Effect of oculomotor vision rehabilitation on the visual-evoked potential and visual attention in mild traumatic brain injury

Brain Inj. 2014;28(7):922-9. doi: 10.3109/02699052.2014.887227. Epub 2014 Feb 24.


Primary objective: The purpose of the experiment was to investigate the effect of oculomotor vision rehabilitation (OVR) on the visual-evoked potential (VEP) and visual attention in the mTBI population.

Research design and methods: Subjects (n = 7) were adults with a history of mild traumatic brain injury (mTBI). Each received 9 hours of OVR over a 6-week period. The effects of OVR on VEP amplitude and latency, the attention-related alpha band (8-13 Hz) power (µV(2)) and the clinical Visual Search and Attention Test (VSAT) were assessed before and after the OVR.

Results: After the OVR, the VEP amplitude increased and its variability decreased. There was no change in VEP latency, which was normal. Alpha band power increased, as did the VSAT score, following the OVR.

Conclusions: The significant changes in most test parameters suggest that OVR affects the visual system at early visuo-cortical levels, as well as other pathways which are involved in visual attention.

Keywords: Alpha band power; attenuation ratio; mild traumatic brain injury; oculomotor vision rehabilitation; visual attention; visual-evoked potential amplitude; visual-evoked potential latency.

MeSH terms

  • Adult
  • Brain Injuries / complications
  • Brain Injuries / physiopathology*
  • Brain Injuries / rehabilitation
  • Evoked Potentials, Visual*
  • Eye Movements
  • Female
  • Glasgow Outcome Scale
  • Humans
  • Male
  • Ocular Motility Disorders / etiology
  • Ocular Motility Disorders / physiopathology*
  • Ocular Motility Disorders / rehabilitation
  • Treatment Outcome
  • Vision Disorders / etiology
  • Vision Disorders / physiopathology*
  • Vision Disorders / rehabilitation
  • Visual Acuity
  • Visual Pathways / injuries
  • Visual Pathways / physiopathology*