Eagle Shawn R, Feder Abigail, Manderino Lisa M, Mucha Anne, Holland Cyndi L, Collins Michael W, Kontos Anthony P
Department of Orthopedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Orthopedic Surgery, UPMC Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, PA, USA.
Phys Ther Sport. 2022 Jan;53:34-39. doi: 10.1016/j.ptsp.2021.11.003. Epub 2021 Nov 11.
To determine whether the Vestibular/Ocular Motor Screening (VOMS) tool demonstrates concurrent validity with the Dizziness Handicap Inventory (DHI) in a sample of concussed athletes referred for vestibular therapy and whether DHI items were predictive of VOMS outcomes.
Cross-sectional cohort study.
Concussion specialty/vestibular therapy clinic.
Adolescents (n = 55; 15.4 ± 1.6 years) with diagnosed sport-related concussion (SRC) with vestibular symptoms and/or impairment between October 2018-February 2020. Patients completed VOMS and DHI at initial visit. Seven individual VOMS and twenty-five DHI items, VOMS and DHI total score and three DHI sub-scales, were compared with Spearman correlations. Three backwards linear regression (LR) models were built to predict 1. VOMS vestibular symptoms, 2. VOMS ocular symptoms, and 3. near-point of convergence-distance (NPC-distance) using individual DHI items as predictors.
Spearman correlations (p) identified DHI items with moderate to strong associations for VOMS items. DHI sub-scales demonstrated moderate-to-strong correlations with VOMS items (p = 0.30-0.59). Total DHI score demonstrated a moderate-to-strong association with HSAC (p = 0.30), VSAC (p = 0.32), and SP (p = 0.61). Results from the LRs predicting VOMS ocular symptoms (R (Alsalaheen et al., 2010) = 0.56; p < 0.001), and VOMS vestibular symptoms (R (Alsalaheen et al., 2010) = 0.23; p = 0.01), and NPC-distance (R (Alsalaheen et al., 2010) = 0.56; p < 0.001) included significant DHI predictors.
There was moderate-to-strong associations between VOMS and 56% of DHI items (i.e., p > 0.30).
确定在前庭治疗转诊的脑震荡运动员样本中，前庭/眼动筛查（VOMS）工具与头晕残障量表（DHI）是否具有同时效度，以及DHI项目是否能预测VOMS结果。
横断面队列研究。
脑震荡专科/前庭治疗诊所。
2018年10月至2020年2月期间，患有确诊的与运动相关脑震荡（SRC）且有前庭症状和/或损伤的青少年（n = 55；15.4 ± 1.6岁）。患者在初次就诊时完成VOMS和DHI。将7个单独的VOMS项目、25个DHI项目、VOMS和DHI总分以及3个DHI子量表进行Spearman相关性比较。构建3个向后线性回归（LR）模型，以个体DHI项目作为预测因子，预测1. VOMS前庭症状，2. VOMS眼动症状，3. 集合近点距离（NPC距离）。
Spearman相关性（p值）确定了DHI项目与VOMS项目之间存在中度至强关联。DHI子量表与VOMS项目表现出中度至强相关性（p = 0.30 - 0.59）。DHI总分与HSAC（p = 0.30）、VSAC（p = 0.32）和SP（p = 0.61）表现出中度至强关联。预测VOMS眼动症状（R（阿尔萨拉heen等人，2010年）= 0.56；p < 0.001）、VOMS前庭症状（R（阿尔萨拉heen等人，2010年）= 0.23；p = 0.01）和NPC距离（R（阿尔萨拉heen等人，2010年）= 0.56；p < 0.001）的LR结果包括显著的DHI预测因子。
VOMS与56%的DHI项目之间存在中度至强关联（即p > 0.30）。
