Dynamic visual acuity during head-thrust test in canal planes in healthy subjects and patients with vestibular neuritis.

Conclusions: Dynamic visual acuity (DVA) during the head-thrust test (htDVA) is reliable in normal subjects, having a high specificity for the horizontal canal, so it may be useful to monitor vestibular rehabilitation in patients with vestibular neuritis (VN). Objective: To obtain reference values f...

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Publicado en:Acta Oto-Laryngologica Vol. 130; no. 11; pp. 1260 - 1267
Autores principales: Viciana D, Ferrer J, Palma MJ, Zapata C, Lopez-Escamez JA
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2010
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      pub: Taylor & Francis Ltd
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        atl: Dynamic visual acuity during head-thrust test in canal planes in healthy subjects and patients with vestibular neuritis.
      aug:
        au:
          Viciana D
          Ferrer J
          Palma MJ
          Zapata C
          Lopez-Escamez JA
        affil: Otology & Neurotology Group CTS495, Department of Otolaryngology, Hospital de Poniente, El Ejido, Almería, Spain
      sug:
        subj:
          Visual Acuity Classification
          Neuritis Classification
          Human
          Vestibular Diseases Rehabilitation
          Vestibular Function Tests
          Protocols
          Test-Retest Reliability
          Descriptive Statistics
          Regression
          Research Methodology
          Funding Source
      ab: Conclusions: Dynamic visual acuity (DVA) during the head-thrust test (htDVA) is reliable in normal subjects, having a high specificity for the horizontal canal, so it may be useful to monitor vestibular rehabilitation in patients with vestibular neuritis (VN). Objective: To obtain reference values for htDVA in healthy individuals and to investigate the potential application in subjects with unilateral VN. Methods: A total of 73 healthy individuals and 50 patients with unilateral VN were included. The DVA test was performed by adjusting a sensor on the subject's head to measure head velocity. During head thrust, the optotype flashed if the head velocity reached 150°/s, as previously defined, and a DVA score was obtained for each canal. Results: The htDVA was reliable in normal subjects (intra-class correlation coefficient (ICC) = 0.44-0.71; p = 0.001-0.007). The htDVA score showed an age-dependent increase for all canals ( p < 0.0001). The 95th percentile of htDVA was used as the criterion to consider htDVA as abnormal in patients with VN. In all, 44%, 30%, and 16% of patients had an increase in htDVA score for one, two or all three canals on the affected side. The sensitivity and specificity of the htDVA test for the horizontal canal were 22% and 85%, respectively.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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