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Vestibulo-Spinal reflex tests to determine unilateral vestibular loss

Vestibulo-Spinal reflex tests to determine unilateral vestibular loss
Vestibulo-Spinal reflex tests to determine unilateral vestibular loss
Objective: the purpose of this study was to investigate subjective vestibulo-spinal reflex test sensitivity in subjects with unilateral vestibular loss. 
Method: forty subjects diagnosed with UVL within 7 days of onset and 30 subjects without dizziness/balance disorder complaints were included in the study as the unilateral vestibular loss and control groups (70 subjects aged 18–60 years [mean: 42.95 ± 10.82]). Bithermal caloric test, Fukuda, Babinski Weil, tandem walking, and past pointing tests were performed. The subjective VSR tests’ sensitivities were compared among the various methods. 
Results: the Fukuda test was determined to have the highest sensitivity value (65%; kappa coefficient: 0.352). The sensitivity values of the other tests, in descending order, are: Babinski Weil (55%, Kappa coefficient: 0.274), tandem walking (10%, Kappa coefficient: 0.022), and past pointing (2.5%, Kappa coefficient: −0.014). A positive moderate correlation was obtained between canal paresis asymmetry and Fukuda deviation degree (p = 0.009, r = 0.407). There was no correlation between Babinski Weil (p = 0.619), tandem walking (p = 0.538), and past pointing test results and canal paresis asymmetry (p > 0.05). 
Conclusions: fukuda and Babinski Weil tests can be used under conditions where all subjective tests are not performed because of limited time. However, these tests must be used alongside objective vestibular test batteries owing to their limited specificity and sensitivity.
Babinski Weil, Fukuda, Unilateral vestibular loss, and past pointing tests, caloric test, tandem walking, vestibulo-spinal reflex
2169-5717
Akis, Esma
317a18de-cdb6-4f0d-995f-7c2c85431127
Gurses, Emre
d38df599-811d-402d-bde2-3dfbd3038417
Aksoy, Songul
0ecd8b51-59c5-4b85-8369-ccb45a6296ea
Akis, Esma
317a18de-cdb6-4f0d-995f-7c2c85431127
Gurses, Emre
d38df599-811d-402d-bde2-3dfbd3038417
Aksoy, Songul
0ecd8b51-59c5-4b85-8369-ccb45a6296ea

Akis, Esma, Gurses, Emre and Aksoy, Songul (2022) Vestibulo-Spinal reflex tests to determine unilateral vestibular loss. Hearing, Balance and Communication. (doi:10.1080/21695717.2022.2125243).

Record type: Article

Abstract

Objective: the purpose of this study was to investigate subjective vestibulo-spinal reflex test sensitivity in subjects with unilateral vestibular loss. 
Method: forty subjects diagnosed with UVL within 7 days of onset and 30 subjects without dizziness/balance disorder complaints were included in the study as the unilateral vestibular loss and control groups (70 subjects aged 18–60 years [mean: 42.95 ± 10.82]). Bithermal caloric test, Fukuda, Babinski Weil, tandem walking, and past pointing tests were performed. The subjective VSR tests’ sensitivities were compared among the various methods. 
Results: the Fukuda test was determined to have the highest sensitivity value (65%; kappa coefficient: 0.352). The sensitivity values of the other tests, in descending order, are: Babinski Weil (55%, Kappa coefficient: 0.274), tandem walking (10%, Kappa coefficient: 0.022), and past pointing (2.5%, Kappa coefficient: −0.014). A positive moderate correlation was obtained between canal paresis asymmetry and Fukuda deviation degree (p = 0.009, r = 0.407). There was no correlation between Babinski Weil (p = 0.619), tandem walking (p = 0.538), and past pointing test results and canal paresis asymmetry (p > 0.05). 
Conclusions: fukuda and Babinski Weil tests can be used under conditions where all subjective tests are not performed because of limited time. However, these tests must be used alongside objective vestibular test batteries owing to their limited specificity and sensitivity.

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More information

e-pub ahead of print date: 23 September 2022
Additional Information: Publisher Copyright: © 2022 International Association of Physicians in Audiology.
Keywords: Babinski Weil, Fukuda, Unilateral vestibular loss, and past pointing tests, caloric test, tandem walking, vestibulo-spinal reflex

Identifiers

Local EPrints ID: 471644
URI: http://eprints.soton.ac.uk/id/eprint/471644
ISSN: 2169-5717
PURE UUID: 53b679b2-5514-4a21-ae74-213e0947b674

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Date deposited: 15 Nov 2022 17:56
Last modified: 15 Nov 2022 17:57

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Contributors

Author: Esma Akis
Author: Emre Gurses
Author: Songul Aksoy

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