Athletics Therapy    
Recent News |  Archives |  Tags |  Newsletter |  Message Board/Forum |  About |  Links |  Subscribe to AthleticsTherapy.com RSS Feed Subscribe


More Articles
Improvements in fuel cell designImprovements in fuel cell design

Rediscovering Venus to find faraway earths

Archaeologists discover bronze remains of Iron Age chariot

Researchers resolve the Karakoram glacier anomaly, a cold case of climate science

Fish tale: New study evaluates antibiotic content in farm-raised fishFish tale: New study evaluates antibiotic content in farm-raised fish

New 3-D display technology promises greater energy efficiencyNew 3-D display technology promises greater energy efficiency

Researchers break nano barrier to engineer the first protein microfiberResearchers break nano barrier to engineer the first protein microfiber

Magnetic mirrors enable new technologies by reflecting light in uncanny ways

Structure of an iron-transport protein revealedStructure of an iron-transport protein revealed

First step: From human cells to tissue-engineered esophagusFirst step: From human cells to tissue-engineered esophagus

Lift weights, improve your memory

Spiders: Survival of the fittest group

Autophagy helps fast track stem cell activationAutophagy helps fast track stem cell activation

Myelin vital for learning new practical skillsMyelin vital for learning new practical skills

More physical activity improved school performanceMore physical activity improved school performance

Around the world in 400,000 years: The journey of the red foxAround the world in 400,000 years: The journey of the red fox

Engineering new vehicle powertrainsEngineering new vehicle powertrains

Active aging is much more than exerciseActive aging is much more than exercise

Study: New device can slow, reverse heart failureStudy: New device can slow, reverse heart failure

Are the world's religions ready for ET?Are the world's religions ready for ET?

Gut bacteria, artificial sweeteners and glucose intoleranceGut bacteria, artificial sweeteners and glucose intolerance

Recreating the stripe patterns found in animals by engineering synthetic gene networksRecreating the stripe patterns found in animals by engineering synthetic gene networks

Laying the groundwork for data-driven scienceLaying the groundwork for data-driven science

Hold on, tiger momHold on, tiger mom

Nature's designs inspire research into new light-based technologiesNature's designs inspire research into new light-based technologies

Biologists delay the aging process by 'remote control'Biologists delay the aging process by 'remote control'

Geography matters: Model predicts how local 'shocks' influence U.S. economyGeography matters: Model predicts how local 'shocks' influence U.S. economy

Identified for the first time what kind of explosive has been used after the detonationIdentified for the first time what kind of explosive has been used after the detonation

Copied from nature: Detecting software errors via genetic algorithmsCopied from nature: Detecting software errors via genetic algorithms

Missing piece found to help solve concussion puzzle (9/14/2014)

Tags:
balance, concussion, medicine, scoring, vision
Dr. Michael 'Micky' Collins, clinical and executive director of the UPMC Concussion Program, conducts a vestibular ocular examination with a patient. -  Photo credit: UPMC
Dr. Michael 'Micky' Collins, clinical and executive director of the UPMC Concussion Program, conducts a vestibular ocular examination with a patient. - Photo credit: UPMC

Researchers at UPMC and the University of Pittsburgh have created a new, 5- to 10-minute test that could be added to a clinician's concussion evaluation toolkit for a more comprehensive assessment of the injury.

In a recent study published online first by the American Journal of Sports Medicine, researchers from the UPMC Sports Medicine Concussion Program demonstrated that clinicians could use their novel Vestibular/Ocular Motor Screening (VOMS) examination to be 90 percent accurate in identifying patients with concussion. The VOMS, which requires such minimal equipment as a tape measure and a metronome, was shown to be a valid and consistent tool to enhance the current multi-disciplinary approaches to concussion assessment that include clinical examination, symptom evaluation and computerized neurocognitive testing.

