A-08 VOMS Scores Relationship to King-Devick Scores in Males

Abstract

Abstract Objective Burkhart and colleagues (2020) showed that positive screening on the Vestibular Ocular Motor Screening (VOMS) and slower King Devick scores were predictive of protracted recovery in male adolescents. The purpose of this study was to examine the relationship between positive VOMS screening and King-Devick Trial 1 scores in a similar population. Method 300 male participants age 10–18 were administered VOMS and King-Devick Trial 1 within 7-days of their injury at a specialty concussion clinic between 2017–2019. We hypothesized that slower speeds on King-Devick Trial 1 would be related to a positive screening on the VOMS (i.e. symptom provocation of +2, convergence of > 6 mm). Odds ratios were calculated to estimate the likelihood of screening positive on the VOMS among those with a King-Devick Trial 1 score above the median compared to those with a score below the median. Results Those scoring above the median on King-Devick Trial 1 (i.e. slower times) were 74% more likely to have a positive screening on the VOMS, OR = 1.74, 95% CI [1.10–2.78], p = 0.02, relative to those with a King-Devick Trial 1 above the median. Conclusions The VOMS was created to be a symptom provocation tool sensitive to concussion. However, this study demonstrated that the VOMS is also related to performance on objective visual scanning task. Specifically, adolescent males with slower scores on the King-Devick Trial 1 were more likely to have a positive screening on the VOMS.