Visio Vestibular Examination – Part 1

- Hi, I'm Dr. Daniel Corwin, and I'll be joined shortly by Dr. Christina Master for a demonstration of the Minds Matter visio-vestibular examination for concussion. Before we get to the demonstration, a brief bit of background. We've made tremendous strides in the management of acute concussion over the past two decades. However, we still rely quite heavily on symptoms, which are limited both by their subjective nature, as well as a lack of specificity for the diagnosis of concussion. Beyond accurate diagnosis, it's quite important from the emergency department setting to be able to risk stratify a concussion patients, as well as perform a functional assessment. We can quickly and easily accomplish all three of these tasks using the Minds Matter viso-vestibular exam, or VVE. The VVE, which was developed and refined over the past decade and a half at Children's Hospital of Philadelphia, tests nine elements of the vestibular system, spanning oculomotor, vision and balance components. It has been shown to be reliable when performed by acute care providers across multiple age ranges, it can be performed in as little as two to three minutes, and it can be performed in children as young as five years of age.