• 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.

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

• Increase in any HDNF symptom by ≥2 points from baseline.
• NPC distance ≥5 cm (measured in 3 trials).

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.

• 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.

• 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.