CC2022: Do Sideline Tests of Vestibular and Oculomotor Function Accurately Diagnose Sports-Related Concussion in Adults? A Systematic Review and Meta-analysis (July 2022)-Do Sideline Tests of Vestibular and Oculomotor Function Accurately Diagnose Sports-Related Concussion in Adults? A Systematic Review and Meta-analysis (July 2022)

Do Sideline Tests of Vestibular and Oculomotor Function Accurately Diagnose Sports-Related Concussion in Adults? A Systematic Review and Meta-analysis (July 2022)

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This systematic review aimed to determine the diagnostic accuracy of sideline tests of vestibular and oculomotor dysfunction in identifying sports-related concussion (SRC) in adults. The review included 8 studies that used the King-Devick test as the only index test. Meta-analysis was performed on 4 studies, resulting in a summary sensitivity of 0.77 and specificity of 0.82. However, the overall credibility of the evidence was rated as very low, indicating that caution must be taken when interpreting these results. The true values of sensitivity and specificity may differ substantially from the calculated values. Therefore, it is recommended that clinicians use the King-Devick test in conjunction with other tools, such as the Sport Concussion Assessment Tool (SCAT), to improve accuracy in diagnosing SRC in adults. The review also highlighted the limited availability of studies that have investigated vestibular and oculomotor screening tools in adult populations, with most studies focusing on younger individuals. Future studies should include more diverse populations and provide better reporting of participant characteristics and diagnostic criteria to improve the accuracy of diagnostic assessments for SRC.

Keywords

systematic review

diagnostic accuracy

sideline tests

vestibular dysfunction

oculomotor dysfunction

sports-related concussion

King-Devick test

sensitivity

specificity

improve accuracy