OpiCalc

1121 Clinical Tools

ACL Graft Choice Risk Factors ACL-RSI Calculator (Return to Sport Readiness)AHA Pre-Participation Screening AOFAS Ankle-Hindfoot Scale ASES Elbow Score ASES Shoulder Score Acute:Chronic Workload Ratio (ACWR)Altitude Gain Guidelines Ankle Syndesmosis (High Ankle Sprain)Athlete's Heart vs HCM Beighton Score (Joint Hypermobility)Borg CR-10 Scale Borg RPE Scale (6–20)Brighton Criteria (BJHS)Buffalo Concussion Treadmill Test (BCTT)Child SCAT6 (Age 8–12)Commotio Cordis Protocol Cumberland Ankle Instability Tool (CAIT)DASH (UE Disability Index)Doha Groin Agreement ESC HCM SCD Risk Score ESC Pre-Participation Screening Energy Availability Calculator FAI Syndrome (Warwick)FAOS (Foot and Ankle Outcome Score)Fear-Avoidance Beliefs Questionnaire (FABQ)Female Athlete Triad Risk Foot Posture Index (FPI-6)Foot and Ankle Ability Measure (FAAM)Functional Movement Screen (FMS)Graduated Return-to-Play (GRTP) Protocol HAGOS (Hip and Groin Outcome Score)Hamstring Asymmetry Index Heat Index (Apparent Temp)Hip Outcome Score (HOS)Hooper Index (Athlete Wellness)I-PRRS (Psychological Readiness)IKDC (Objective Examination)IKDC (Subjective Knee Evaluation)Injury Severity KJOC Shoulder & Elbow Score KOOS (Knee Outcome Score)KOOS-PS (Physical Function Short Form)Kujala (Anterior Knee Pain Scale)LEAF-Q (LEA Screening)Lake Louise AMS Score Limb Symmetry Index (LSI)Little League Elbow Grading Lysholm Knee Score Marx Activity Rating Scale (MARS)Mayo Elbow Performance Score (MEPS)Modified Schober Test NEXUS C-Spine Criteria Neck Disability Index (NDI)One-Rep Max Estimator Osgood-Schlatter Severity Oswestry Disability Index (ODI)Ottawa Knee Rules Oxford Elbow Score Oxford Shoulder Score PAR-Q+ Readiness Questionnaire PARS-3 Youth Readiness Patellar Instability Severity Score Pitch Smart Guidelines (USA Baseball)Pittsburgh Knee Rules Post-Concussion Symptom Scale (PCSS)QuickDASH (Shoulder & UE)RED-S CAT (Clinical Assessment)Re-injury Anxiety Inventory (RIAI)Relative Age Effect (RAE)Return-to-Play Battery SANE Score (Single Assessment)SCAT6 (Sport Concussion Assessment Tool 6)SCOAT6 (Sub-acute and Office Follow-up)SEAQ-I Appetite Questionnaire STarT Back Screening Tool Session RPE (Internal Load)Sever's Disease Activity Single-Leg Hop Test Battery Standardized Assessment of Concussion (SAC)Steroid Equivalence Calculator Stinger / Burner Grading Sweat Rate and Rehydration TSK-11 (Tampa Scale for Kinesiophobia)TUE Criteria Checklist Tanner Stage Assessment Tegner Activity Scale (TAS)Training Monotony and Strain UCL Injury Risk (Medial Elbow)VISA-A (Achilles Tendinopathy)VISA-P Scale (Patellar Tendinopathy)VO2 Max VOMS (Vestibular/Ocular-Motor Screening)WADA Prohibited List Checker WBGT (Wet Bulb Globe Temp)WORC (Rotator Cuff Index)WOSI (Shoulder Instability Index)Wilks Score (Relative Strength)Wind Chill Index hEDS Diagnostic Criteria (2017)iHOT-33 (International Hip Outcome Tool)

Recent Journal Updates

Cancer MedicineApr 22, 2026

Sarcopenia in Oncological Patients Diagnostics, Screening, and Impact on Quality of Life, Fatigue, Handgrip Strength, and Physical Activity (Sarco‐Detect Study)

Why this matters

Matched clinical terms: screening, screening — may affect guidance relevant to VOMS (Vestibular/Ocular-Motor Screening).

