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European Archives of Oto-Rhino-Laryngology

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01-10-2016 | Otology

Assessment of VOR gain function and its test–retest reliability in normal hearing individuals

Authors: Shalini Bansal, Sujeet Kumar Sinha

Published in: European Archives of Oto-Rhino-Laryngology | Issue 10/2016

Abstract

Video head impulse test (vHIT) aids to assess all three pairs of semi-circular canals (SCCs) separately and can be utilized to find out the exact site of lesion in any three SCCs by measuring vestibulo ocular reflex (VOR) gain. VOR gain value of vHIT has been used to diagnose different vestibular pathologies. Hence, it is important to establish the test–retest reliability of the VOR gain parameters before it could be administered to the patients. Therefore, the aim of the present study was to obtain VOR gain data, correlate all planes in both sides of head (right and left) and assess the test–retest reliability of VOR gain measure using vHIT in 25 normal young adult participants. Video head impulse test tests were carried out with prototype ICS impulse video goggles with a camera speed of 250 frames/s, recording motion of the right eye in all three planes (lateral, right anterior left posterior, left anterior right posterior) for all the participants. vHIT testing was repeated for all the participants after 15 days. Statistical analysis revealed that mean VOR gain for right horizontal canal was higher than the left horizontal canal; right anterior canal was higher than left anterior canal and left anterior was higher than right posterior canal. Horizontal canals have more gain compared to anterior and posterior canals. There was no significant difference between the VOR gain of session 1 and session 2 for each SCC.

Bronstein AM, Gresty MA (1991) Compensatory eye movements in the presence of conflicting canal and otolith signals. Exp Brain Res 85(3):697–700CrossRefPubMed

Ewald EJR (1892) Physiologische Untersuchungen ueber das Endorgan des Nervus octavus. Bergmann, Wiesbaden

Goldberg JM, Fernandez C (1971) Physiology of peripheral neurons innervating semicircular canals of the squirrel monkey. I. Resting discharge and response to constant angular accelerations. J Neurophysiol 34(4):635–660PubMed

Estes MS, Blanks RH, Markham CH (1975) Physiologic characteristics of vestibular first-order canal neurons in the cat. I. Response plane determination and resting discharge characteristics. J Neurophysiol 38(5):1232–1249PubMed

Baloh RW, Honrubia V, Konrad HR (1977) Ewald’s second law reevaluated. Acta Otolaryngol 83(5–6):475–479CrossRefPubMed

Böhmer A, Henn V, Suzuki JI (1985) Vestibulo-ocular reflexes after selective plugging of the semicircular canals in the monkey—response plane determinations. Brain Res 326(2):291–298CrossRefPubMed

Zhang Y, Chen S, Zhong Z, Chen L, Wu Y, Zhao G, Liu Y (2015) Preliminary application of video head impulse test in the diagnosis of vertigo. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 29(12):1053–1058PubMed

Martinez-Lopez M, Manrique-Huarte R, Perez-Fernandez N (2015) A puzzle of vestibular physiology in a Meniere’s disease acute attack. Case Rep Otolaryngol 2015:1–5CrossRef

McGarvie LA, Curthoys IS, MacDougall HG, Halmagyi GM (2015) What does the dissociation between the results of video head impulse versus caloric testing reveal about the vestibular dysfunction in Ménière’s disease? Acta Otolaryngol 135(9):859–865CrossRefPubMed

10.

Blödow A, Heinze M, Bloching MB, von Brevern M, Radtke A, Lempert T (2014) Caloric stimulation and video-head impulse testing in Ménière’s disease and vestibular migraine. Acta Otolaryngol 134(12):1239–1244CrossRefPubMed

11.

Guerra JG, Pérez FN (2015) Reduction in posterior semicircular canal gain by age in video head impulse testing. Observational study. Acta Otorrinolaringol Esp 6519(15):00011–00014

12.

Redondo-Martínez J, Bécares-Martínez C, Orts-Alborch M, García-Callejo FJ, Pérez-Carbonell T, Marco-Algarra J (2015) Relationship between video head impulse test (vHIT) and caloric test in patients with vestibular neuritis. Acta Otorrinolaringol Esp 6519(15):00142–00149

13.

Murnane O, Mabrey H, Pearson A, Byrd S, Akin F (2014) Normative data and test–retest reliability of the SYNAPSYS video head impulse test. J Am Acad Audiol 25(3):244–252CrossRefPubMed

14.

Carhart R, Jerger J (1959) Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Disord 24:330–345CrossRef

15.

McGarvie LA, MacDougall HG, Halmagyi GM, Burgess AM, Weber KP, Curthoys IS (2015) The video head impulse test (vHIT) of semicircular canal function–age-dependent normative values of VOR gain in healthy subjects. Front Neurol 8(6):154–160

16.

Patterson JN, Bassett AM, Mollak CM, Honaker JA (2015) Effects of hand placement technique on the video head impulse test (vHIT) in younger and older adults. Otol Neurotol 36(6):1061–1068CrossRefPubMed

17.

Weber KP, Aw ST, Todd MJ, McGarvie LA, Curthoys IS, Halmagyi GM (2008) Head impulse test in unilateral vestibular loss: vestibulo-ocular reflex and catch-up saccades. Neurology 70(6):454–463CrossRefPubMed

18.

Viirre E, Tweed D, Milner K, Vilis T (1986) A reexamination of the gain of the vestibuloocular reflex. J Neurophysiol 56(2):439–450PubMed

19.

Matiño-Soler E, Esteller-More E, Martin-Sanchez JC, Martinez-Sanchez JM, Perez-Fernandez N (2015) Normative data on angular vestibulo-ocular responses in the yaw axis measured using the video head impulse test. Otol Neurotol 36(3):466–471CrossRefPubMed

Title: Assessment of VOR gain function and its test–retest reliability in normal hearing individuals
Authors: Shalini Bansal
Sujeet Kumar Sinha
Publication date: 01-10-2016
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 10/2016
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-016-3951-3

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Assessment of VOR gain function and its test–retest reliability in normal hearing individuals

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