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小儿足球运动员的初步基线前庭眼动运动筛查评分。

Preliminary Baseline Vestibular Ocular Motor Screening Scores in Pediatric Soccer Athletes.

机构信息

Sports Therapy and Research, Baylor Scott & White Health, Frisco, TX, USA.

Department of Kinesiology, Albion College, Albion, MI, USA.

出版信息

J Sport Rehabil. 2023 Sep 27;33(1):5-11. doi: 10.1123/jsr.2022-0327. Print 2024 Jan 1.

DOI:10.1123/jsr.2022-0327
PMID:37758258
Abstract

CONTEXT

The utility of baseline vestibular and ocular motor screening (VOMS) in high school and collegiate athletes is demonstrated throughout the literature; however, baseline VOMS data at the youth level are limited. In addition, with the recent adoption of the change scoring method, there is a need to document baseline VOMS total and change scores in a pediatric population.

OBJECTIVE

To document baseline VOMS total and change scores and to document the internal consistency of the VOMS in pediatric soccer athletes. We hypothesized that the VOMS would demonstrate strong internal consistency in pediatric soccer athletes.

DESIGN

Cross-sectional study.

METHODS

Pediatric soccer athletes (N = 110; range = 5-12 y) completed the VOMS at baseline. Descriptive statistics summarized demographic information, VOMS total scores, and VOMS change scores. Cronbach α assessed internal consistency for VOMS total scores and change scores.

RESULTS

Twenty-one (19.1%) participants had at least one total score above clinical cutoffs (≥2 on any VOMS component and ≥5 cm on average near point convergence). Forty (36.4%) participants had at least one change score above clinical cutoffs (≥1 on any VOMS component and ≥3 cm on average near point convergence). The internal consistency was strong for total scores with all VOMS components included (Cronbach α = .80) and change scores (Cronbach α = .89).

CONCLUSIONS

Although results suggest VOMS items measure distinct components of the vestibular and ocular motor systems, caution should be taken when interpreting VOMS total and change scores in pediatric athletes, as overreporting symptoms is common, thereby impacting the false-positive rate.

摘要

背景

文献中已经证明了在高中生和大学生运动员中进行基线前庭和眼动筛查(VOMS)的效用;然而,在青少年层面上,基线 VOMS 数据有限。此外,随着最近采用变化评分法,有必要在儿科人群中记录基线 VOMS 总分和变化分数。

目的

记录基线 VOMS 总分和变化分数,并记录儿科足球运动员 VOMS 的内部一致性。我们假设 VOMS 在儿科足球运动员中具有很强的内部一致性。

设计

横断面研究。

方法

儿科足球运动员(N=110;年龄范围为 5-12 岁)在基线时完成了 VOMS。描述性统计总结了人口统计学信息、VOMS 总分和 VOMS 变化分数。Cronbach α 评估了 VOMS 总分和变化分数的内部一致性。

结果

21 名(19.1%)参与者的总分超过了临床临界值(任何 VOMS 成分≥2,平均近点收敛≥5cm)。40 名(36.4%)参与者的至少一个变化分数超过了临床临界值(任何 VOMS 成分≥1,平均近点收敛≥3cm)。包括所有 VOMS 成分的总分(Cronbach α=0.80)和变化分数(Cronbach α=0.89)具有很强的内部一致性。

结论

尽管结果表明 VOMS 项目测量了前庭和眼动系统的不同组成部分,但在解释儿科运动员的 VOMS 总分和变化分数时应谨慎,因为症状的过度报告很常见,从而影响假阳性率。

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引用本文的文献

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Clinical Utility of Ocular Assessments in Sport-Related Concussion: A Scoping Review.眼部评估在与运动相关的脑震荡中的临床应用:一项范围综述。
J Funct Morphol Kinesiol. 2024 Sep 4;9(3):157. doi: 10.3390/jfmk9030157.