The Vestibular/Ocular-Motor Screening (VOMS) is an evaluation performed by a trained healthcare professional to check the vestibular ocular system, which is responsible for integrating vision, balance and movement. This test can be done on the sideline or in an office setting. It is a controlled series of eye, head, and body movements used to try to elicit symptoms that may not have been detected otherwise. These are symptoms related to the visual system, eye muscles, and vestibular system, all of which can be affected by concussion.
This quick and noninvasive test will give the physician or healthcare professional immediate results that will be helpful in making treatment, referral, and return-to-play decisions. This test can be performed for individuals ages 9-40 and generally takes about 5-10 minutes to complete. This screening should be included in a comprehensive concussion exam.
Example of VOMS
Your healthcare providers will evaluate motor eye movement, such as:
- How the eyes track a moving target (following a mark, typically in an "H" pattern)
- How well the eyes move from target to target (up and down, side to side)
- If eyes can converge (bringing eyes toward each other)
- How well eyes accommodate (eyes coming together to focus close up, and eyes relaxing to focus at a distance, continuously)
Your healthcare providers will evaluate vestibular changes (how the eyes, body, and brain work together), including:
- Does moving your head up and down and side to side increase concussion symptoms?
- Does moving your body and eyes together increase concussion symptoms?
For more information, go to https://www.impacttest.com/pdf/VOMSExam.pdf