@article{ref1,
title="Clinical detection and recovery of vestibular and oculomotor impairments among amateur athletes following sport-related concussion: a prospective, matched-cohort study",
journal="Journal of head trauma rehabilitation",
year="2020",
author="Büttner, Fionn and Howell, David R. and Doherty, Cailbhe and Blake, Catherine and Ryan, John and Delahunt, Eamonn",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To (1) quantify the diagnostic accuracy of the vestibular/oculomotor screening (VOMS), and (2) determine the recovery of vestibular and oculomotor impairments exhibited by concussed athletes compared with nonconcussed athletes using the VOMS.   SETTING: Clinical assessment laboratory.   PARTICIPANTS: Amateur athletes who were diagnosed with sport-related concussion by emergency department physicians, and non-concussed, control athletes.   DESIGN: Prospective, longitudinal study.   MAIN MEASURES: Participants were assessed 1 week following sport-related concussion, upon clearance to return-to-sporting activity, and 2 weeks following return-to-sporting activity by a study investigator who administered the VOMS. We calculated test sensitivity, specificity, and positive and negative predictive values to estimate the diagnostic accuracy of the VOMS. We performed a mixed-design analysis of variance to assess differences in VOMS symptom scores reported by concussed athletes compared with control athletes.   RESULTS: Fifty concussion participants and 50 control participants completed the study. The VOMS demonstrated sensitivity and specificity of 96% and 46%, respectively, and produced positive and negative predictive values of 64% and 92%, respectively. The concussion group exhibited a significantly greater symptom provocation change score from baseline than the control group for all test domains of the VOMS only in the first week following concussion.   CONCLUSION: The VOMS may be most useful as a clinical screening tool to rule out, rather than confirm, the presence of sport-related concussion. The VOMS may be appropriate to inform the recovery of vestibular and oculomotor impairments exhibited by concussed individuals over time.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000608",
url="http://dx.doi.org/10.1097/HTR.0000000000000608"
}