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Saccadic Eye Movements

Draftsensory60%beginnerlimited evidence
View FHIR resourceFHIR R4 ActivityDefinition — the interoperable form of this exercise

Positions & Range of Motion

Start
seated with head still and upright, two near targets held ~2 ft apart and 1–2 ft from the face (horizontal pair first, then vertical)
End
gaze rapidly and accurately refixated onto the opposite target with no drift or overshoot, head kept motionless throughout
Range of Motion
rapid horizontal then vertical saccadic eye excursions between targets; head/neck isometric with minimal joint excursion

How to Perform

Refixate the eyes rapidly between two near targets held ~2 ft apart, 1–2 ft from the face. Horizontal pairs first, then vertical. Aim for quick, symmetric, accurate jumps without overshooting.

Watch on YouTube

Opens a YouTube search for “Saccadic Eye Movements

Starting position: seated

Coaching Cues

  1. 1

    Move only the eyes, keep the head still

    (verbal)
  2. 2

    Eyes should land on the target — no drift, no overshoot

    (verbal)
  3. 3

    If symptoms appear (nausea, fog), pause and rest before continuing

    (verbal)

Evidence-Based Dosing & EMG Data

Recommended Dosing

10–20 refixations × 2–3 sets per direction, daily.

Muscles Involved (0)

No muscles linked.

Easier Variations ↓

1

Larger Target Separation

Hold targets 3+ ft apart and farther from the face to reduce angular demand.

Harder Variations ↑

1

Saccades with Background Motion

Perform saccades against a moving visual background to add visual-vestibular conflict.

Research Notes

AAP/AAO endorse structured saccade training as part of combined oculomotor protocols after concussion. Evidence for saccade training in isolation in mTBI remains limited [Master 2022 Pediatrics; AAO 2022].