OBJECTIVES: In adult populations, tests of vestibular self-motion perception have been shown to be sensitive to vestibular loss, including subclinical vestibular changes. However, tests of vestibular perception have not been adequately studied in pediatric populations and are not currently possible in a standard clinical environment....
✦ The floor
Discussion
Signed responses from readers of the wire.
Audiologists and vestibular clinicians working with hearing-loss populations should be aware of this new test protocol, but should await replication studies and normative data before routinely adopting it as a primary vestibular assessment tool.
Vestibular dysfunction is common but underdiagnosed in people with hearing loss, and a validated, clinically feasible self-motion perception test could expand routine screening to include children and adults who are hardest to assess.
- 01Study implemented a clinical test of vestibular self-motion perception in both pediatric and adult hearing-loss populations.
- 02The test demonstrated sensitivity to vestibular loss, including subclinical (mild, below-threshold) changes not detected by standard tests.
- 03Published in Ear & Hearing (DOI: 10.1097/AUD.0000000000001889), a peer-reviewed audiology journal.
- 04Applicability to children as well as adults broadens the potential clinical utility of the protocol.
- 05Results suggest the measure may complement existing vestibular test batteries rather than replace them.
The clinical test of vestibular self-motion perception is sensitive to vestibular loss in people with hearing loss.
studypartially supportedThe test can detect subclinical vestibular changes that standard vestibular tests may miss.
studypartially supportedThe test protocol is feasible to implement in both children and adults with hearing loss.
studysupported- PMID
- 42720142
- DOI
- 10.1097/AUD.0000000000001889.
- Journal
- Ear and Hearing
- Publication type
- research_article
- Evidence level
- 4
- Population
- Children and adults with hearing loss
- Intervention
- Clinical test of vestibular self-motion perception
Primary outcomes
Sensitivity of the test to vestibular loss; Detection of subclinical vestibular changes