DiabetologiaApr 13, 2026

Updates on paediatric MASLD: insights from an endocrine lens

Why this matters

Matched clinical terms: screening, screening — may affect guidance relevant to VOMS (Vestibular/Ocular-Motor Screening).

PLOS MedicineApr 6, 2026

Trade-offs in diagnostic algorithm, population coverage, and duration of community screening for tuberculosis: A modelling study

Why this matters

Matched clinical terms: screening, screening — may affect guidance relevant to VOMS (Vestibular/Ocular-Motor Screening).

VOMS (Vestibular/Ocular-Motor Screening)

Pre-Test Baseline (0–10)

headache

dizziness

nausea

fogginess

Assessment Stage 1 of 7

Smooth Pursuits

Track target moving H/V

headache

dizziness

nausea

fogginess

VMS Warning

Perform visual motion sensitivity last. It is the most provocative task and may cause severe nausea.

Guidelines & Evidence

Clinical Details

Section 1

When to Use

Screening for vestibular and oculomotor dysfunction following sport-related concussion.

Identifying sub-types of concussion (vestibular vs. ocular) to guide rehabilitation.

Initial assessment (baseline or post-injury) and monitoring treatment progress.

Clinical Utility

VOMS is highly sensitive in identifying concussed athletes early, even when cognitive or balance tests (e.g., mBESS) are normal.

Section 2

Formula & Logic

Assessment Domains

Smooth Pursuits	Tracking a slow-moving target
Saccades	Rapidly shifting gaze between two targets (H/V)
Near Point Converg. (NPC)	Distance where double vision occurs (Abnormal: ≥5cm)
VOR	Maintain gaze focus during head motion (H/V)
Visual Motion Sens. (VMS)	Focus on thumb during full body rotation

Symptom Rating

Before and after each task, the patient rates four symptoms on a 0–10 scale: Headache, Dizziness, Nausea, and Fogginess (HDNF).

Positive Thresholds

Increase in any HDNF symptom by ≥2 points from baseline.

NPC distance ≥5 cm (measured in 3 trials).

Section 3

Pearls/Pitfalls

Direct Comparison

Unlike the SCAT6 which focus on balance and cognition, VOMS specifically targets the integration of visual and vestibular inputs, which are often the primary drivers of persistent post-concussive symptoms.

Clinical Pearls

Always perform a baseline symptom check BEFORE starting the VOMS maneuvers.

If symptoms spike significantly during one task, pause until they return to baseline before proceeding.

Abnormal NPC (Convergence insufficiency) is a strong predictor of prolonged recovery.

Section 4

Next Steps

Referral & Rehab

Vestibular Therapy: Indicated for positive VOR/VMS provocation.

Vision Therapy: Indicated for positive NPC or Saccade/Pursuit deficits.

Serial Tracking: Monitor VOMS scores weekly to judge the effectiveness of rehab.

Related Tools

SCAT6

SCOAT6

BCTT

Section 5

Evidence Appraisal

Foundational Research

A Brief Vestibular/Ocular Motor Screening (VOMS) tool to identify concussions with athletes.

Mucha A et al. • The American Journal of Sports Medicine. 2014;42(10):2479–2486. Landmark study establishing the validity and positive thresholds for VOMS.

View Source

Last Comprehensive Review: 2026

Related Sports Medicine Tools

SCAT6

Child SCAT6

Buffalo Concussion Treadmill Test

SCOAT6

Standardized Assessment of Concussion

Post-Concussion Symptom Scale

Graduated Return-to-Play

ACL-RSI Calculator

Fear-Avoidance Beliefs Questionnaire

TSK-11

Have feedback about this calculator?Let us know.

