Visio-Vestibular Deficits in Healthy Child and Adolescent Athletes.
Objective: To determine the relationship between patient characteristics and performance on the visio-vestibular examination (VVE) in a cohort of healthy youth athletes and explore the potential association between the VVE and other standardized concussion batteries. Design: Cross-sectional. Setting...
| Publicado en: | Clinical Journal of Sport Medicine Vol. 32; no. 4; pp. 376 - 385 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2022
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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=157680890&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157680890 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1050642X 8CB jtl: Clinical Journal of Sport Medicine issn: 1050642X maglogo: N pubinfo: dt: Jul2022 vid: 32 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 157680890 157680890 157680890 10.1097/JSM.0000000000000955 157680890 ppf: 376 ppct: 9 formats: tig: atl: Visio-Vestibular Deficits in Healthy Child and Adolescent Athletes. aug: au: Corwin, Daniel J. McDonald, Catherine C. Arbogast, Kristy B. Mohammed, Fairuz N. Grady, Matthew F. Master, Christina L. affil: Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania sug: subj: Athletes In Infancy and Childhood Athletes In Adolescence Vestibular Diseases Diagnosis Brain Concussion Diagnosis Disease Attributes Clinical Assessment Tools Evaluation Health Status In Infancy and Childhood Health Status In Adolescence Human Child Adolescence Prospective Studies Cross Sectional Studies Schools, Middle Schools, Secondary Diagnosis, Ear Methods Descriptive Statistics Correlational Studies Athletic Injuries Male Female Clinical Assessment Tools Child: 6-12 years Adolescent: 13-18 years Male Female ab: Objective: To determine the relationship between patient characteristics and performance on the visio-vestibular examination (VVE) in a cohort of healthy youth athletes and explore the potential association between the VVE and other standardized concussion batteries. Design: Cross-sectional. Setting: Suburban middle and high school. Patients: One hundred ninety subjects age 11 to 18 enrolled before their respective scholastic sport season between August 2017 and March 2020. Assessment of Independent Variables: Patient age, sex, concussion history, comorbidities, hours of weekly exercise, Sport Concussion Assessment Tool, 5th edition (SCAT-5), King–Devick (K–D), Postconcussion Symptom Inventory (PCSI). Main Outcome Measures: Visio-vestibular examination abnormalities (smooth pursuit, horizontal and vertical saccades, horizontal and vertical gaze stability, convergence, right and left monocular accommodation, complex tandem gait). Results: Overall, 29.5% of subjects had at least one of 9 VVE elements abnormal, 7.9% at least 2, and 3.2% at least 3. None of 72 comparisons of the VVE elements, when stratified by age, sex, concussion history, history of headaches, attention deficit hyperactivity disorder, learning issues, psychiatric problems, motion sickness, or weekly hours of exercise, reached significance using the Benjamini–Hochberg procedure at a false discovery rate of 5%. There were no significant associations between VVE elements and the SCAT-5, K–D, or PCSI. Conclusions: The VVE is robust across multiple patient characteristics. Although healthy subjects may have one abnormal element, multiple abnormal elements are a less common feature, making multiple abnormal elements more indicative of concussion, highlighting the use of this assessment in the setting of injury. The VVE tests unique domains when compared with the PCSI, SCAT-5, and K–D. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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