| Autor: |
Moran RN; Department of Health Science, Athletic Training Research Laboratory, The University of Alabama, Tuscaloosa, AL, USA., Bretzin AC; Department of Emergency Medicine, University of Michigan Injury Prevention Center, The University of Michigan, Ann Arbor, MI, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Applied neuropsychology. Child [Appl Neuropsychol Child] 2024 Oct-Dec; Vol. 13 (4), pp. 300-305. Date of Electronic Publication: 2023 Jan 02. |
| DOI: |
10.1080/21622965.2022.2163172 |
| Abstrakt: |
The Vestibular/Ocular Motor Screening (VOMS) is a sport-related concussion screening tool that assesses vestibular ocular reflex (VOR) and oculomotor symptom provocation. Long-term test-retest reliability of the VOMS over multiple athletic seasons has not yet been established in a pediatric population. Fifty-one child athletes (females = 28, 54.9%) 8-13 years of age, completed a baseline VOMS assessment at two timepoints, 18 months apart. Cronbach's alpha was used to examine the internal consistency at both time points. Two-way mixed intra-class correlation coefficients and Cohen's Kappa statistics were used to evaluate test-retest reliability. High internal consistency existed at both initial ( α = 0.91) and follow-up ( α = 0.95) for VOMS symptom provocation items. Strong inter-item correlations were noted between vertical VOR ( r = ≥0.70) and visual motion sensitivity (VMS) ( r = ≥0.70). Fair agreement was produced for convergence ( κ = 0.23, vertical VOR ( κ = 0.25) and VMS ( κ = 0.25), as well as reliability on NPC distance (ICC 2, k = 0.31). All other VOMS scores yielded poor agreement between time points. Symptom provocation was the same for 49% of athletes between timepoints, while 31.4% had a decrease in scoring at follow-up. Symptom provocation from VOMS tasks lessened with increasing age and time; therefore, clinicians should consider annual baseline testing to improve accuracy for concussion evaluation and management in pediatrics. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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