Repeatability Assessment of Neurovisual Tasks for the Construction of a New Concussion Monitoring Tool (SPORTICARE)

NCT05992194 | Completed

• 1 other identifier: SBN_2023_2
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Traumatic brain injury (TBI) is a condition that occurs when a mechanical blow to the head causes damage to the brain. The diagnosis of this pathology requires the evaluation of several dimensions, including clinical symptoms, physical signs, cognitive disorders, behavioral and sleep disturbances and state of consciousness. This multidimensional approach provides a comprehensive and accurate assessment of head injury and its severity. The Berlin Consensus of the International Conference on Concussion in Contact Risk Sports held in Berlin in 2016 (McCrory et al., 2017) emphasized that the management of a CTE must be multimodal and multidisciplinary. This expert consensus converged on a tool that is now the most widely used in protocols studying concussion in sports at risk of BTI. This tool, the SCAT 5 (Sports Concussion Assessment Tool), combines symptom assessment, cognitive examination, neurological examination (oculomotricity, balance) and immediate and delayed memory. However, it requires the intervention of a medical expert to assess the clinical signs of the concussed athlete. Hänninen et al (2021) showed that test-retest reproducibility was very good for the clinical symptomatology subscore, but poor or average for the subscores summarizing cognitive tests and balance assessment. Clinicians now need to be able to better assess the severity of damage following head injury, and to monitor the patient's progress. This will improve the management of concussed athletes right up to their eventual return to sporting activity. The ultimate aim of our project is to develop and optimize an easily exportable multimodal concussion assessment tool, based on the use of a virtual reality headset, which will enable us to objectively characterize the state and evolution of a subject after a TCE. This will enable the assessment of neuro-visual functions and compensations in the concussed patient, revealing a higher attentional cost characterized by instability of orthostatic control, higher blink frequency and larger pupil size. The multimodal tool will be built from the results of various tests:

• Standardized oculomotor tasks(pro-saccades, anti-saccades, smooth pursuit, memory guided saccades, self paced saccades)
• Orthostatic balance control to assess postural compensations and estimate attentional cost during oculomotor tasks.
• Pupil dynamics using the Pupil Cycle Time (PCT) test. The aim of this exploratory study is to determine the repeatability of measurements provided by the SPORTiCARE virtual reality headset during different tasks.

Conditions

Traumatic Brain Injury

Outcome Measures

Primary Outcomes (10)

• Assessment of repeatability when performing pro-saccades

  Latency (ms)

  Day 0

• Assessment of repeatability when performing anti-saccades

  Latency (ms)

  Day 0

• Assessment of repeatability when performing memory tricks

  Positional error (degrees)

  Day 0

• Assessment of repeatability of the number of saccades when performing self-paced saccades

  number of saccades (n) performed between the two targets in the allotted time (15 seconds)

  Day 0

• Assessment of repeatability of pupil cycle time when performing self-paced saccades

  Pupil Cycle Time (PCT): average frequency of pupillary oscillation (Hz)

  Day 0

• Assessment of repeatability when performing pro-saccades

  Latency (ms)

  Between Day 7 and Day 21

• Assessment of repeatability when performing anti-saccades

  Latency (ms)

  Between Day 7 and Day 21

• Assessment of repeatability when performing memory tricks

  Positional error (degrees)

  Between Day 7 and Day 21

• Assessment of repeatability of the number of saccades when performing self-paced saccades

  number of saccades (n) performed between the two targets in the allotted time (15 seconds)

  Between Day 7 and Day 21

• Assessment of repeatability of pupil cycle time when performing self-paced saccades

  Pupil Cycle Time (PCT): average frequency of pupillary oscillation (Hz)

  Between Day 7 and Day 21

Interventions

multimodal oculomotor measurements OTHER

* Visual assessment to ensure that the subject meets the inclusion and non-inclusion criteria, including anamnesis and the following visual tests: Lang stereotest, H-test ocular motility, convergence, masking and accommodative rock. * Evaluation by experimenter A (60 min) * Neuro-ophthalmological tests on screen * Neuro-ophthalmological tests in VR headset * Evaluation by experimenter B (60 min) * Neuro-ophthalmological tests on screen * Neuro-ophthalmological tests in VR helmet The sequence of experimenters A-B or B-A will be randomized.

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Group of 25 healthy volunteers

You may qualify if:

• Visual acuity of 10/10,
• Express consent to participate in the study,
• Affiliated (or beneficiary) of a social insurance scheme.

You may not qualify if:

• History of Cranioencephalic Trauma,
• Protected persons: pregnant women, parturients, nursing mothers, persons deprived of their liberty by judicial or administrative decision, minors, and persons subject to a legal protection measure (guardianship or curatorship).
• Subjects suffering from a degenerative disease or any other illness which could interfere with the evaluations planned during this study (migraine, balance disorders, vertigo).
• Subjects with ophthalmological pathologies affecting visual functions (oculomotor dysfunction, diplopia, strabismus).
• Known history of convergence and/or accommodation insufficiency.
• Subject declaring to the investigator in charge of anamnesis, consumption of psychoactive and psychotropic drugs, medications (anti-anxiety, antidepressant, anticonvulsant, opiate, analgesic, anti-hypertensive) or level 3 medications, which may have effects on vision.
• Unavailability of participant for evaluation sessions.
• Inability to comply with study task instructions.

Sponsors & Collaborators

• Fondation Ophtalmologique Adolphe de Rothschild: lead

Study Sites (1)

Streetlab - Institut de la Vision

Paris, 75012, France

Location

MeSH Terms

Conditions

Brain Injuries, Traumatic

Condition Hierarchy (Ancestors)

Brain Injuries; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: NETWORK
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 4, 2023
• First Posted: August 15, 2023
• Study Start: August 23, 2023
• Primary Completion: November 2, 2023
• Study Completion: November 2, 2023
• Last Updated: February 16, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)