Objective To understand the relationship between initial vestibular and ocular motor screening (VOMS) and recovery time, and the utility of VOMS to screen for protracted recovery in youth/adolescent patients with sport-related concussion (SRC). Methods Participants (8–18 years) who were diagnosed with an SRC within 7 days of the injury were administered the VOMS test by certified medical personnel. Recovery time (days) and protracted recovery (>30 days) were the primary outcomes. Multivariable regression models were used to evaluate the association between VOMS symptom provocation and (1) recovery time (days) and (2) protracted recovery. Measures of VOMS validity, predictive ability and receiver operator curves were used to assess VOMS as a prognostic tool to accurately classify a normal/protracted recovery. Results After adjustment, any symptom provocation across all VOMS domains was associated (p<0.05) with greater recovery time, except the convergence test (p=0.08) in females. All VOMS test thresholds (≥1 to ≥10) in males and (≥1 to ≥5) in females were associated (p<0.05) with recovery time. However, the VOMS test performed poorly among males (receiver operating characteristic (ROC) area=0.66) and failed among females (ROC area=0.56) as a prognostic tool to identify those that will have a normal/protracted recovery. Conclusion In this sample, overall, the VOMS test was associated with recovery time (days); however, the VOMS was not a valid stand-alone prognostic tool to identify a delayed recovery, but may be useful in combination with other concussion symptomology assessments. Future studies should confirm these findings in larger samples while taking into consideration other comorbid factors that may influence recovery time.

中文翻译：

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评估前庭和眼部运动筛查（VOMS）作为小儿运动相关脑震荡后长期恢复的预后工具

目的了解前庭和眼运动筛查（VOMS）与恢复时间之间的关系，以及VOMS筛查运动相关性脑震荡（SRC）青年/青少年患者长期恢复的实用性。方法在受伤后7天内被诊断为SRC的参与者（8至18岁）由经过认证的医务人员进行VOMS测试。恢复时间（天）和长期恢复（> 30天）是主要结局。多变量回归模型用于评估VOMS症状激发与（1）恢复时间（天）和（2）持久恢复之间的关联。VOMS有效性，预测能力和接收者操作员曲线的量度用于评估VOMS作为准确分类正常/长期恢复的预后工具。结果调整后，除女性的收敛性测试（p = 0.08）外，所有VOMS域中的任何症状激发都与恢复时间更长相关（p <0.05）。男性的所有VOMS测试阈值（≥1到≥10）和女性的所有VOMS测试阈值（≥1到≥5）与恢复时间相关（p <0.05）。但是，VOMS测试在男性（接收者工作特征（ROC）区域= 0.66）中表现不佳，而在女性（ROC区域= 0.56）中作为识别预后正常/长期恢复者的预后工具则失败。结论总的来说，在该样本中，VOMS测试与恢复时间（天）相关。但是，VOMS并不是识别延迟恢复的有效独立预后工具，但与其他脑震荡症状评估结合使用时可能很有用。