@article{ref1,
title="Association of acute vestibular/ocular motor screening scores to prolonged recovery in collegiate athletes following sport-related concussion",
journal="Brain injury",
year="2020",
author="Whitney, Susan L. and Eagle, Shawn R. and Marchetti, Gregory and Mucha, Anne and Collins, Michael W. and Kontos, Anthony P.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Introduction</b>: Researchers have yet to explore the association of acute (i.e., within 3 days) post-injury VOMS scores and length of time until clearance to return to play in collegiate athletes.<b>Objective</b>: The purpose was to determine if individual Vestibular/Ocular Motor Screening (VOMS) component symptom scores (e.g., smooth pursuits, convergence, vestibular-ocular reflex) can predict clearance to return to activity from a sport-related concussion.<b>Methods</b>: Pre-season demographic and medical history and post-injury VOMS testing were collected (n = 79) on collegiate student-athletes following concussion. Impaired vestibulo-ocular function post-injury scores (≥2) were compared to normal scores using survival analysis, with days to clearance to return to sport as the outcome.<b>Results</b>: Abnormal scores on smooth pursuits (<i>p</i> =.026), horizontal saccades (<i>p</i> =.025), vertical saccades (<i>p</i> =.028), and convergence (<i>p</i> =.031) were associated with lower probability of clearance in comparison with normal scores. Any score ≥2 predicted significantly greater days to clearance for return to play (13.1 days; 95% CI: 11.9-14.3; <i>p</i> = .025) compared with athletes with no abnormal test scores (9.6 days; 95% CI: 7.2-12.1, <i>P</i> =.014).<b>Discussion</b>: Post-injury symptoms with VOMS smooth pursuit, saccades, and convergence is associated with increased time-to-clearance for return to sport in collegiate athletes.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2020.1755055",
url="http://dx.doi.org/10.1080/02699052.2020.1755055"
}