Location

Hopwood Auditorium

Access Type

Open Access

Entry Number

71

Start Date

4-5-2023 4:00 PM

End Date

4-5-2023 4:15 PM

College

College of Health Sciences

Department

Public Health

Keywords

concussion, vestibular ocular-motor, concussion assessment tools, SCAT-5, King Devick

Abstract

BACKGROUND: Due to the increase in sports-related concussions in the United States, there is a rising concern about concussion assessments in collegiate athletes with regard to long term vestibular ocular motor dysfunction and post-concussion syndrome.

PURPOSE: Due to varying practices in concussion diagnosis, this systematic review analyzed three concussion diagnostic instruments, The King Devick, Screening Concussion Assessment Tool (SCAT-5), and Vestibular Oculomotor Screening Tool (VOMS), to determine the most appropriate instrument(s) for reducing vestibular ocular-motor dysfunction and post-concussion symptoms in collegiate athletes.

METHODS: Nested Knowledge was used to identify articles from PubMed, Europe Pubmed Central, and ClinicalTrials.gov databases. Key search terms were combinations of “King Devick,” “concussion,” “athletes,” “vestibular and oculomotor reflexes,” “SCAT 5.” Articles were removed from consideration based on the following selected exclusion criteria: full text unavailable; did not include VOMS, King Devick, or SCAT-5 assessment; not a sport-related concussion; did not include college athletes; athletes were not over 18 years old,; not peer-reviewed; published before 2016.

RESULTS: A PRISMA diagram was created to report inclusion and exclusion criteria of all articles in the review. There were 398 articles identified, 45 were duplicates leaving 353 for screening. Of the 353, 101 articles were excluded based on selected exclusion criteria. Out of 252 articles sought for retrieval, 196 were not retrieved. Therefore, 56 articles were assessed for eligibility and only 16 of those articles met eligibility criteria.

CONCLUSION: Preliminary review of the literature suggests that The King Devick, Screening Concussion Assessment Tool (SCAT-5), and the Vestibular Ocular-Motor Screening Tool (VOMS) should not be used independently. Concussion assessment tools like the SCAT-5 and King Devick should be used in conjunction with the VOMS to limit the probability of misdiagnosing concussion and failure to identify vestibular ocular-motor dysfunction.

Faculty Mentor(s)

Dr. Rebekkah N. McLellan

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Apr 5th, 4:00 PM Apr 5th, 4:15 PM

Evaluation of Concussion Assessment Tools for Collegiate Athletes

Hopwood Auditorium

BACKGROUND: Due to the increase in sports-related concussions in the United States, there is a rising concern about concussion assessments in collegiate athletes with regard to long term vestibular ocular motor dysfunction and post-concussion syndrome.

PURPOSE: Due to varying practices in concussion diagnosis, this systematic review analyzed three concussion diagnostic instruments, The King Devick, Screening Concussion Assessment Tool (SCAT-5), and Vestibular Oculomotor Screening Tool (VOMS), to determine the most appropriate instrument(s) for reducing vestibular ocular-motor dysfunction and post-concussion symptoms in collegiate athletes.

METHODS: Nested Knowledge was used to identify articles from PubMed, Europe Pubmed Central, and ClinicalTrials.gov databases. Key search terms were combinations of “King Devick,” “concussion,” “athletes,” “vestibular and oculomotor reflexes,” “SCAT 5.” Articles were removed from consideration based on the following selected exclusion criteria: full text unavailable; did not include VOMS, King Devick, or SCAT-5 assessment; not a sport-related concussion; did not include college athletes; athletes were not over 18 years old,; not peer-reviewed; published before 2016.

RESULTS: A PRISMA diagram was created to report inclusion and exclusion criteria of all articles in the review. There were 398 articles identified, 45 were duplicates leaving 353 for screening. Of the 353, 101 articles were excluded based on selected exclusion criteria. Out of 252 articles sought for retrieval, 196 were not retrieved. Therefore, 56 articles were assessed for eligibility and only 16 of those articles met eligibility criteria.

CONCLUSION: Preliminary review of the literature suggests that The King Devick, Screening Concussion Assessment Tool (SCAT-5), and the Vestibular Ocular-Motor Screening Tool (VOMS) should not be used independently. Concussion assessment tools like the SCAT-5 and King Devick should be used in conjunction with the VOMS to limit the probability of misdiagnosing concussion and failure to identify vestibular ocular-motor dysfunction.