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ImPACT Concussion Testing 1280

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ImPACT Concussion Testing

A concussion is the most common type of traumatic brain injury (TBI). Every concussion is different; symptoms and recovery depend on the nature of the injury, the patient’s age, and overall health, among other factors.

One of the best ways to evaluate a person’s brain health is by comparing post-concussion brain function with pre-concussion brain function. ImPACT concussion testing provides before and after comparisons that measure your memory, reaction time, and processing speed.

What is ImPACT?

ImPACT stands for Immediate Post-Concussion Assessment and Cognitive Testing. It is a computerized test that measures attention span, memory, and verbal and visual problem-solving. It takes about 25 minutes to complete.

ImPACT is used as:

  • A baseline test to measure an individual’s performance baseline.
  • A post-injury test to analyze against the baseline test scores.

ImPACT helps healthcare providers evaluate an individual’s post-injury condition and aids in tracking recovery. It can also play a role in the overall evaluation to determine when a person can safely continue pursuing their chosen sport.

ImPACT is not a diagnostic test. However, it does measure a component of a patient’s recovery from a concussion.

What Is a Baseline Test?

A baseline test is used to establish a benchmark performance score when an athlete or other patient is in their regular, non-concussed state. Ideally, the test should be performed before the sports season begins. The baseline test is valid for up to two years. A baseline test does not evaluate an athlete for a concussion, prevent future concussion, identify past concussions, or determine if they are predisposed to a concussion.

What it does is offer a pre-concussion picture of a person’s brain, which can be compared to an ImPACT test taken soon after the traumatic event.

More About the ImPACT Test

Besides ImPACT being a computerized baseline test, know that it takes approximately 25 minutes to complete. The test can be taken individually or with a team/group. The test results may help gauge when an athlete may resume play and assist in the development of an effective rehabilitation plan. To learn more about the ImPACT concussion test, contact today.

Our practice serves patients from Elma, Buffalo, SouthTowns, and Western New York, New York and surrounding communities.

Sensitivity to Light Following a Brain Injury 1280

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Sensitivity to Light Following a Brain Injury

If you find yourself to be more sensitive to light following a concussion, it could be related to your head injury. That’s especially true if you’ve been experiencing other post-concussion symptoms like eye strain, blurry vision and double vision.

Fortunately, neuro-optometric rehabilitation can effectively alleviate concussion-related light sensitivity (photophobia) and other TBI symptoms.

Symptoms of Light Sensitivity After a Concussion

While light sensitivity is a common problem after a head injury, sometimes it can be hard to recognize, as it often overlaps with other symptoms related to brain injury.

The most common symptoms of post-concussion light sensitivity include:

  • Inability to tolerate bright light
  • Discomfort from interior lighting or computer screens
  • Eye pain
  • Eyestrain
  • Eye fatigue
  • Headaches

Additional post-concussion symptoms may include:

  • Vertigo or dizziness
  • Cognitive fatigue
  • Difficulty multitasking

While these symptoms are not necessarily caused directly by light sensitivity, they often go hand-in-hand. In addition, your brain may be using extra energy to process bright light after a brain injury, limiting the energy it has left for other activities.

Causes of Light Sensitivity After Head Injury

Following a TBI, photophobia tends to occur as a result of damage to a specific part of the brain called the thalamus.

The thalamus filters incoming visual information and sends neural signals to different parts of the brain. After a brain injury, the blood vessels that deliver oxygen to the thalamus can become damaged and withhold vital oxygen and nutrients to this part of the brain.

If the thalamus is not filtering the incoming light correctly, your brain may become overwhelmed with too much visual information. This is why many concussion patients prefer dark rooms that present less visual stimulation.

Note that light sensitivity can also develop as a result of damage to any of the following:

Autonomic Nervous System (ANS)

The ANS governs most of your body’s autonomic processes, such as blood pressure, breathing, heart rate, pupil dilation and more. If an injury disrupts your ANS, your pupils may dilate more than usual, allowing too much light to enter the eye, leading to light sensitivity.

Superior Colliculus

The superior colliculus is the part of the brain that keeps you oriented in space and has some control over your eye muscles. It has the potential to make a person’s vision more sensitive if it malfunctions.

Vestibular System

The brain uses three systems: the inner ear vestibular system, the sense of touch and the sense of sight. These help people determine and understand where they are relative to the things around them.

If your vestibular system is not operating correctly, your brain receives conflicting information from the vestibular and visual systems. To compensate, your brain may increase its sensitivity to the visual system, which can result in light sensitivity.

Following a brain injury, a person will usually have a combination of these problems. Fortunately, they can be treated.

Neuro-Optometric Rehabilitation Can Help

Neuro-optometric rehabilitation is a customized treatment program for patients who have visual deficits due to physical disabilities and TBIs. Neuro-optometric rehab aims to strengthen any reduced visual skills so that the patient can continue engaging in daily activities, like reading and driving, and enjoy a higher quality of life.

A neuro-optometric rehabilitation optometrist evaluates many functions of the visual system, such as how the eyes work together as a team. Treatment options may include using filters and prisms, and customized visual exercises to strengthen the eye-brain connection. To determine if you can benefit from neuro-optometric rehabilitation, schedule a functional vision evaluation with today.

Our practice serves patients from Elma, Buffalo, SouthTowns, and Western New York, New York and surrounding communities.

Acquired Brain Injuries 1280×480

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Acquired Brain Injuries

Acquired brain injury (ABI) is an injury to the brain that is not hereditary, congenital, degenerative, or induced by birth trauma. The brain’s neuronal activity changes as a result of the injury, affecting the physical integrity, metabolic activity and functional ability of nerve cells in the brain.

What Causes Acquired Brain Injury (ABI)?

There are many ways a person can experience an ABI, including:

  • Alcohol or drugs – excessive consumption can cause brain damage
  • Diseases – such as brain cancer, Alzheimer’s disease, multiple sclerosis and Parkinson’s disease
  • Lack of oxygen – called anoxic brain injury, usually caused by near-drowning, choking or suffocation
  • Physical injury – such as an impact or blow to the head, which may occur during a fall, in a sporting or vehicle accident, or from an assault
  • Stroke – such as an embolism or other blockage of the blood vessels or a transient ischemic attack (TIA)

How ABI affects a Person’s Vision

ABI’s can significantly impact the functioning of the visual system. While certain brain injuries may cause permanent damage to the optic nerve, it’s more common for it to disrupt the pathways that enable communication between the eyes and brain.

Visual problems may include:

  • Dizziness
  • Double vision
  • Focusing problems
  • Headaches
  • Problems with walking and stride

Treatment for Vision Affected by ABI

Neuro-optometrists offer a customized treatment regimen for people with visual deficits resulting from acquired brain injuries.

First of all, your neuro-optometrist will assess your vision and visual skills during a comprehensive neuro-optometric exam. Based on those findings, your doctor will design a neuro-optometric rehabilitation program to address your specific needs. The focus of the treatment will be managing low vision and vision rehabilitation to improve functioning, including any learning disorders.

The goal of neuro-optometric rehab is to minimize visual disability so that a patient can carry out daily activities like walking, reading and driving.

Neuro-optometric rehab utilizes special prescription lenses, prism lenses or patching, depending on the visual problem that needs treatment.

With the right treatment paired with a customized neuro-optometric rehabilitation program, many patients find that their symptoms improve almost immediately, leading the way toward long-term healing. For more information about neuro-optometry please contact or to schedule a neuro-optometric vision evaluation.

Our practice serves patients from Elma, Buffalo, SouthTowns, and Western New York, New York and surrounding communities.