A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings.
A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings.
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DOI：
10.1177/0363546514543775
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发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
Kontos AP
中科院分区：
文献类型：
--
作者：
Mucha A;Collins MW;Elbin RJ;Furman JM;Troutman-Enseki C;DeWolf RM;Marchetti G;Kontos AP
运动相关脑震荡患者的前庭和眼睛运动障碍和症状已被记录在案。然而，目前还没有简单的临床筛查来评估和监测这些问题。描述和提供运动相关脑震荡后前庭和眼运动损伤和症状的简短临床筛查工具的内部一致性和有效性的初步数据。2.对64例年龄13.9±2.5岁的运动性脑震荡患者和78例对照组进行了前庭/眼运动筛查(VOMS)评估，包括5个领域：(1)平滑追踪，(2)水平和垂直眼跳，(3)汇聚点附近距离(NPC)，(4)水平前庭眼反射(VOR)，(5)视觉运动敏感性(VMS)。参与者还接受了震荡后症状量表(PCSS)的测试。61%的患者报告在至少一个VOMS项目后出现症状激发。VOMS各条目与PCSS总分呈正相关。VOMS的VOR(优势比[OR]，3.89；P<；.001)和VMS(OR，3.37；P<；.01)成分最能预测脑震荡组。鼻咽癌距离≥5 cm和任何VOMS项目症状评分≥2分别使正确识别脑震荡患者的概率增加38%和50%。受试者操作特征曲线支持包括VOR、VMS、NPC距离和Ln(年龄)的模型，该模型导致了识别脑震荡患者的高预测概率(曲线下面积=0.89)。VOMS在识别脑震荡患者方面表现出内部一致性和敏感性。目前的研究结果为VOMS作为运动性脑震荡后短暂的前庭/眼运动筛查提供了初步支持。VOMS可以增强现有的评估工具，并可以作为脑震荡评估的综合方法的一个单独组成部分。
Vestibular and ocular motor impairments and symptoms have been documented in patients with sport-related concussions. However, there is no current brief clinical screen to assess and monitor these issues. To describe and provide initial data for the internal consistency and validity of a brief clinical screening tool for vestibular and ocular motor impairments and symptoms after sport-related concussions. Cross-sectional study; Level of evidence, 2. Sixty-four patients, aged 13.9 ± 2.5 years and seen approximately 5.5 ± 4.0 days after a sport-related concussion, and 78 controls were administered the Vestibular/Ocular Motor Screening (VOMS) assessment, which included 5 domains: (1) smooth pursuit, (2) horizontal and vertical saccades, (3) near point of convergence (NPC) distance, (4) horizontal vestibular ocular reflex (VOR), and (5) visual motion sensitivity (VMS). Participants were also administered the Post-Concussion Symptom Scale (PCSS). Sixty-one percent of patients reported symptom provocation after at least 1 VOMS item. All VOMS items were positively correlated to the PCSS total symptom score. The VOR (odds ratio [OR], 3.89; P <.001) and VMS (OR, 3.37; P <.01) components of the VOMS were most predictive of being in the concussed group. An NPC distance ≥5 cm and any VOMS item symptom score ≥2 resulted in an increase in the probability of correctly identifying concussed patients of 38% and 50%, respectively. Receiver operating characteristic curves supported a model including the VOR, VMS, NPC distance, and ln(age) that resulted in a high predicted probability (area under the curve = 0.89) for identifying concussed patients. The VOMS demonstrated internal consistency as well as sensitivity in identifying patients with concussions. The current findings provide preliminary support for the utility of the VOMS as a brief vestibular/ocular motor screen after sport-related concussions. The VOMS may augment current assessment tools and may serve as a single component of a comprehensive approach to the assessment of concussions.
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影响因子：
3.8
作者：
Collins, Michael W.;Kontos, Anthony P.;Fu, Freddie H.
通讯作者：
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DOI：
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发表时间：
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