The Design and Development of MOVE-IT: A System for Remote Vestibular and Oculomotor Assessment in People with Concussion

Hill, Selena; Barr, Christopher; Killington, Maggie; McLoughlin, James A.; Daniels, Rory; Berg, Maayken van den

doi:10.3233/shti210025

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…Further education and collaboration regarding the potential benefits of these devices may help to institute specific individualised assessment and training protocols and may also help gain deeper insights into recovery mechanisms in relation to many of the MTPs. Eye tracking may also have the potential for remote tracking in concussion rehabilitation [ 102 ].…”

Section: Reviewmentioning

confidence: 99%

Concussion Rehabilitation and the Application of Ten Movement Training Principles

McLoughlin

2023

Cureus

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Concussion awareness continues to grow in all aspects of healthcare, including the areas of prevention, acute care, and ongoing rehabilitation. Most of the concussion research to date has focussed on the challenges around screening and diagnosing what can be a complex mix of brain impairments that overlay with additional pre-existing comorbidities. While we expect further progress in concussion diagnosis, progress also continues to be made around proactive rehabilitation, with the emergence of interventions that can enhance the recovery process, maximise function and independence with a return to study, work, and play. Traditionally, optimal multimodal assessments of concussion have treated the physical, cognitive, and psychological domains of brain injury separately, which supports diagnosis, and informs appropriate follow-up care. Due to the complex nature of brain injury, multimodal assessments direct care toward professionals from many different disciplines including medicine, physiotherapy, psychology, neuropsychology, ophthalmology, and exercise physiology. In addition, these professionals may work in different fields such as sports, neurorehabilitation, vestibular, musculoskeletal, community, vocational, and general practice clinical settings. Rehabilitation interventions for concussions employed in practice are also likely to use a blend of theoretical principles from motor control, cognitive, and psychological sciences. This scale of diversity can make information dissemination, collaboration, and innovation challenging. The Ten Movement Training Principles (MTPs) have been proposed as a usable and relevant concept to guide and support clinical reasoning in neurorehabilitation. When applied to concussion rehabilitation, these same 10 principles provide a comprehensive overview of key rehabilitation strategies for current and future practice. Future collaborations can use these training principles to support clinical and research innovations including the rapid rise of technologies in this growing field of rehabilitation practice.

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Section: Reviewmentioning

confidence: 99%

Concussion Rehabilitation and the Application of Ten Movement Training Principles

McLoughlin

2023

Cureus

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Team-based rehabilitation after mild traumatic brain injury – description of the clinical pathway

Mills,

Halstead,

Howie

et al. 2024

Brain Injury

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Identification of Clinical Measures to Use in a Virtual Concussion Assessment: Protocol for a Mixed Methods Study

et al. 2022

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Background Workplace concussions can have a significant impact on workers. The impact of concussion symptoms, combined with challenges associated with clinical environments that are loud, bright, and busy, create barriers to conducting effective in-person assessments. Although the opportunity for remote care in rural communities has long been recognized, the COVID-19 pandemic has catalyzed the transition to virtual assessments and care into the mainstream. With this rapid shift, many clinicians have been completing remote assessments. However, the approaches and measures used in these assessments have not yet been standardized. Furthermore, the psychometric properties of the assessments when completed remotely using videoconference have not yet been documented. Objective Through this mixed methods study, we aim to (1) identify the concussion assessment measures clinicians are currently using in person and are most relevant to the following 5 physical domains: neurological examination (ie, cranial nerve, coordination, motor, and sensory skills), cervical spine, vestibular, oculomotor, and effort assessment; (2) document the psychometric properties of the measures identified; (3) identify measures that appear feasible in a virtual context; and (4) identify practical and technical barriers or challenges, facilitators, and benefits to conducting or engaging in virtual concussion assessments. Methods This study will follow a sequential mixed methods design using a survey and Delphi approach, working groups with expert clinicians, and focus groups with experienced clinicians and people living with concussions. Our target sample sizes are 50 clinicians for the Delphi surveys, 4 clinician-participants for the working group, and 5-7 participants for each focus group (roughly 6-10 total groups being planned with at least two groups consisting of people living with concussions). The results from this study will inform the decision regarding the measures that should be included in a virtual assessment tool kit to be tested in a future planned prospective evaluation study. Results The study is expected to be completed by January 2023. Conclusions This mixed methods study will document the clinical measures that are currently used in person and will identify those that are most relevant to assessing the physical domains impacted by concussions. Potential feasibility of using these measures in a virtual context will be explored. International Registered Report Identifier (IRRID) DERR1-10.2196/40446

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The Design and Development of MOVE-IT: A System for Remote Vestibular and Oculomotor Assessment in People with Concussion

Cited by 5 publications

References 12 publications

Concussion Rehabilitation and the Application of Ten Movement Training Principles

Concussion Rehabilitation and the Application of Ten Movement Training Principles

Team-based rehabilitation after mild traumatic brain injury – description of the clinical pathway

Identification of Clinical Measures to Use in a Virtual Concussion Assessment: Protocol for a Mixed Methods Study

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