{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T07:16:06Z","timestamp":1777965366733,"version":"3.51.4"},"reference-count":48,"publisher":"National Athletic Trainers' Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Biological sex and history of motion sickness are known modifiers associated with a false-positive baseline Vestibular\/Ocular Motor Screening (VOMS). However, other factors may be associated with a false-positive VOMS in collegiate athletes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To identify contributing factors to false-positive VOMS assessments using population-specific criteria. We also critically appraised previously reported interpretation criteria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Descriptive laboratory study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Single-site collegiate athletic training clinic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants<\/jats:title>\n                  <jats:p>National Collegiate Athletic Association Division I athletes (n = 462 [41% female]) aged 18.8 \u00b1 1.4 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s)<\/jats:title>\n                  <jats:p>Participants completed the Athlete Sleep Behavior Questionnaire, the 7-Item Generalized Anxiety Index, the Immediate Postconcussion Assessment and Cognitive Testing battery, the Patient Health Questionnaire-9, the Revised Head Injury Scale, the Sensory Organization Test, and the VOMS as part of a multidimensional baseline concussion assessment. Participants were classified into 2 groups based on whether they had a total symptom score of greater than or equal to 8 after VOMS administration, excluding the baseline checklist. We used \u03c72 and independent t tests to compare group demographics. A binary logistic regression with adjusted odds ratios (ORs) was used to evaluate the influence of sex, corrected vision, attention-deficit\/hyperactivity disorder, Immediate Postconcussion Assessment and Cognitive Testing composite scores, concussion history, history of treatment for headache and\/or migraine, Generalized Anxiety Index scores, Patient Health Questionnaire-9 scores, Athlete Sleep Behavior Questionnaire scores, and Sensory Organization Test equilibrium scores and somatosensory, visual, and vestibular sensory ratios on false-positive rates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Approximately 9.1% (42 of 462 [30 females]) met criteria for a false-positive VOMS. A significantly greater proportion of females had false positives (\u03c721 = 18.37, P &amp;lt; .001). Female sex (OR = 2.79; 95% CI = 1.17, 6.65; P = .02) and history of treatment for headache (OR = 4.99; 95% CI = 1.21, 20.59; P = .026) were the only significant predictors of false-positive VOMS. Depending on cutoff interpretation, false-positive rates using our data ranged from 9.1% to 22.5%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our results support the most recent interpretation guidelines for the VOMS in collegiate athletes due to a low false-positive rate and ease of interpretation. Biological sex and history of headaches should be considered when administering the VOMS in the absence of a baseline.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-0317.23","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T12:09:21Z","timestamp":1701173361000},"page":"600-607","source":"Crossref","is-referenced-by-count":3,"title":["False-Positive Rates, Risk Factors, and Interpretations of the Vestibular\/Ocular Motor Screening in Collegiate Athletes"],"prefix":"10.4085","volume":"59","author":[{"given":"Daniel","family":"Rosenblum","sequence":"first","affiliation":[{"name":"Exercise and Sport Injury Laboratory (EaSIL), University of Virginia, Charlottesville. Dr Donahue is now at Sports Medicine Center, Children's Hospital of Colorado, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Donahue","sequence":"additional","affiliation":[{"name":"Exercise and Sport Injury Laboratory (EaSIL), University of Virginia, Charlottesville. Dr Donahue is now at Sports Medicine Center, Children's Hospital of Colorado, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haven","family":"Higgins","sequence":"additional","affiliation":[{"name":"Exercise and Sport Injury Laboratory (EaSIL), University of Virginia, Charlottesville. Dr Donahue is now at Sports Medicine Center, Children's Hospital of Colorado, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madison","family":"Brna","sequence":"additional","affiliation":[{"name":"Exercise and Sport Injury Laboratory (EaSIL), University of Virginia, Charlottesville. Dr Donahue is now at Sports Medicine Center, Children's Hospital of Colorado, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Resch","sequence":"additional","affiliation":[{"name":"Exercise and Sport Injury Laboratory (EaSIL), University of Virginia, Charlottesville. Dr Donahue is now at Sports Medicine Center, Children's Hospital of Colorado, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"issue":"11","key":"2024062523512631000_i1938-162X-59-6-600-b01","doi-asserted-by":"crossref","first-page":"2311","DOI":"10.1177\/0363546511410655","article-title":"Which on-field signs\/symptoms predict protracted recovery from sport-related concussion among high school football players","volume":"39","author":"Lau","year":"2011","journal-title":"Am J Sports Med"},{"issue":"3","key":"2024062523512631000_i1938-162X-59-6-600-b02","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1080\/13803395.2015.1004303","article-title":"Injury-related predictors of symptom severity following sports-related concussion","volume":"37","author":"Merritt","year":"2015","journal-title":"J Clin Exp 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