
Over the past several years, I have given hundreds of baseline and post-injury concussion tests. Perhaps because I have more of a sensory and perception-oriented background, one of the things that has stood out about concussion tests is the lack of sensory-related information in the assessments.
Concussion tests primarily deal with memory and, to a lesser extent, attention. The recent clinical practice guidelines for concussion evaluation and treatment1 suggest that vision should be examined as part of the neurological evaluation.
Concussion symptom checklists do include a few items about vision (eg blurred vision, sensitivity to light) and hearing (eg sensitivity to noise). In addition, a recent update to the SCAT2 includes a three-item coordination and ocular/motor screen.
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