Balaji Arvind, Martin Grace, Chidester Jasyn S, Harbacheck Kathryn G, Cardenas Patricia, Mock Stephanie, Shea Kevin G
Lucille Packard Children's Hospital at Stanford Orthopaedics and Sports Medicine, Stanford University, Redwood City, California, USA.
Video J Sports Med. 2025 Mar 3;5(2):26350254241284813. doi: 10.1177/26350254241284813. eCollection 2025 Mar-Apr.
In pediatric sports medicine, the accurate diagnosis of sports-related concussions (SRCs) relies on keen observation and precise evaluation during athletic endeavors. Unlike many medical conditions, SRC is not readily diagnosed through traditional imaging studies or laboratory tests.
The absence of objective diagnostic tools for the diagnosis of concussion emphasizes the critical need for a set of evidence-based examination skills to empower health care professionals, including physicians, physical therapists, and athletic trainers, in making reliable diagnoses.
At the forefront of the essential examination skills is the Vestibulo-Ocular Motor Screen (VOMS), a recognized and valuable tool for both diagnosing and monitoring the recovery of individuals affected by SRC. This video presentation aims to offer a comprehensive exploration of the neurologic domains most frequently impacted in pediatric patients experiencing SRCs. Furthermore, it provides a detailed and insightful guide on the proper execution of the VOMS examination.
DISCUSSION/CONCLUSION: Upon watching the video, viewers will acquire the skills to discern SRCs in young athletes. This information is most important for health care professionals who are tasked with recognizing and promptly removing pediatric athletes suspected to have a SRC, as well as monitor their recovery and assess their readiness to return to competition.
The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
在儿科运动医学中,准确诊断与运动相关的脑震荡(SRC)依赖于在体育活动期间的敏锐观察和精确评估。与许多医疗状况不同,SRC无法通过传统影像学检查或实验室检测轻易诊断出来。
缺乏用于诊断脑震荡的客观诊断工具凸显了对一套循证检查技能的迫切需求,以使包括医生、物理治疗师和运动训练师在内的医疗保健专业人员能够做出可靠诊断。
基本检查技能的核心是前庭眼动筛查(VOMS),这是一种用于诊断和监测受SRC影响个体恢复情况的公认且有价值的工具。本视频演示旨在全面探索儿科SRC患者中最常受影响的神经学领域。此外,它还提供了关于正确进行VOMS检查的详细且有见地的指南。
讨论/结论:观看视频后,观众将获得辨别年轻运动员SRC的技能。这些信息对于负责识别并迅速撤离疑似患有SRC的儿科运动员、监测其恢复情况以及评估其重返比赛准备情况的医疗保健专业人员最为重要。
作者证明已获得本出版物中出现的任何患者的同意。如果个体可能被识别,作者已随本投稿附上患者的豁免声明或其他书面批准形式以供发表。