• Fionn Büttner, David R Howell, Cailbhe Doherty, Catherine Blake, John Ryan, and Eamonn Delahunt.
• School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland (Mr Büttner and Drs Doherty, Blake, and Delahunt); Sports Medicine Center, Children's Hospital Colorado, Aurora (Dr Howell); Department of Orthopedics, University of Colorado School of Medicine, Aurora (Dr Howell); The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts (Dr Howell); Emergency Department, St Vincent's University Hospital, Elm Park, Dublin, Ireland (Dr Ryan); and Institute for Sport and Health, University College Dublin, Dublin, Ireland (Dr Delahunt).
• J Head Trauma Rehabil. 2021 Mar 1; 36 (2): 87-95.

ObjectiveTo (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.SettingClinical assessment laboratory.ParticipantsAmateur athletes who were diagnosed with sport-related concussion by emergency department physicians, and non-concussed, control athletes.DesignProspective, longitudinal study.Main MeasuresParticipants 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.ResultsFifty 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.ConclusionThe 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.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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