Overall, the close correlation between objective clinical improvements and subjective symptom reduction underscores the effectiveness of the treatment approach. The patient’s gains extend beyond isolated clinical metrics, reflecting a holistic improvement in daily functioning. Reduced visual and vestibular symptoms, enhanced cognitive performance, better sleep, and improved tolerance for reading and visual tasks collectively contribute to a significantly improved quality of life. The patient is now better equipped to participate in work, academic, and social activities with increased independence, confidence, and comfort, representing a meaningful and impactful recovery trajectory. Comparison of the pre- and post-treatment listening profiles demonstrated improved auditory threshold organization, increased interaural symmetry, and reduction of high-frequency irregularities following OMST intervention (Figure 5). These changes may reflect adaptive neuroplastic reorganization within multisensory cortical and subcortical networks. Given the integrated nature of auditory, vestibular, and visual processing systems, the observed improvements support the hypothesis that OMST facilitates enhanced sensory integration and neural efficiency in patients with post-concussive VSS. Discussion This case demonstrates the potential effectiveness of OMST as a comprehensive neuro-optometric rehabilitation approach for patients presenting with post-concussive visual symptoms, including VSS. The significant improvements observed in eye movement performance suggest enhanced integration and coordination of visual pathways. Given that oculomotor dysfunction is a well-established contributor to symptoms such as reading difficulty, reduced visual endurance, and visual fatigue,15 the gains in saccadic accuracy, fixation stability, and tracking ability likely played a central role in the patient’s functional improvements. These findings are consistent with a growing body of case reports and clinical observations supporting OMST as an effective intervention for patients with concussion, traumatic brain injury, and developmental visual disorders.16 OMST’s distinguishing feature is its multisensory design, which simultaneously engages visual, vestibular, auditory, and somatosensory systems. This integrated approach may be critical to its success, as it promotes neuroplasticity and facilitates more efficient neural processing. The observed outcomes align with previously published work suggesting that bottom-up sensory integration strategies can accelerate recovery in post-concussion patients by strengthening foundational sensory processing before advancing to higher-level visual tasks.17 The incorporation of syntonic phototherapy, a core component of OMST, may further enhance treatment outcomes by modulating autonomic balance and improving visual processing efficiency.18 Optometry & Visual Performance 150 Volume 14 | Issue 2 | June 2026 Figure 5. Listening profile pre- and post-treatment. Red dot=right eye, X= left eye
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