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Abstract Details

Screen Intolerance, Vestibulo-oculomotor Screening, and Symptom Burden in Concussion
Neuro Trauma and Critical Care
P2 - Poster Session 2 (11:45 AM-12:45 PM)
14-016

This study aims to explore whether self-reported screen intolerance could predict overall symptom burden and be a valuable screening tool for vestibular oculomotor dysfunction in concussion.

Concussions often lead to extended absences from school and work, with screen sensitivity being a significant hindrance to recovery. Individuals with concussions frequently report an intolerance to electronic displays, especially during the COVID-19 pandemic's surge in virtual work and school environments. Vestibular oculomotor dysfunction and headaches are believed to be the primary culprits behind screen intolerance.

Patients with sport and non-sport-related concussions were assessed using the SCAT5 by a board-certified sports neurologist. Participants were included if they were over 18 years old, had a single concussion between 1-12 months prior to the visit, and had a SCAT5 post-concussion symptom inventory (PCSI, range 0-132), vestibulo-oculomotor screening (VOMS, range 0-280), and screen intolerance measured on a Likert scale (0-6). A VOMS score ≥ 8 is clinically significant in distinguishing concussions.

19 patients (M age=25.89, 8 females) were included from 2022-2023. Patients reported an average symptom burden of 41.84 on the PCSI, a mean score of 64.61 on the VOMS, and a mean screen intolerance of 3 on the Likert scale. Screen intolerance correlated positively with both the VOMS (N=13, Pearson r=0.696, p=0.008) and PCSI (N=19, Pearson r=0.578, p=0.009) scores. Accounting for patient age, which positively correlated with PCSI (N=19, Pearson r=0.594, p=0.007), the partial correlation of self-reported screen intolerance with PCSI remained significant (N=19, Partial r=0.511, p=0.030). Controlling for sex and age did not modify the above findings.

Self-reported screen intolerance can predict a clinically significant VOMS score and a higher PCSI burden. This finding offers value in concussion management, particularly in return to activity planning. This is especially relevant in today's context of increased screen usage in virtual environments.

 
Authors/Disclosures
Neil A. Bhathela, MD (Atrium Health)
PRESENTER 		Dr. Bhathela has nothing to disclose.
Kevin Bickart, MD, PhD (UCLA) Dr. Bickart has nothing to disclose.
Madison B. Harris, OT (UCLA Health) Dr. Harris has nothing to disclose.
Philip Rosenbaum (UCLA Steve Tisch BrainSPORT Program) Mr. Rosenbaum has received research support from Region IV Training Center.
Meeryo Choe, MD, FAAN Dr. Choe has received personal compensation for serving as an employee of Harvard-Westlake School. Dr. Choe has received personal compensation in the range of $10,000-$49,999 for serving as an Expert Witness for Legal Cases. The institution of Dr. Choe has received research support from NIH. Dr. Choe has a non-compensated relationship as a Board of Directors with NABIS that is relevant to AAN interests or activities. Dr. Choe has a non-compensated relationship as a Consultant with USA Swimming Concussion Task Force that is relevant to AAN interests or activities.
Christopher Giza, MD, FAAN (UCLA, Depts of Pediatrics and Neurosurgery) Dr. Giza has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Medical Network Speakers Bureau. Dr. Giza has stock in Highmark Interactive. The institution of Dr. Giza has received research support from UCLA: Brain Injury Research Center, Steve Tisch BrainSPORT Program, Easton Clinic for Brain Health. Dr. Giza has received publishing royalties from a publication relating to health care. Dr. Giza has a non-compensated relationship as a Advisory Board with Major League Soccer that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Advisory Board with National Basketball Association that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Consultant with United States Soccer Federation that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Co-founder & Advisor with Symptomwise that is relevant to AAN interests or activities.