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It stands for vestibular ocular motor screening and looks at the systems in charge of integrating balance, vision, and movement. The VOMS test needs little equipment just a tape measure and a metronome. But research shows its 90% accurate in diagnosing people with concussion.
What Is the VOMS Test? VOMS is a tool designed by the experts at UPMC to detect signs and symptoms of a concussion. It stands for vestibular ocular motor screening and looks at the systems in charge of integrating balance, vision, and movement.
Oculomotor impairments and symptoms may manifest as blurred vision, diplopia, impaired eye movements, difficulty in reading, dizziness, headaches, ocular pain, and poor visual-based concentration.
VOMS includes eight oculomotor and vestibular items: Smooth Pursuits (horizontal and vertical), Horizontal Saccades, Vertical Saccades, Convergence, Near Point of Convergence distance (NPC, cm), Horizontal Vestibulo-Ocular Reflex (VOR), Vertical VOR, and Visual Motion Sensitivity (e.g., VOR cancellation).
Sit facing the patient. Hold 1 finger 3 feet below the other, and about 3 feet from the patient (so that the patient gazes 30 up and 30 down). Ask the patient to move their eyes from point to point as quickly as possible. Perform 10 times.
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A positive VOMS test indicates that the patient experienced a clinically significant increase in headache, dizziness, nausea, or fogginess during the assessment tasks, indicating potential vestibular or ocular motor impairments associated with concussion.

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