Visio-Vestibular Deficits in Healthy Child and Adolescent Athletes

The Visio-Vestibular Examination (VVE) is a series of examinations that determine if a patient has some degree of visio-vestibular deficit, such as impaired eye movements and pupil response. Recently published by PISC Senior Scholar Daniel Corwin, MD, Executive Committee member Catherine C. McDonald, PhD, RN, Senior Scholar Kristy Arbogast, PhD, and others, this study aimed to determine the relationship between patient characteristics and performance on the VVE in a cohort of healthy suburban middle and high school athletes. Another goal of the study was to explore the potential association between the VVE and other standardized concussion batteries. Overall, the study found that 29.5% of subjects had at least one of 9 VVE elements abnormal, 7.9% at least 2, and 3.2% at least 3. The authors conclude that, "The VVE is robust across multiple patient characteristics. Although healthy subjects may have one abnormal element, multiple abnormal elements are a less common feature, making multiple abnormal elements more indicative of concussion, highlighting the use of this assessment in the setting of injury."

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