Department of Physical Therapy (Dr Alsalaheen), University of Michigan-Flint, Flint, Michigan; Department of Neurology (Drs Alsalaheen, Almeida, and Lorincz), University of Michigan, Ann Arbor, Michigan; Michigan NeuroSport (Drs Alsalaheen, Grzesiak, Almeida, and Lorincz and Mss Carender and Munday), Michigan Medicine, Ann Arbor, Michigan; Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania (Dr Marchetti).
Pediatr Phys Ther. 2020 Oct;32(4):331-337. doi: 10.1097/PEP.0000000000000729.
To examine interrelationships among Vestibular/Ocular-Motor Screen (VOMS) items and to characterize the recovery of VOMS performance in a sample of adolescents treated with vestibular physical therapy (VPT) after concussion.
Seventy-seven patients with concussion and 77 participants without concussion completed the study. Adolescents with concussion received an individualized VPT intervention consisting of targeted exercises for gaze stability, postural stability, ocular-motor control, habituation, and aerobic activities. The exercises were performed during a weekly clinic visit and via a home exercise program.
Except for near-point convergence distance, all VOMS items were significantly interrelated. Over the course of VPT, significant improvements in VOMS performance were observed, and discharge scores were similar to scores observed in adolescents without concussion.
The VOMS measured moderately related functions and captured changes over the course of VPT. Clinicians should consider the contextual risk of "false positive" in their interpretation of VOMS.
研究前庭/眼动（VOMS）项目之间的相互关系，并描述在接受前庭物理治疗（VPT）治疗后的青少年群体中，VOMS 表现的恢复情况。
77 名脑震荡患者和 77 名无脑震荡参与者完成了本研究。脑震荡患者接受个体化的 VPT 干预，包括针对凝视稳定性、姿势稳定性、眼动控制、习惯化和有氧运动的靶向练习。这些练习在每周的诊所就诊期间和通过家庭锻炼计划进行。
除了近点集合距离外，所有 VOMS 项目都具有显著的相关性。经过 VPT，VOMS 表现显著改善，出院评分与无脑震荡青少年的评分相似。
VOMS 测量了中度相关的功能，并在 VPT 过程中捕捉到了变化。临床医生在解释 VOMS 时应考虑“假阳性”的背景风险。
