sample of participants with and without concussion.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design:<\/jats:bold>\n                    Cross-sectional study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting:<\/jats:bold>\n                    Sports medicine clinic.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants:<\/jats:bold>\n                    Adolescents and adults with concussion (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 20) and musculoskeletal injuries (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 19).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Outcomes and Measures:<\/jats:bold>\n                    Measures included monocular amplitude of accommodation, near point of convergence, Binocular Vision Assessment (BVA) computerized screening for phoria, BVA computerized screening for fusional vergence, the Developmental Eye Movement Test, the Canadian Occupational Performance Measure, and the Convergence Insufficiency Symptom Survey\u2013Concussion Version (CISS\u2013CON).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    We found significant differences between participants with and without concussion using the CISS\u2013CON (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .001), positive fusional vergence (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .02), and near point of convergence (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .02). Participants with concussion scoring above cutoffs on multiple measures reported poorer performance (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .005) and satisfaction (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .004) with valued occupations.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions and Relevance:<\/jats:bold>\n                    Concussion has a detrimental effect on vision and occupation, and occupational therapy practitioners are well-positioned to assess and address issues arising from this relationship.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Plain-Language Summary:<\/jats:bold>\n                    Vision symptoms commonly experienced after a concussion are associated with reduced occupational performance and satisfaction and can have a considerable impact on recovery. Occupational therapy assessment for clients with concussion should include screening for vision difficulties.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2024.050353","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T14:32:27Z","timestamp":1709217147000},"page":"278-284","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Visual Symptom Frequency and Occupational Issues Between Patients With and Without Concussion"],"prefix":"10.1177","volume":"78","author":[{"given":"Stephanie","family":"Schurr","sequence":"first","affiliation":[{"name":"Stephanie Schurr, OTD, OT Reg. (Ont.), is Clinical Manager, Physical Rehabilitation, St. Joseph\u2019s Care Group, Thunder Bay, Ontario, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlyn","family":"Foy","sequence":"additional","affiliation":[{"name":"Caitlyn Foy, DOT, MOTR\/L, CLA, is Associate Professor, Occupational Therapy, Salus University, Elkins Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Polonenko","sequence":"additional","affiliation":[{"name":"Tanya Polonenko, OD, FAAO, FCOVD, is Optometrist and Owner, Visual Sense Eye Care, Kitchener, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Scheiman","sequence":"additional","affiliation":[{"name":"Mitchell Scheiman, OD, PhD, FAAO, FCOVD, is Professor of Optometry and Dean of Biomedicine, Salus University, Elkins Park, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/OPX.0b013e3181adff2d"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312117694794"},{"key":"e_1_3_2_4_1","volume-title":"The Canadian Occupational Performance Measure","author":"Law M.","year":"2005","unstructured":"Law M., Baptiste S., Carswell A., McColl M. A., Polatajko H. J., , & Pollock N. (2005). The Canadian Occupational Performance Measure (4th ed.). CAOT Publications.","edition":"4"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2013.01.0008"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922815594367"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2014.011445"},{"key":"e_1_3_2_8_1","volume-title":"The Developmental Eye Movement Test.","author":"Richman J. E.","year":"2016","unstructured":"Richman J. E. (2016). The Developmental Eye Movement Test. Bernell."},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2015.06.0113"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-1313.2004.00202.x"},{"key":"e_1_3_2_11_1","author":"Scheiman M.","year":"2011","unstructured":"Scheiman M. (2011). Understanding and managing vision deficits: A guide for occupational therapists (3rd ed.). 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