ArticleThe American journal of sports medicine2014
A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings.
Article in The American journal of sports medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 267 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Use of the VOMS Tool With Military Personnel to Track Mild Traumatic Brain Injury Recovery and Return to Duty Status
RCT of Vestibular Treatment in Adolescents Following Sport Related Concussion
Standardized Instruments to Provide Diagnostic and Prognostic Information in Mild Traumatic Brain Injury (mTBI)
Evaluation of the Impact of a Dietary and Nutritional Intervention on the Physical, Cognitive, Behavioural and Emotional Symptoms of Patients With Persistent Post-concussive Symptoms
Wearable Technology to Characterize and Treat mTBI Subtypes: Biofeedback-Based Precision Rehabilitation
Vestibular Rehabilitation Aid (VestAid)
Who cites it
267 citing papers in PubMed, 9 syntheses or guidelines pooled it, 727 citations in OpenAlex.
- Utility of the Vestibular/Ocular Motor Screening in Military Medicine: A Systematic Review.Military medicine · 2025Pooled it
- The Ability of Vestibular and Oculomotor Screenings to Predict Recovery in Patients After Concussion: A Systematic Review of the Literature.Journal of athletic training · 2024Pooled it
- Ocular microtremor: a structured review.Experimental brain research · 2023Pooled it
- Clinical characteristics of visual motion hypersensitivity: a systematic review.Experimental brain research · 2023Pooled it
- Vestibular Rehabilitation as an Early Intervention in Athletes Who are Post-concussion: A Systematic Review.International journal of sports physical therapy · 2023Pooled it
- Coordinating Global Multi-Site Studies of Military-Relevant Traumatic Brain Injury: Opportunities, Challenges, and Harmonization Guidelines.Brain imaging and behavior · 2021Pooled it
- Recommendations for initial examination, differential diagnosis, and management of concussion and other head injuries in high-level football.Scandinavian journal of medicine & science in sports · 2020Guideline
- Concussion Guidelines Step 2: Evidence for Subtype Classification.Neurosurgery · 2020Guideline
- Prevalence of Vestibular Dysfunction in Children With Neurological Disabilities: A Systematic Review.Frontiers in neurology · 2019Pooled it
- Impact of Early Activity and Behavioral Management on Acute Concussion Recovery: A Randomized Controlled Trial.The Journal of pediatrics · 2025Trial
- In People With Subacute Mild Traumatic Brain Injury, Earlier Physical Therapy Improved Symptoms at a Faster Rate Than Later Physical Therapy: Randomized Controlled Trial.Physical therapy · 2025Trial
- Implementation of active injury management (AIM) in youth with acute concussion: A randomized controlled trial.Contemporary clinical trials · 2022Trial
- The acute, systemic effects of aerobic exercise in recently concussed adolescent student-athletes: preliminary findings.European journal of applied physiology · 2022Trial
- A multimodal framework to assess differences in dynamic visual acuity between athletes with and without recent sport-related concussion.Experimental brain research · 2026Article
- From rehabilitation to performance: reframing vestibular-ocular interventions to optimise sports performance.British journal of sports medicine · 2026Article
- Primitive-Reflex Profiling After Sport-Related Concussion: An Athlete-Centered Framework for Testing a Candidate Behavioral State Marker.Brain sciences · 2026Article
- Autonomic Nervous System Responses to Rest and Exertion Following Concussion (the Measuring ANSWERS Study): Protocol for a 2-Aim Cross-Sectional and Longitudinal Observational Study.JMIR research protocols · 2026Article
- Eye movements and ocular biomarkers in mild traumatic brain injury: from oculomotor pathophysiology to diagnosis and prognosis.Journal of neurology · 2026Review
- Protocol for Development of Guidelines for Rapid Restoration of Readiness.Neurosurgery practice · 2026Article
- Phenotype-guided Management of Post-traumatic Headache: An Update on Pathophysiology and Treatment.Current pain and headache reports · 2026Review
207 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundVestibular and ocular motor impairments and symptoms have been documented in patients with sport-related concussions. However, there is no current brief clinical screen to assess and monitor these issues. PURPOSE: To describe and provide initial data for the internal consistency and validity of a brief clinical screening tool for vestibular and ocular motor impairments and symptoms after sport-related concussions. STUDY
designCross-sectional study; Level of evidence, 2.
methodsSixty-four patients, aged 13.9 ± 2.5 years and seen approximately 5.5 ± 4.0 days after a sport-related concussion, and 78 controls were administered the Vestibular/Ocular Motor Screening (VOMS) assessment, which included 5 domains: (1) smooth pursuit, (2) horizontal and vertical saccades, (3) near point of convergence (NPC) distance, (4) horizontal vestibular ocular reflex (VOR), and (5) visual motion sensitivity (VMS). Participants were also administered the Post-Concussion Symptom Scale (PCSS).
resultsSixty-one percent of patients reported symptom provocation after at least 1 VOMS item. All VOMS items were positively correlated to the PCSS total symptom score. The VOR (odds ratio [OR], 3.89; P < .001) and VMS (OR, 3.37; P < .01) components of the VOMS were most predictive of being in the concussed group. An NPC distance ≥5 cm and any VOMS item symptom score ≥2 resulted in an increase in the probability of correctly identifying concussed patients of 38% and 50%, respectively. Receiver operating characteristic curves supported a model including the VOR, VMS, NPC distance, and ln(age) that resulted in a high predicted probability (area under the curve = 0.89) for identifying concussed patients.
conclusionThe VOMS demonstrated internal consistency as well as sensitivity in identifying patients with concussions. The current findings provide preliminary support for the utility of the VOMS as a brief vestibular/ocular motor screen after sport-related concussions. The VOMS may augment current assessment tools and may serve as a single component of a comprehensive approach to the assessment of concussions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.