TY  - JOUR
PY  - 2021//
TI  - Using change scores on the vestibular ocular motor screening (VOMS) tool to identify concussion in adolescents
JO  - Applied neuropsychology. Child
A1  - Elbin, R. J.
A1  - Eagle, Shawn R.
A1  - Marchetti, Gregory F.
A1  - Anderson, Morgan
A1  - Schatz, Philip
A1  - Womble, Melissa N.
A1  - Stephenson, Katie
A1  - Covassin, Tracey
A1  - Collins, Michael W.
A1  - Mucha, Anne
A1  - Kontos, Anthony P.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To develop clinical cutoffs using change scores for the VOMS individual items and an overall VOMS change score that identified concussion in adolescent athletes. <br><br>METHODS: Change score clinical cutoffs were calculated from a sample of adolescents (13-18 years) with SRC (n = 147) and a sample of uninjured adolescents CONTROL (n = 147). Receiver operating characteristic (ROC) curves, with area under the curve (AUC), based on Youden's J statistic were used to identify optimal cutoffs for identifying SRC from CONTROLS using VOMS individual item change scores, an overall VOMS change scores, and NPC distance (cm). <br><br>RESULTS: AUC values for VOMS item change scores ranged from.55 to.71. Optimal change score cutoffs were ≥1 for VOMS items and ≥3 for overall VOMS change score. The optimal cutoff for NPC distance was ≥3 cm. A ROC analysis revealed a three-factor model (AUC =.76) for identifying SRC that included vertical vesibular ocular reflex (VVOR), visual motion sensitivity (VMS), and NPC distance items. The AUC (.73) for the overall VOMS change score was higher than any individual VOMS AUC values. <br><br>CONCLUSIONS: This study supports an alternate scoring approach and clinical interpretation of VOMS items involving change scores that account for pretest symptoms.<p />  <p>Language: en</p>
LA  - en
SN  - 2162-2965
UR  - http://dx.doi.org/10.1080/21622965.2021.1911806
ID  - ref1
ER  -