Previous research conducted at UPMC identified the vestibular ocular system - responsible for integrating vision, balance and movement - as being the most predictive of longer outcomes from sports-related concussions. However, the researchers reported, most current evaluation and management tools for vestibular issues focus on balance, potentially missing important pieces of the concussion puzzle. In fact, the Sideline Assessment of Concussion (SAC), Sport Concussion Assessment Tool-3 (SCAT-3), Balance Error Scoring System (BESS), and similar tests fail to both comprehensively evaluate the vestibular system and measure ocular-motor dysfunction, they added.

"We were afraid that important findings were being missed in many patients following their concussion because we just didn't have the right tool to measure this part of the injury," said Anne Mucha, D.P.T., Concussion Program clinical coordinator for vestibular therapy and principal investigator in this research. "Current assessments clearly weren't sufficient in identifying most of the dizziness and visual problems that we commonly see in our patients."

"The VOMS is another tool in our toolkit," said Michael "Micky" Collins, Ph.D., Concussion Program executive and clinical director who took part in this study. "For the past five to 10 years, our research has revealed that vision issues, fogginess and dizziness are symptoms associated with the worst outcomes in our patients. So we set out to create an evidence-based examination to assess these areas."

The researchers studied 64 concussed patients approximately five days post-injury and 78 healthy control-group patients who were administered VOMS by trained clinicians. The VOMS, which was developed in conjunction with a multi-disciplinary team of UPMC experts, assesses five areas of the vestibular ocular system: smooth pursuits, saccades (rapid eye movement), horizontal vestibular ocular reflex, visual motion sensitivity, and near-point-of-convergence distance. Standardized screening instructions are attached as appendices with the journal paper.

"The results from the current study indicated that more than 60 percent of patients experienced symptoms following the VOMS - and these are patients whose impairments might have been missed without a tool like it," said Anthony Kontos, Ph.D., Concussion Program assistant research director and senior investigator.

"Current assessment tools are not looking at these issues, which concerns us greatly," Dr. Collins said. "We are seeing many young athletes who, in addition to neurocognitive deficiencies, are coming to us with vestibular ocular impairment. The VOMS provides a more specific evaluation that can help us better treat these patients using targeted treatment pathways. By integrating the VOMS with current tools, clinicians could very well foster a paradigm shift in concussion diagnosis and management."

Note: This story has been adapted from a news release issued by the University of Pittsburgh Schools of the Health Sciences

Post Comments:

Search
New Articles
Researchers build computer models to analyze play in pro basketball and soccer

A new way to diagnose brain damage from concussions, strokes and dementiaA new way to diagnose brain damage from concussions, strokes and dementia

Light-based technology tracks oxygen levels underwater for swim performance, muscle repair

Where hockey and engineering collide: NJIT Highlanders join a pioneering concussion studyWhere hockey and engineering collide: NJIT Highlanders join a pioneering concussion study

Do concussions have lingering cognitive, physical, and emotional effects?Do concussions have lingering cognitive, physical, and emotional effects?

WHACK! Study measures head blows in girls' lacrosseWHACK! Study measures head blows in girls' lacrosse

Athletes perform better when exposed to subliminal visual cues

High school football players show brain changes after one seasonHigh school football players show brain changes after one season

Researchers identify protein that predicts post-concussion severity in professional athletes

Athletes' testosterone surges not tied to winning, study finds

The American athletics track is still a man's world

Symmetrical knees linked to Jamaican sprinting prowess

Danger of repeat head injuries: Brain's inability to tap energy source

Do spinal cord injuries cause subsequent brain damage?

Enriched environments hold promise for brain injury patients



Archives
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013
January 2013
December 2012
November 2012
October 2012
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
January 2012
December 2011
November 2011
October 2011
September 2011
August 2011
July 2011
June 2011
May 2011
April 2011
March 2011
February 2011
January 2011
December 2010
November 2010
October 2010
September 2010
August 2010
July 2010
June 2010
May 2010
April 2010
March 2010


  Archives |  Submit News |  Advertise With Us |  Contact Us |  Links
Use of this site constitutes acceptance of our Terms of Service and Privacy Policy. All contents © 2000 - 2018 AthleticsTherapy.com. All rights reserved.