Index to Chiropractic Literature
Index to Chiropractic Literature
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Sunday, June 15, 2025
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ID 28290
  Title Effect of chiropractic intervention on oculomotor and attentional visual outcomes in young adults with long-term mild traumatic brain injury: A randomized controlled trial
URL https://pubmed.ncbi.nlm.nih.gov/39503641/
Journal J Manipulative Physiol Ther. 2024 Jan-Jun;47(1-4):1-11
Author(s)
Subject(s)
Peer Review Yes
Publication Type Randomized Controlled Trial
Abstract/Notes

Objective: This study aimed to establish if chiropractic care can improve oculomotor and cognitive symptoms in individuals with persistent postconcussion syndrome (PPCS).

Methods: A single-blind, randomized controlled intervention study recorded baseline computerized eye-tracker assessment (CEA) outcomes in 40 young adults with PPCS following mild traumatic brain injury. Participants were randomly allocated to either a chiropractic or age-matched active control intervention, and the change in CEA outcomes following intervention was compared between the chiropractic and control groups. A battery of CEAs including egocentric localization, fixation stability, pursuit, saccades, Stroop, and the vestibulo-ocular reflex, were used to assess oculomotor function, visual attention/processing, and selective attention.

Results: Relative to the control group, participants receiving the chiropractic intervention scored better in the Stroop test (P < .001), had improved gaze stability during both vestibulo-ocular reflex (P < .001) and fixation stability (P = .009), and a lower vertical error in egocentric localization (P < .001). However, performance was poorer in pursuits, where they had an increased tracking error (P < .001).

Conclusion: Chiropractic care in participants with PPCS significantly improved static and dynamic gaze stability, and performance in the Stroop test, compared with a control intervention. These results suggest that chiropractic care can offer a novel avenue for alleviating certain visual and cognitive symptoms in patients with PPCS. It also adds to the growing evidence that suggests that some longstanding PPCS visual symptoms may have a spinal or proprioceptive basis.

Author keywords: Postconcussion Syndrome; Chiropractic: Brain Concussion; Eye-Tracking Technology; Proprioception.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.

 
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