Upload
others
View
11
Download
0
Embed Size (px)
Citation preview
S. M. Abdullah-Al-Mamun Samrat SarkarEmail: [email protected] Email: [email protected]
Contact
References
Median age of the participants was 18 (18-20) years. Among themselves 91 were
male and the rest were female (n=24).
60% (n=69) were from University level, 34.80% (n=40) were from State level, 5.20%
(n=6) were from National Level.
The score of head and body movement during pursuit (Fig:1) and saccade(Fig:2) was
4 (4 – 5) for all the athletes except cricket players 4 (3 – 5). No significant difference
was found among the types of sports playing athletes for both saccadic (p > 0.250)
and pursuit (p > 0.486) eye movement.
Median value of vernier threshold was 8.2 (5.6 – 10.2) seconds of arc. Maximum
(n=91) participants were within the range of 2 -11 seconds of arc followed by 17.40%
within 12- 21 seconds of arc and 3.48% within 22-31 seconds of arc range.(Fig:3)
Contrast sensitivity was found median of 2.09 (1.85 – 2.62) Log CS in right eye and
2.05 (1.81 – 2.56) Log CS in left eye.(Fig:4)
None of the athletes in this study was diagnosed with sports related concussion during
VOMS test.
Introduction
115 Athletes from different sports having good physical health, age ranged from 18-35
years with Presenting static monocular (in both eyes) and binocular visual acuity (VA)
6/6 for distance and N6 for near in both eye were included in this study.
Distance visual acuity was assessed with Bailey Lovie Log MAR chart and near visual
acuity with N Notation English Chart.
Saccadic and Pursuit eye movement were tested with NSUCO (Northeastern State
University College of Optometry) oculomotor test.
Contrast Sensitivity and vernier acuity of all the participants were recorded with widely
used “FrACT” visual test software.
Vestibular/Ocular Motor Screening tool (VOMS tool) to rule out any sports related
concussion.
All data was analyzed using Microsoft Excel (2016) and the Statistical Package for
Social Sciences (v16.0, SPSS Inc., Chicago, IL, USA).
Methods and Materials
Among all varieties of sports no significant difference was found for smooth pursuit
(Chi-square=15.73, p value=0.11), horizontal saccades (Chi-square=15.75, p value=
0.11), vertical Saccades (Chi-square=13.45, p value=0.197), horizontal – VOR (Chi-
square=11.36, p value=0.33), vertical VOR (Chi-square=13.29, p value=0.208) and
near point of convergence (Chi-square=13.51, p value=0.197).
In our study, 27% of athletes were diagnosed with convergence insufficiency. Similar
result was found in a study of Bara Alsalaheen et al (2017), where they found 25% of
Convergence insufficiency.9
The mean vernier acuity of the athletes was 9.04±4.95 seconds of arc which was
consistent with the study of Jenny L. Reiniger et al (2019) where they found the mean
value of 11.5±3.5 seconds of arc.10
Contrast sensitivity was better in cricket players, in both right (Chi-square=19.31,
p<0.001) and left eye (Chi-square=28.66, p<0.001) than the other sports playing
athletes which was statistically significant.
Discussion
Assessment of visual skills among athletes from various sports was the objective of this
study.
No significant difference was found in the tested parameters among various types of
sports playing athletes where contrast sensitivity was the exception.
Assessment of different visual functions is highly recommended for athletes for gaining
better athletic performance.
If an athlete is concerned about status of his visual skills, chances are more to improve.
Several visual training are also introduced recently for the improvement of visual skills
of athletes.
Conclusions
Sports vision encompasses performance orientated comprehensive vision care
program involving education, evaluation, correction, protecting and enhancement of
an athlete.1
Ability of the eyes to follow an object from one point to another is done with two
separate categories of eye movement.2 The first is pursuit eye movement, which is
the ability of the eye to smoothly follow an object through space and the second
category is saccadic eye movement, which is the quick jump of the eyes from one
point to another.2
In athletic performance vernier acuity and contrast sensitivity play vital role.3 Vernier
acuity is quite stable with respect to changes in contrast and luminance of the stimuli
at suprathreshold levels, therefore reduced retinal illuminance does not impose any
difficulty for vernier alignment.3
Where contrast sensitivity is one of the best measure to evaluate visual performance
of an athlete.4 The contrast sensitivity of athletes can be particularly important in low
contrast situations or when the athlete has difficulty discriminating objects from the
background.4
Sport-related concussion (SRC) is a heterogeneous injury characterized by a wide
range of symptoms and impairments that require a comprehensive assessment
approach.5-7 The Vestibular/Ocular-Motor Screening (VOMS) is a unique measure of
vestibular and ocular motor impairment.8
Results
Figure 3. Vernier Threshold in Different Sports
.
1. B. Strydom and J. T. Ferreira, “The role of vision and visual skills in archery,” vol. 69, no. 1, pp. 21–28, 2010, doi: 10.4102/aveh.v69i1.123.2. Wilson T, Falkel J. Sportsvision: Training for Better Performance. Human Kinetics; 2004.3. Wehrhahn C, Westheimer G. How vernier acuity depends on contrast. Exp Brain Res. 1990. doi:10.1007/bf00228001.4. Sports Vision Evaluation – VectorVision CSV-1000. http://www.vectorvision.com/clinical-use-sports-vision/. Accessed November 10, 2019.5. Kontos AP. SPECIAL ARTICLE Statements of Agreement From the Targeted Evaluation and Active Management ( TEAM ) Approaches to
Treating Concussion Meeting Held in Pittsburgh , October 15-16 , 2015. 2016;79(6). doi:10.1227/NEU.0000000000001447.6. Reynolds E, Murawski CD, Fu FH. A comprehensive , targeted approach to the clinical care of athletes following sport-related concussion.
2014:235-246. doi:10.1007/s00167-013-2791-67. McCrory P, Meeuwisse WH, Aubry M, et al. Consensus statement on concussion in sport: The 4th International Conference on Concussion
in Sport held in Zurich, November 2012. In: British Journal of Sports Medicine. Vol 47. ; 2013:250-258. doi:10.1136/bjsports-2013-092313.8. Elbin RJ, Sufrinko A, Anderson MN, Mohler S. Prospective Changes in Vestibular and Ocular Motor Impairment After Concussion.
2018;00:1-7. doi:10.1097/NPT.00000000000002309. Alsalaheen B, Yorke AM, Smith L, Babcock M. Validity and Reliability of the Vestibular/Ocular Motor Screening and Associations With
Common Concussion Screening Tools. Sports Health. 2017;9(2):174-180. doi:10.1177/194173811667841110. Reiniger JL, Lobecke AC, Sabesan R, et al. Habitual higher order aberrations affect Landolt but not Vernier acuity. J Vis. 2019;19(5):11.
doi:10.1167/19.5.11
Assessment of Visual Skills among Healthy Athletes in Adult PopulationAbstract No: EHCWP14
S. M. Abdullah-Al-Mamun 1, Samrat Sarkar 1
Department of Optometry and Vision Science, Amity Medical School, Amity University, Haryana 1
Aim
The main aim of this study was to assess visual skills among healthy athletes in adult
population.
Figure 1. Head and Body Movement during Pursuit Figure 2. Saccade – Head and Body Movement
Figure 4. Contrast Sensitivity in Different Sports
.