TY - JOUR PY - 2021// TI - Evaluating the vestibulo-ocular reflex following traumatic brain injury: a scoping review JO - Brain injury A1 - Crampton, Adrienne A1 - Garat, A. A1 - Shepherd, H. A. A1 - Chevignard, M. A1 - Schneider, K. J. A1 - Katz-Leurer, M. A1 - Gagnon, I. J. SP - ePub EP - ePub VL - ePub IS - ePub N2 - PURPOSE:To identify the tests and tools used to evaluate vestibulo-ocular reflex (VOR) function after traumatic brain injury (TBI) in all age groups and across TBI severity.

METHODS: An electronic search was conducted to include relevant peer-reviewed literature published up to November 2019. Studies included those done with humans, of all ages, and had assessments of oculomotor and/or vestibulo-ocular function in TBI.

RESULTS: Of the articles selected (N = 48), 50% were published in 2018/2019. A majority targeted mild TBI, with equal focus on non-computerized versus computerized measures of VOR. Computerized assessment tools used were videonystagmography, dynamic visual acuity/gaze stability, rotary chair, and caloric irrigation. Non-computerized tests included the head thrust, dynamic visual acuity, gaze stability, head shaking nystagmus, rotary chair tests and the vestibular/oculomotor screening tool. High variability in administration protocols were identified. Namely: testing environment, distances/positioning/equipment used, active/passive state, procedures, rotation frequencies, and variables observed.

CONCLUSIONS: There is a rapid growth of literature incorporating VOR tests in mild TBI but moderate and severe TBI continues to be under-represented. Determining how to pair a clinical test with a computerized tool and developing standardized protocols when administering tests will help in developing an optimal battery assessing the VOR in TBI.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2021.1972450 ID - ref1 ER -