Cardiovascular Screening in High School Athletics

Document Type

Poster

Abstract

Key points​ A positive Vestibular/Ocular Motor Screening tool (VOMS) consistently demonstrated to be a indicator of longer recovery compared to a negative test. Clinicians should incorporate vestibular and ocular motor screenings into their regular assessment for concussion as it is a prognostic factor of prolonged recovery from concussion and can reliably elicit concussive symptoms in patients. Objective The objective of this systematic review is to investigate whether vestibular or oculomotor screenings are predictive of recovery in patients following concussion. Data Sources Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to search through PubMed, Ovid Medline, SPORTDiscuss, and the Cochrane Central Register of Controlled Trials and hand searches of included articles. Study Selection Two authors screened all the articles for inclusion and screened for quality using the mixed methods assessment tool. Data Extraction After quality assessment was completed the authors extracted recovery time, vestibular or ocular assessment results, study population demographics, number of participants, inclusion and exclusion criteria, symptom scores, and any other outcomes of assessments included in the included studies. Data Synthesis Data were critically analyzed by two of the authors and categorized into tables by each article’s ability to answer the research question. At initial assessment many patients who have vision, vestibular, or oculomotor dysfunction appear to have longer recovery times than patients who do not. Conclusions Studies consistently present that vestibular and oculomotor screenings can be a prognostic factor to predict recovery and reliably help clinicians diagnose concussion. The Vestibular/Ocular Motor Screening tool appears to have consistent evidence demonstrating that a positive test can be a prognostic predictor for longer recovery.

Publication Date

Spring 2022

Comments

Poster presented at ATSU-ASHS DAT Spring - 2022. This is a Kubify based presentation hosted at https://api.ltb.io/show/ABLFI It includes a video presentation, references, a PowerPoint presentation, and summary poster.

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