A Positive Vestibular/Ocular Motor Screening (VOMS) Is Associated With Increased Recovery Time After Sports-Related Concussion in Youth and Adolescent Athletes

Anzalone, Anthony J.; Blueitt, Damond; Case, T. J.; McGuffin, Tiffany; Pollard, Kalyssa; Garrison, James C.; Jones, Margaret; Pavur, Robert; Turner, Stephanie; Oliver, Jonathan M.

doi:10.1177/0363546516668624

Cited by 143 publications

(121 citation statements)

References 35 publications

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“…Females comprised 14% (10/ 70), 14% (14/101), and 27% (23/86) of the participants in the NONE, LOW, and HIGH groups, respectively. No sex differences were present when we compared the numbers of males and females in the NONE versus HIGH (v 2 1,156 ¼ 3.59, P ¼.06) or NONE versus LOW groups (v 2 1,171 ¼ .006, P ¼ .94). However, more males were in the HIGH group than in the LOW group (v 2 .…”

Section: A Comparison Of Vestibular and Ocular-motor Symptoms And Impmentioning

confidence: 96%

“…No sex differences were present when we compared the numbers of males and females in the NONE versus HIGH (v 2 1,156 ¼ 3.59, P ¼.06) or NONE versus LOW groups (v 2 1,171 ¼ .006, P ¼ .94). However, more males were in the HIGH group than in the LOW group (v 2 . In addition, participants with any motion sickness susceptibility (ie, LOW or HIGH group) indicated on the MSSQ-S (ie, a MSSQ-S score .…”

Section: A Comparison Of Vestibular and Ocular-motor Symptoms And Impmentioning

confidence: 96%

“…In addition, participants with any motion sickness susceptibility (ie, LOW or HIGH group) indicated on the MSSQ-S (ie, a MSSQ-S score . 0) were 2.64 times more likely (v 2 1,257 ¼ 7.94, P ¼ .01, 95% CI ¼ 1.32, 5.26) to exhibit VOMS scores higher than the clinical cutoffs (ie, a VOMS total score on any component !2) 4 at baseline than participants with no motion sickness (ie, NONE group).…”

Section: A Comparison Of Vestibular and Ocular-motor Symptoms And Impmentioning

confidence: 97%

“…The VOMS has shown good internal consistency and sensitivity for identifying patients with concussion. 2,4,8,9 Neurocognitive and Symptom Assessment. The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) was used to measure neurocognitive impairment and symptoms.…”

Section: Instrumentationmentioning

confidence: 99%

“…The vestibular and ocular-motor systems are a complex sensory brain network that provides a subjective sense of self-motion and orientation that is vital to integrating sensory input and generating appropriate and accurate behaviors. 1 Vestibular and ocular-motor impairment occurs in 60% to 80% of patients with SRC, and researchers [2][3][4] have linked these impairments to protracted SRC recovery. Moreover, data from vestibular and ocular-motor assessments can be used to inform targeted treatment and rehabilitation strategies for individuals with SRC (eg, vestibular and ocular-motor therapy).…”

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confidence: 99%

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Motion Sickness Susceptibility and Baseline Vestibular and Ocular-Motor Performance in Adolescent Athletes

Elbin

Kontos

Sufrinko

et al. 2019

Journal of Athletic Training

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Context High school athletes with a history of motion sickness susceptibility exhibit higher baseline vestibular and ocular-motor scores than those without a history of motion sickness susceptibility. Objective To examine the effects of motion sickness susceptibility on baseline vestibular and ocular-motor functioning, neurocognitive performance, and symptom scores. Design Cross-sectional study. Setting Preseason concussion testing. Patients or Other Participants A convenience sample of high school athletes (N = 308, age = 15.13 ± 1.21 years) involved in a variety of sports. Main Outcome Measure(s) Vestibular/Ocular Motor Screening, computerized neurocognitive assessment, symptom scale, and Motion Sickness Susceptibility Questionnaire-Short Form (MSSQ-S). Results Participants were categorized into 3 groups based on a median split of the scores (eg, NONE, LOW, and HIGH). The LOW (n = 95) and HIGH (n = 92) groups (ie, MSSQ-S score > 0) were 2.64 times more likely (χ21,257 = 7.94, P = .01, 95% confidence interval = 1.32, 5.26) to have baseline Vestibular/Ocular Motor Screening scores larger than the clinical cutoffs for the NONE group (n = 70). No between-groups main effects were present for the NONE (n = 52), LOW (n = 89), and HIGH (n = 90) MSSQ-S groups for verbal (F2,230 = .09, P = .91, η2 = .001) and visual (F2,230 = .15, P = .86, η2 = .001) memory, processing speed (F2,230 = .78, P = .46, η2 = .007), or reaction time (F2,230 = 2.21, P = .11, η2 = .002). The HIGH group exhibited higher total baseline symptom scores than the LOW (U = 3325.50, z = −1.99, P = .05, r = .15) and NONE (U = 1647.50, z = −2.83, P = .005, r = .24) groups. Conclusions Motion sickness should be considered a preexisting risk factor that might influence specific domains of the baseline concussion assessment and postinjury management.

