A comparison of the video head impulse test and the functional head impulse test in chronic unilateral vestibular loss

Makaleler > Tam Makale · 2023

Yazarlar: Gülce KİRAZLI, Hatice Seyra Erbek

The Journal of Laryngology & Otology, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2023, cilt 138, ss 43-51

DOI: 10.1017/s0022215123001536

Özet

Abstract Objective To examine the correlation of video head impulse test, functional head impulse test and Dizziness Handicap Inventory results in patients with chronic unilateral vestibular loss, and to compare the results with healthy controls. Methods Forty-eight patients diagnosed with chronic unilateral vestibular loss and 35 healthy individuals, aged 18–65 years, were included. The video head impulse test, functional head impulse test and Dizziness Handicap Inventory were administered. Results A significant positive correlation was found between functional head impulse test and video head impulse test results for the study group in all semicircular canals (p < 0.05). There was no significant correlation between Dizziness Handicap Inventory, functional head impulse test and video head impulse test results (p > 0.05). The functional head impulse test and video head impulse test results of the control group were significantly higher than those of the study group in all semicircular canals planes (p < 0.05). Conclusion In chronic unilateral vestibular loss patients, with high head accelerations, the functional head impulse test indicates deterioration in vestibulo-ocular reflex functionality. It would be beneficial to include the video head impulse test and functional head impulse test in clinical practice as complementary tests in vestibulo-ocular reflex evaluation.

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