Physical Therapy Faculty Publications and Presentations
Document Type
Article
Publication Date
10-2022
Abstract
Objective:
The purpose of this study was to (1) explore differences in vestibular ocular motor screening (VOMS) symptoms between healthy adults and adults with persistent symptoms after mild traumatic brain injury (mTBI), and (2) explore the relationships between VOMS symptoms and other measures (self-reported vestibular symptoms, clinical measures of balance and gait, and higher-level motor ability tasks).
Setting:
Research laboratory setting.
Participants:
Fifty-three persons with persistent symptoms (>3 weeks) following mTBI and 57 healthy controls were recruited. Eligibility for participation included being 18 to 50 years of age and free of medical conditions that may affect balance, with the exception of recent mTBI for the mTBI group.
Design:
Cross-sectional.
Main Measures:
The primary outcomes were the VOMS symptom scores and near point of convergence (NPC) distance. Secondary outcomes included the Dizziness Handicap Inventory (DHI) total and subdomain scores, sway area, Functional Gait Analysis total score, gait speed, and modified Illinois Agility Task completion time, and Revised High-Level Mobility Assessment Tool total score.
Results:
The mTBI group reported more VOMS symptoms (z range, −7.28 to −7.89) and a further NPC (t = −4.16) than healthy controls (all Ps < .001). DHI self-reported symptoms (total and all subdomain scores) were strongly associated with the VOMS symptom scores (rho range, 0.53-0.68; all Ps < .001). No significant relationships existed between VOMS symptoms and other measures.
Conclusion:
Significant group differences support the relevance of the VOMS for mTBI in an age-diverse sample with persistent symptoms. Furthermore, strong association with DHI symptoms supports the ability of the VOMS to capture vestibular complaints in this population.
ClinicalTrials.gov Identifier: NCT03892291
Recommended Citation
Parrington, L., King, L. A., Hoppes, C. W., Klaiman, M. J., Michielutti, P., Fino, P. C., ... & Weightman, M. M. (2022). Exploring vestibular ocular motor screening in adults with persistent complaints after mild traumatic brain injury. The Journal of Head Trauma Rehabilitation, 37(5), E346-E354. https://doi.org/10.1097/HTR.0000000000000762
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Publication Title
The Journal of Head Trauma Rehabilitation
DOI
https://doi.org/10.1097/HTR.0000000000000762
Comments
Copyright the Authors.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.