Recent Journal Updates

Cancer MedicineApr 22, 2026

Sarcopenia in Oncological Patients Diagnostics, Screening, and Impact on Quality of Life, Fatigue, Handgrip Strength, and Physical Activity (Sarco‐Detect Study)

Why this matters

Matched clinical terms: screening, screening — may affect guidance relevant to VOMS (Vestibular/Ocular-Motor Screening).

DiabetologiaApr 13, 2026

Updates on paediatric MASLD: insights from an endocrine lens

Why this matters

Matched clinical terms: screening, screening — may affect guidance relevant to VOMS (Vestibular/Ocular-Motor Screening).

PLOS MedicineApr 6, 2026

Trade-offs in diagnostic algorithm, population coverage, and duration of community screening for tuberculosis: A modelling study

Why this matters

Matched clinical terms: screening, screening — may affect guidance relevant to VOMS (Vestibular/Ocular-Motor Screening).

VOMS (Vestibular/Ocular-Motor Screening)

Pre-Test Baseline (0–10)

headache

dizziness

nausea

fogginess

Assessment Stage 1 of 7

Smooth Pursuits

Track target moving H/V

headache

dizziness

nausea

fogginess

VMS Warning

Perform visual motion sensitivity last. It is the most provocative task and may cause severe nausea.

Guidelines & Evidence

Clinical Details

Section 1

When to Use

Screening for vestibular and oculomotor dysfunction following sport-related concussion.

Identifying sub-types of concussion (vestibular vs. ocular) to guide rehabilitation.

Initial assessment (baseline or post-injury) and monitoring treatment progress.

Clinical Utility

VOMS is highly sensitive in identifying concussed athletes early, even when cognitive or balance tests (e.g., mBESS) are normal.

Section 2

Formula & Logic

Assessment Domains

Smooth Pursuits	Tracking a slow-moving target
Saccades	Rapidly shifting gaze between two targets (H/V)
Near Point Converg. (NPC)	Distance where double vision occurs (Abnormal: ≥5cm)
VOR	Maintain gaze focus during head motion (H/V)
Visual Motion Sens. (VMS)	Focus on thumb during full body rotation

Symptom Rating

Before and after each task, the patient rates four symptoms on a 0–10 scale: Headache, Dizziness, Nausea, and Fogginess (HDNF).

Positive Thresholds

Increase in any HDNF symptom by ≥2 points from baseline.

NPC distance ≥5 cm (measured in 3 trials).

Section 3

Pearls/Pitfalls

Direct Comparison

Clinical Pearls

Always perform a baseline symptom check BEFORE starting the VOMS maneuvers.

If symptoms spike significantly during one task, pause until they return to baseline before proceeding.

Abnormal NPC (Convergence insufficiency) is a strong predictor of prolonged recovery.

Section 4

Next Steps

Referral & Rehab

Vestibular Therapy: Indicated for positive VOR/VMS provocation.

Vision Therapy: Indicated for positive NPC or Saccade/Pursuit deficits.

Serial Tracking: Monitor VOMS scores weekly to judge the effectiveness of rehab.

Related Tools

SCAT6

SCOAT6

BCTT

Section 5

Evidence Appraisal

Foundational Research

A Brief Vestibular/Ocular Motor Screening (VOMS) tool to identify concussions with athletes.

Mucha A et al. • The American Journal of Sports Medicine. 2014;42(10):2479–2486. Landmark study establishing the validity and positive thresholds for VOMS.

View Source

Last Comprehensive Review: 2026

Related Sports Medicine Tools

SCAT6

Child SCAT6

Buffalo Concussion Treadmill Test

SCOAT6

Standardized Assessment of Concussion

Post-Concussion Symptom Scale

Graduated Return-to-Play

ACL-RSI Calculator

Fear-Avoidance Beliefs Questionnaire

TSK-11

Have feedback about this calculator?Let us know.