Preseason Vestibular Ocular Motor Screening in Children and Adolescents

Clin J Sport Med. 2021 Jul 1;31(4):e188-e192. doi: 10.1097/JSM.0000000000000767.

Abstract

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.

MeSH terms

  • Adolescent
  • Anxiety
  • Athletic Injuries*
  • Attention Deficit Disorder with Hyperactivity
  • Brain Concussion* / diagnosis
  • Child
  • Cohort Studies
  • Cross-Sectional Studies
  • Depression
  • Hockey
  • Humans
  • Learning Disabilities
  • Male
  • Migraine Disorders
  • Neurologic Examination / methods*