VOMS Concussion Test | Vestibular Ocular Motor Screening Self-Assessment Tool
Vestibular Ocular Motor Screening (VOMS) is a clinically informed method used to assess how concussion symptoms are affected by eye movements, visual tracking, and head motion. Many individuals with post-concussion syndrome experience dizziness, brain fog, headaches, and visual discomfort that are not always detected through standard imaging. This interactive VOMS-informed self-screen allows you to track symptom changes during specific tasks, helping identify vestibular and ocular dysfunction that may contribute to persistent symptoms. By monitoring how symptoms respond to movement and visual demands, this tool can support more targeted recovery strategies and guide discussions with medical or rehabilitation providers.
Step-by-Step Task Instructions
Perform each task slowly and stop if symptoms significantly worsen. After each task, rate symptoms (Headache, Dizziness, Nausea, Fog) from 0–10.
1. Baseline (Rest)
Sit still and relax for 30 seconds. Rate your current symptoms before starting any tasks.
2. Smooth Pursuits (Eye Tracking)
Hold a target (finger or pen) at arm’s length. Slowly move it side to side for 10–15 seconds while keeping your head still. Follow it only with your eyes.
3. Horizontal Saccades (Left–Right)
Hold two targets about shoulder-width apart. Quickly move your eyes back and forth between them for 10–15 seconds without moving your head.
4. Vertical Saccades (Up–Down)
Hold one target above eye level and one below. Move your eyes quickly up and down between them for 10–15 seconds.
5. Near Point Convergence
Hold a target at arm’s length and slowly bring it toward your nose. Stop when it becomes blurry or double. Note the distance and symptom increase.
6. VOR Horizontal (Head Turns)
Hold a target in front of you. Keep your eyes fixed on it while turning your head side to side at a moderate speed for 10–15 seconds.
7. VOR Vertical
Keep your eyes on the target while moving your head up and down at a steady pace for 10–15 seconds.
8. Visual Motion Sensitivity
Stand and rotate your body and head together side to side while focusing on a stationary target for 10–15 seconds.
Stop immediately if severe dizziness, nausea, visual disturbance, or disorientation occurs. Seek medical evaluation if symptoms are intense or worsening.