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Section: A Comparison Of Vestibular and Ocular-motor Symptoms And Impmentioning

confidence: 96%

Section: A Comparison Of Vestibular and Ocular-motor Symptoms And Impmentioning

confidence: 96%

Section: A Comparison Of Vestibular and Ocular-motor Symptoms And Impmentioning

confidence: 97%

Section: Instrumentationmentioning

confidence: 99%

mentioning

confidence: 99%

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Motion Sickness Susceptibility and Baseline Vestibular and Ocular-Motor Performance in Adolescent Athletes

Elbin

Kontos

Sufrinko

et al. 2019

Journal of Athletic Training

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Vestibular‐Evoked Myogenic Potential Outcomes Associated with Pediatric Sports‐Related Concussion

2021

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Objectives/Hypothesis: To 1) characterize vestibular-evoked myogenic potential responses in children and young adults with sports-related concussion (SRC) histories as compared with a normal healthy control group, and 2) correlate VEMP characteristics to SRC/sport history outcomes.Study Design: Prospective cohort study. Methods: Seventy-six children and young adults with and without a history of SRC received cervical and ocular VEMP testing using a 500 Hz tone burst air conduction stimuli. VEMP response parameters (response rates, peak latencies, and peak-to-peak amplitudes) were assessed. Other clinical vestibular measures were performed. In the SRC group, sport history outcomes including number of SRC sustained over a lifetime, years of playing contact sports, and length of time playing contact sports were collected via in-person questionnaire.Results: Children and young adults with SRC had significantly reduced oVEMP responses and peak-to-peak amplitudes and greater amplitude response asymmetries between left and right ear. There was no effect of group on cVEMP findings. A greater frequency of SRCs sustained throughout a lifetime, a greater number of contact sports played, and a longer duration of playing a contact sport correlated with significantly poorer VEMP response characteristics.Conclusions: Our results suggest that SRC and repeated subclinical head impact events have an effect on oVEMP outcomes. SRC may affect the utricle, superior vestibular nerve, and/or brainstem-mediated vestibular-ocular-reflex pathway. The prevalence of post-concussion-related dizziness is becoming increasingly common in a pediatric-otology clinic, thus performing VEMP testing in youth post-SRC provides an objective, noninvasive, and cost-effective method for monitoring the effects of sports-related impact on the vestibular system and related neural pathways.

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Injury patterns in U15 rugby players in Ulster schools: A Rugby Injury Surveillance (RISUS) Study

Archbold

Rankin²,

Webb

et al. 2021

Transl Sports Med

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Participation in collision sports such as rugby union has inherent risk of injury. The aim of this study was to examine injury patterns and risk factors in adolescent rugby players (U15 years). A prospective injury surveillance study was undertaken involving 26 schools (599 male rugby players, mean age 14.7years). Data were collected over the 2016/17 playing season, with injuries classified by body part and diagnosis. We explored the association between risk factors (demographic/biometric; injury history, protective equipment, training profile, level of play) using cox proportional hazard models with time to injury as the dependent variable. Nearly, 30% of players (178/599) suffered at least one injury. Injury incidence is estimated at 14.7 injuries/1000 match hours. Most injuries occurred in the tackle situation (64.6%, 135/209). Common injury sites were head/face (n = 95, 45.5%), ankle (n = 21, 10.0%), or wrist/hand (n = 15, 7.2%). Concussion (n = 79, 37.8%), wrist/ hand fractures (n = 19, 9.1%), or ankle sprains (n = 16, 7.6%) were the most common diagnoses. Seven concussions (8.9%) resulted in more than 28 days absence from play. A higher risk of injury was associated with: previous concussion (AHR 1.45; 95% CI 1.02 to 2.06), and any previous injury (AHR 1.85; 95% CI 1.23 to 2.78). One in three U15 rugby players sustained an injury over a single playing season. Concussion remains a concern in this age group and should be prioritized in future research.

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A Positive Vestibular/Ocular Motor Screening (VOMS) Is Associated With Increased Recovery Time After Sports-Related Concussion in Youth and Adolescent Athletes

Cited by 143 publications

References 35 publications

Motion Sickness Susceptibility and Baseline Vestibular and Ocular-Motor Performance in Adolescent Athletes

Motion Sickness Susceptibility and Baseline Vestibular and Ocular-Motor Performance in Adolescent Athletes

Vestibular‐Evoked Myogenic Potential Outcomes Associated with Pediatric Sports‐Related Concussion

Injury patterns in U15 rugby players in Ulster schools: A Rugby Injury Surveillance (RISUS) Study

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