Neuro-Optometric Rehabilitation Using a Multisensory-Based Bottom-Up to Top-Down Paradigm for Post-Concussion Syndrome – A Retrospective Case Series Study

Abstract

Optometrists are becoming increasingly involved in the rehabilitation management of concussion patients who experience prolonged recovery of symptoms, often referred to as post-concussion syndrome (PCS). Literature pertaining to this population provides ample evidence that neuro-optometric rehabilitation is effective for oculomotor (OM) vision dysfunctions, but lacks the same for nonoculomotor vision (NOM) dysfunctions. Many PCS patients suffer NOM vision dysfunctions whereby they are foundationally too sensoryfragile to tolerate a traditional top-down therapy approach early in their treatment process. This study provides a review of PCS patients receiving a multisensory-based bottom-up to top-down neuro-optometric rehabilitation paradigm that targets NOM, as well as, OM vision dysfunctions.