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Clinical usefulness of the rotatory, caloric, and vestibular evoked myogenic potential test in unilateral peripheral vestibular pathologies

Leen Maes UGent, Bart Vinck UGent, Floris Wuyts, Wendy D'Haenens UGent, Annelies Bockstael UGent, Hannah Keppler UGent, Birgit Philips UGent, Freya Swinnen UGent and Ingeborg Dhooge UGent (2011) INTERNATIONAL JOURNAL OF AUDIOLOGY. 50(8). p.566-576
abstract
OBJECTIVE: The aim of this study was to investigate the diagnostic capacity of three different rotatory tests, and to investigate the clinical effectiveness of the caloric, rotatory, and vestibular evoked myogenic potential (VEMP) test. DESIGN AND STUDY SAMPLE: Several rotatory tests--sinusoidal harmonic acceleration test (SHAT), pseudorandom rotation test (PRRT), velocity step test (VST)--and a caloric and a VEMP test, were given to 77 patients (mean age 52 years) with a unilateral peripheral vestibular pathology, and 80 control subjects (mean age 48 years). RESULTS: For the rotatory test, the highest diagnostic capacity was obtained with the 0.01 Hz SHAT frequency, followed by 0.1 and 0.05 Hz. A higher diagnostic accuracy was reached for the caloric and VEMP test. The caloric test demonstrated high sensitivity and specificity values, but the 0.01 Hz SHAT rotation appeared more sensitive, and the VEMP more specific, than the caloric test. CONCLUSION: A selection of the 0.01, 0.05, and 0.1 Hz SHAT rotations is suggested as the most ideal rotatory test protocol, and a combination of rotatory, caloric, and VEMP testing will result in a more complete examination of our vestibular system.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PSEUDORANDOM ROTATION TEST, TEST-RETEST RELIABILITY, SINUSOIDAL HARMONIC ACCELERATION, Logistic regression, Unilateral peripheral vestibular pathologies, Discriminating percentage, Diagnostic accuracy, Vestibular evoked myogenic potential (VEMP), Caloric, Velocity step test (VST), Pseudorandom rotation test (PRRT), Rotation, Sinusoidal harmonic acceleration test (SHAT), SLOW-PHASE-VELOCITY, LABYRINTHINE LESIONS, DIAGNOSTIC-VALUE, OCULAR REFLEXES, STEP TEST, DYSFUNCTION, RESPONSES
journal title
INTERNATIONAL JOURNAL OF AUDIOLOGY
Int. J. Audiol.
volume
50
issue
8
pages
566 - 576
Web of Science type
Article
Web of Science id
000292745800009
JCR category
OTORHINOLARYNGOLOGY
JCR impact factor
1.396 (2011)
JCR rank
14/41 (2011)
JCR quartile
2 (2011)
ISSN
1499-2027
DOI
10.3109/14992027.2011.576706
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2020709
handle
http://hdl.handle.net/1854/LU-2020709
date created
2012-02-06 15:35:40
date last changed
2012-03-02 13:58:57
@article{2020709,
  abstract     = {OBJECTIVE: The aim of this study was to investigate the diagnostic capacity of three different rotatory tests, and to investigate the clinical effectiveness of the caloric, rotatory, and vestibular evoked myogenic potential (VEMP) test. DESIGN AND STUDY SAMPLE: Several rotatory tests--sinusoidal harmonic acceleration test (SHAT), pseudorandom rotation test (PRRT), velocity step test (VST)--and a caloric and a VEMP test, were given to 77 patients (mean age 52 years) with a unilateral peripheral vestibular pathology, and 80 control subjects (mean age 48 years).

RESULTS: For the rotatory test, the highest diagnostic capacity was obtained with the 0.01 Hz SHAT frequency, followed by 0.1 and 0.05 Hz. A higher diagnostic accuracy was reached for the caloric and VEMP test. The caloric test demonstrated high sensitivity and specificity values, but the 0.01 Hz SHAT rotation appeared more sensitive, and the VEMP more specific, than the caloric test.

CONCLUSION: A selection of the 0.01, 0.05, and 0.1 Hz SHAT rotations is suggested as the most ideal rotatory test protocol, and a combination of rotatory, caloric, and VEMP testing will result in a more complete examination of our vestibular system.},
  author       = {Maes, Leen and Vinck, Bart and Wuyts, Floris and D'Haenens, Wendy and Bockstael, Annelies and Keppler, Hannah and Philips, Birgit and Swinnen, Freya and Dhooge, Ingeborg},
  issn         = {1499-2027},
  journal      = {INTERNATIONAL JOURNAL OF AUDIOLOGY},
  keyword      = {PSEUDORANDOM ROTATION TEST,TEST-RETEST RELIABILITY,SINUSOIDAL HARMONIC ACCELERATION,Logistic regression,Unilateral peripheral vestibular pathologies,Discriminating percentage,Diagnostic accuracy,Vestibular evoked myogenic potential (VEMP),Caloric,Velocity step test (VST),Pseudorandom rotation test (PRRT),Rotation,Sinusoidal harmonic acceleration test (SHAT),SLOW-PHASE-VELOCITY,LABYRINTHINE LESIONS,DIAGNOSTIC-VALUE,OCULAR REFLEXES,STEP TEST,DYSFUNCTION,RESPONSES},
  language     = {eng},
  number       = {8},
  pages        = {566--576},
  title        = {Clinical usefulness of the rotatory, caloric, and vestibular evoked myogenic potential test in unilateral peripheral vestibular pathologies},
  url          = {http://dx.doi.org/10.3109/14992027.2011.576706},
  volume       = {50},
  year         = {2011},
}

Chicago
Maes, Leen, Bart Vinck, Floris Wuyts, Wendy D’Haenens, Annelies Bockstael, Hannah Keppler, Birgit Philips, FREYA SWINNEN, and Ingeborg Dhooge. 2011. “Clinical Usefulness of the Rotatory, Caloric, and Vestibular Evoked Myogenic Potential Test in Unilateral Peripheral Vestibular Pathologies.” International Journal of Audiology 50 (8): 566–576.
APA
Maes, Leen, Vinck, B., Wuyts, F., D’Haenens, W., Bockstael, A., Keppler, H., Philips, B., et al. (2011). Clinical usefulness of the rotatory, caloric, and vestibular evoked myogenic potential test in unilateral peripheral vestibular pathologies. INTERNATIONAL JOURNAL OF AUDIOLOGY, 50(8), 566–576.
Vancouver
1.
Maes L, Vinck B, Wuyts F, D’Haenens W, Bockstael A, Keppler H, et al. Clinical usefulness of the rotatory, caloric, and vestibular evoked myogenic potential test in unilateral peripheral vestibular pathologies. INTERNATIONAL JOURNAL OF AUDIOLOGY. 2011;50(8):566–76.
MLA
Maes, Leen, Bart Vinck, Floris Wuyts, et al. “Clinical Usefulness of the Rotatory, Caloric, and Vestibular Evoked Myogenic Potential Test in Unilateral Peripheral Vestibular Pathologies.” INTERNATIONAL JOURNAL OF AUDIOLOGY 50.8 (2011): 566–576. Print.