RRS Education Chiropractic BLOG - Musculoskeletal Research Reviews

It is estimated that there are 1.6-3.8 million sports-related concussions annually in the United States. A significant number of concussions occur in children under 18 years of age.
Sport related concussion can be individually unique in its manifestation and sequelae, however common symptoms and functional deficits are often present that are categorized into concussion profiles or domains, including cognitive, migraine, mood, cervical, ocular, and vestibular. Two of the most affected domains include vestibular and ocular systems, with approximately 60% of athletes demonstrating impairments in these systems after SRC. Typical symptoms of vestibular system disturbance include difficulties with balance or postural control, gait, deficits in the vestibular-ocular reflex functioning, and dizziness or feeling in a fog. It is important to assess and identify impairments arising from vestibular and ocular dysfunction, as symptoms may stem from a variety of etiological sources (for example, the cervical spine, exercise exacerbation or intolerance, or benign paroxysmal positional vertigo).
The purposes of this scoping review were: 1) to examine the current clinical assessment strategies for vestibular and ocular/oculomotor function following a sports-related concussion (SRC) and 2) investigate the evidence regarding the influence of vestibular and oculomotor function on outcomes for patients with SRC.

This review provides a comprehensive understanding of vestibular impairments and outcomes following a sport related concussion. This review suggests that there is no gold standard clinical balance assessment, but the vestibular/ocular motor screening (VOMS) and gaze stabilization test (GST) provide the most consistent clinical information to guide decision making. Furthermore, individuals who experience vestibular impairments are more likely to have a delayed recovery following their concussion.

THIS WEEK'S RESEARCH REVIEW: “Vestibular & Oculomotor Assessment Strategies & Outcomes Following Sports‑Related Concussion”
This paper was published in Sports Medicine (2021) and this Review is posted in Recent Reviews, Concussion and the 2021 Archive.
concussion assessment

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