Vestibulo-ocular dysfunction in mTBI: Utility of the VOMS for evaluation and management – A review.
BACKGROUND: Individuals who have suffered a concussion/mild traumatic brain injury (mTBI) frequently report symptoms associated with vestibular and/or oculomotor dysfunction (VOD) like dizziness, nausea, fatigue, brain fog, headache, gait and neurocognitive impairments which are associated with the...
| Publicado en: | NeuroRehabilitation Vol. 50; no. 3; pp. 279 - 297 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157186450&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157186450 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2022 vid: 50 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 157186450 155804020 157186450 157186450 10.3233/NRE-228012 157186450 ppf: 279 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Vestibulo-ocular dysfunction in mTBI: Utility of the VOMS for evaluation and management – A review. aug: au: Kaae, Cristen Cadigan, Kristin Lai, Katherine Theis, Jacqueline affil: Kaiser Permanente Medical Center, Vallejo, CA, USA sug: subj: Brain Concussion Physiopathology Brain Injuries Physiopathology Vestibular Diseases Diagnosis Ocular Motility Disorders Diagnosis Vestibular Function Tests Utilization Health Screening Disease Management Referral and Consultation Human Systematic Review PubMed CINAHL Database Adult Child Eye Anatomy and Histology Eye Movements Vestibular System Brain Injuries Complications Brain Injuries Rehabilitation Physical Therapy Vision Disorders Therapy Adult: 19-44 years Child: 6-12 years ab: BACKGROUND: Individuals who have suffered a concussion/mild traumatic brain injury (mTBI) frequently report symptoms associated with vestibular and/or oculomotor dysfunction (VOD) like dizziness, nausea, fatigue, brain fog, headache, gait and neurocognitive impairments which are associated with the development of chronic symptoms. The Vestibular/Ocular Motor Screening (VOMS) tool has been established as a reliable and clinically relevant complement to use alongside a battery of post-concussion tests to improve screening and referral for further evaluation and treatment of VOD. OBJECTIVES: This paper will review the pathoanatomy and symptomatology of common vestibular and oculomotor disorders after concussion, as well as the utility of the VOMS to assist in diagnosis, referral, and management. METHODS: Primary articles were identified using a search via PubMed, Google Scholar, OneSearch, and CINAHL. Search key terms were combinations of "mild traumatic brain injury" or "concussion" or "pursuit" or "accommodation" or "vergence" or "convergence insufficiency" or "saccades" or "vestibulo-ocular reflex" or "vestibular ocular motor screen" or "vestibular rehabilitation", or "vision rehabilitation" including adult and pediatric populations that were published in print or electronically from 1989 to 2021 in English. Classic papers on anatomy of eye movements, vestibular system and pathological changes in mTBI were also included, regardless of publication date. RESULTS: Objective impairments are commonly found during testing of smooth pursuit, saccades, vergence, accommodation, vestibular ocular reflex, and visual motion sensitivity after mTBI. These deficits can be actively treated with vestibular physical therapy and oculomotor/neuro-optometric vision therapy. VOMS is an efficient and reliable tool that can be used by all healthcare and rehabilitation providers to aid in diagnosis of post-concussion VOD, to help facilitate the decision to refer for further evaluation and treatment to expedite symptomatic post-concussion recovery. CONCLUSIONS: VOD is common after concussion in acute, post-acute, and chronic phases. Once areas of impairments are identified through proper assessment, clinicians can maximize recovery by referring to vestibular physical therapy and/or neuro-optometry to design a targeted treatment program to address individual deficits. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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