TY - JOUR
T1 - Motorized head impulse rotator for horizontal vestibulo-ocular reflex
T2 - Normal responses
AU - Hirvonen, Meeli
AU - Aalto, Heikki
AU - Migliaccio, Americo Aniello
AU - Hirvonen, Timo Petteri
PY - 2007/2
Y1 - 2007/2
N2 - Objective: To characterize the horizontal angular vestibulo-ocular reflex using a new motorized head impulse rotator and electro-oculography technique. Design: Prospective case-control study. Participants: We included 22 healthy volunteers with unpredictable, horizontal motorized head impulses with a mean velocity of 170°/s and a mean acceleration of 1550°/s2. We recorded head and eye position and calculated gain, asymmetry, and latency of the vestibuloocular reflex. All subjects underwent testing twice while viewing a far (140 cm) target to evaluate the repeatability of the measurement. In addition, 8 of these subjects underwent testing while viewing a near (15 cm) target. We reported findings as mean±SD. Results: The mean gain during the 30-millisecond interval before peak head velocity and during the interval when head velocity ranged from 100°/s to 120°/s was 1.08±0.10. The mean asymmetry in gain between sides was 3.7%±2.8%, and the mean latency of the vestibuloocular reflex was 3.4±6.3 milliseconds. There was a statistically significant correlation between consecutive gain measurements for each subject (r=0.59; P=.004). The mean gain for the near target was 1.26±0.10 and was significantly higher than that for the far target (P=.002). Conclusions: The vestibulo-ocular reflex measurements using our novel system are comparable to those achieved using other techniques. These results suggest that a motorized head impulse rotator with electrooculography allows reliable and fast measurement of the vestibulo-ocular reflex. In addition, the method is safe, repeatable, and thus could be a useful tool in the clinical assessment of the vestibulo-ocular reflex.
AB - Objective: To characterize the horizontal angular vestibulo-ocular reflex using a new motorized head impulse rotator and electro-oculography technique. Design: Prospective case-control study. Participants: We included 22 healthy volunteers with unpredictable, horizontal motorized head impulses with a mean velocity of 170°/s and a mean acceleration of 1550°/s2. We recorded head and eye position and calculated gain, asymmetry, and latency of the vestibuloocular reflex. All subjects underwent testing twice while viewing a far (140 cm) target to evaluate the repeatability of the measurement. In addition, 8 of these subjects underwent testing while viewing a near (15 cm) target. We reported findings as mean±SD. Results: The mean gain during the 30-millisecond interval before peak head velocity and during the interval when head velocity ranged from 100°/s to 120°/s was 1.08±0.10. The mean asymmetry in gain between sides was 3.7%±2.8%, and the mean latency of the vestibuloocular reflex was 3.4±6.3 milliseconds. There was a statistically significant correlation between consecutive gain measurements for each subject (r=0.59; P=.004). The mean gain for the near target was 1.26±0.10 and was significantly higher than that for the far target (P=.002). Conclusions: The vestibulo-ocular reflex measurements using our novel system are comparable to those achieved using other techniques. These results suggest that a motorized head impulse rotator with electrooculography allows reliable and fast measurement of the vestibulo-ocular reflex. In addition, the method is safe, repeatable, and thus could be a useful tool in the clinical assessment of the vestibulo-ocular reflex.
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U2 - 10.1001/archotol.133.2.157
DO - 10.1001/archotol.133.2.157
M3 - Article
C2 - 17309985
AN - SCOPUS:33847094691
SN - 0886-4470
VL - 133
SP - 157
EP - 161
JO - Archives of Otolaryngology--Head and Neck Surgery
JF - Archives of Otolaryngology--Head and Neck Surgery
IS - 2
ER -