Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2021
Preseason Vestibular Ocular Motor Screening in Children and Adolescents.
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Iverson Grant L, Cook Nathan E, Howell David R, Collings Laurel J, Kusch Cody, Sun Jonathan, Virji-Babul Naznin, Panenka William J
Аннотация
OBJECTIVES: The primary purpose of this study was to examine vestibular/ocular motor screening (VOMS) test performance in a sample of healthy youth ice hockey players. A particular focus was to investigate the potential effects of age and pre-existing health conditions, including concussion history, attention-deficit/hyperactivity disorder (ADHD), learning disability (LD), headaches/migraines, and depression/anxiety on preseason baseline VOMS performance, including the near point of convergence (NPC) distance.
DESIGN: Cross-sectional cohort.
SETTING: Outpatient physiotherapy clinic.
PARTICIPANTS: Three hundred eighty-seven male youth hockey players, with an average age of 11.9 years (SD = 2.2, range = 8-17), completed the VOMS and responded to self- or parent-reported demographic and medical history questionnaires during preseason baseline assessments.
INDEPENDENT VARIABLES ASSESSED: Age, sex, and mental and physical health history including ADHD, headaches, depression, anxiety, migraine, and LD.
OUTCOME MEASURE: Vestibular/ocular motor screening.
RESULTS: The large majority of boys scored within normal limits on the VOMS, ie, they reported no symptom provocation of more than 2 points on any VOMS subset (89%) and had a normal NPC distance, ie, <5 cm (78%). The individual VOMS subtests had low abnormality rates, and demographic and pre-existing health conditions, such as age, headache or migraine history, previous neurodevelopmental conditions, or mental health problems, were not associated with clinically meaningful symptom provocation during the VOMS.
CONCLUSIONS: There was a low rate of abnormal findings for the individual VOMS subtests, with the exception of NPC distance, among male youth hockey players during preseason assessment.
DESIGN: Cross-sectional cohort.
SETTING: Outpatient physiotherapy clinic.
PARTICIPANTS: Three hundred eighty-seven male youth hockey players, with an average age of 11.9 years (SD = 2.2, range = 8-17), completed the VOMS and responded to self- or parent-reported demographic and medical history questionnaires during preseason baseline assessments.
INDEPENDENT VARIABLES ASSESSED: Age, sex, and mental and physical health history including ADHD, headaches, depression, anxiety, migraine, and LD.
OUTCOME MEASURE: Vestibular/ocular motor screening.
RESULTS: The large majority of boys scored within normal limits on the VOMS, ie, they reported no symptom provocation of more than 2 points on any VOMS subset (89%) and had a normal NPC distance, ie, <5 cm (78%). The individual VOMS subtests had low abnormality rates, and demographic and pre-existing health conditions, such as age, headache or migraine history, previous neurodevelopmental conditions, or mental health problems, were not associated with clinically meaningful symptom provocation during the VOMS.
CONCLUSIONS: There was a low rate of abnormal findings for the individual VOMS subtests, with the exception of NPC distance, among male youth hockey players during preseason assessment.