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The purpose of this study was to examine the effects of premorbid, diagnosed migraine headaches as a risk factor on vestibular and oculomotor baseline assessment in pediatric athletes.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Pediatric athletes between the ages of 8 and 14 years with a diagnosed history of migraine headache (n = 28) and matched controls without a history of diagnosed migraine headache (n = 28) were administered a baseline concussion assessment battery, consisting of the Vestibular\/Ocular Motor Screening (VOMS), near point of convergence (NPC), and the King-Devick (K-D) tests. Between-groups comparisons were performed for vestibular symptoms and provocation scores on the VOMS (smooth pursuit, saccades, convergence, vestibular\/ocular reflex, visual motion sensitivity), NPC (average distance), and K-D (time).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Individuals diagnosed with migraine headaches reported greater VOMS smooth pursuit scores (p = 0.02), convergence scores (p = 0.04), vestibular ocular reflex scores (p value range 0.002\u20130.04), and visual motion sensitivity scores (p = 0.009). Differences were also observed on K-D oculomotor performance with worse times in those diagnosed with migraine headache (p = 0.02). No differences were reported on NPC distance (p = 0.06) or headache symptom reporting (p = 0.07) prior to the VOMS assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Pediatric athletes diagnosed with migraine headaches reported higher baseline symptom provocation scores on the VOMS. Athletes with migraine headaches also performed worse on the K-D test, further illustrating the influence of premorbid migraine headaches as a risk factor for elevated concussion assessment outcomes at baseline. Special consideration may be warranted for post-concussion assessment in athletes with migraine headaches.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.10.peds18425","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:52:05Z","timestamp":1551228725000},"page":"465-470","source":"Crossref","is-referenced-by-count":19,"title":["Premorbid migraine history as a risk factor for vestibular and oculomotor baseline concussion assessment in pediatric athletes"],"prefix":"10.3171","volume":"23","author":[{"given":"Ryan N.","family":"Moran","sequence":"first","affiliation":[{"name":"Athletic Training Research Laboratory, Department of Health Science, The University of Alabama, Tuscaloosa, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"Covassin","sequence":"additional","affiliation":[{"name":"Sport Injury Research Laboratory, Department of Kinesiology, Michigan State University, East Lansing, Michigan; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Sport Science, Youngstown State University, Youngstown, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"JAMA Pediatr","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1001\/jamapediatrics.2013.434","article-title":"Predicting postconcussion syndrome after mild traumatic brain injury in children and adolescents who present to the emergency department","volume":"167","author":"Babcock L","year":"2013","unstructured":"Babcock L, Byczkowski T, Wade SL, Ho M, Mookerjee S, Bazarian JJ: Predicting postconcussion syndrome after mild traumatic brain injury in children and adolescents who present to the emergency department. 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