Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts.
Spaulding Rehabilitation Hospital and Spaulding Rehabilitation Institute, Charlestown, Massachusetts.
Clin J Sport Med. 2021 Jul 1;31(4):e188-e192. doi: 10.1097/JSM.0000000000000767.
The primary purpose of this study was to examine vestibular/ocular motor screening (VOMS) test performance in a sample of healthy youth ice hockey players. A particular focus was to investigate the potential effects of age and pre-existing health conditions, including concussion history, attention-deficit/hyperactivity disorder (ADHD), learning disability (LD), headaches/migraines, and depression/anxiety on preseason baseline VOMS performance, including the near point of convergence (NPC) distance.
Cross-sectional cohort.
Outpatient physiotherapy clinic.
Three hundred eighty-seven male youth hockey players, with an average age of 11.9 years (SD = 2.2, range = 8-17), completed the VOMS and responded to self- or parent-reported demographic and medical history questionnaires during preseason baseline assessments.
Age, sex, and mental and physical health history including ADHD, headaches, depression, anxiety, migraine, and LD.
Vestibular/ocular motor screening.
The large majority of boys scored within normal limits on the VOMS, ie, they reported no symptom provocation of more than 2 points on any VOMS subset (89%) and had a normal NPC distance, ie, <5 cm (78%). The individual VOMS subtests had low abnormality rates, and demographic and pre-existing health conditions, such as age, headache or migraine history, previous neurodevelopmental conditions, or mental health problems, were not associated with clinically meaningful symptom provocation during the VOMS.
There was a low rate of abnormal findings for the individual VOMS subtests, with the exception of NPC distance, among male youth hockey players during preseason assessment.
本研究的主要目的是检查健康青年冰球运动员样本中的前庭/眼动筛查（VOMS）测试表现。特别关注的是，研究年龄和先前存在的健康状况（包括脑震荡史、注意力缺陷/多动障碍（ADHD）、学习障碍（LD）、头痛/偏头痛和抑郁/焦虑）对 preseason 基线 VOMS 表现的潜在影响，包括近点距离（NPC）。
横断面队列研究。
门诊物理治疗诊所。
387 名男性青年冰球运动员，平均年龄为 11.9 岁（SD=2.2，范围为 8-17），在 preseason基线评估期间完成了 VOMS，并对自我或父母报告的人口统计学和医疗史问卷做出了回应。
年龄、性别以及包括 ADHD、头痛、抑郁、焦虑、偏头痛和 LD 在内的精神和身体健康史。
绝大多数男孩的 VOMS 评分均在正常范围内，即他们报告在任何 VOMS 亚组中没有超过 2 分的症状诱发（89%），并且 NPC 距离正常，即<5cm（78%）。各个 VOMS 子测试的异常率较低，而且人口统计学和先前存在的健康状况，如年龄、头痛或偏头痛史、先前的神经发育状况或心理健康问题，与 VOMS 期间的临床意义上的症状诱发无关。
在 preseason 评估中，男性青年冰球运动员的各个 VOMS 子测试除 NPC 距离外，异常发现的比例较低。
