**5.5 Vestibulo-ocular reflex and vestibular/ocular motor screen (VOMS)**

The evaluation of the Vestibulo-Ocular Reflex (VOR) and the oculomotor movements have been suggested as part of the clinical neurological examination for concussion. During the assessment, it evaluates aspects related to the interaction of both systems (vestibular and ocular) and other cranial nerves through functions that utilize both components. The VOMS (**Figure 5**) is a screening assessment that includes: (1) smooth pursuits, (2) horizontal and vertical saccades, (3) near-point of convergence (NPC) distance, (4) horizontal and vertical VOR, and (5) visual motion sensitivity (VMS). Initial studies including VOMS as a post-concussion assessment identified measurement properties that propose efficacy of this evaluation for SRC [26, 27].
