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Computerized Rotational Head Impulse Test: Age-Dependent Normative Data.
du Plessis, Mangelique; Heinze, Barbara; Reddy, Tarryn M; Kiderman, Alexander; González, Jorge E.
Afiliación
  • du Plessis M; Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa.
  • Heinze B; Ear Science Institute Australia, Perth, Western Australia, Australia.
  • Reddy TM; Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa.
  • Kiderman A; Neurolign, USA, LLC, Pittsburgh, PA.
  • González JE; Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC.
Am J Audiol ; 33(3): 674-682, 2024 Sep 03.
Article en En | MEDLINE | ID: mdl-38889375
ABSTRACT

PURPOSE:

The objective of this study was to determine the normative vestibulo-ocular reflex gain output values of the computerized rotational head impulse test (crHIT) with stationary visual targets (earth bound) in healthy participants in each decade age band of life 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, and 70+ years.

METHOD:

Seventy-seven community-dwelling participants (10-85 years of age) with normal lateral semicircular canal (SCC) functioning and no symptoms or history of vestibular dysfunction were recruited through convenience sampling and assessed with the crHIT using stationary targets. These participants were assessed using two standard protocols in a randomized order.

RESULTS:

Results from 77 participants (M age = 46 years; 43 women, 34 men) were analyzed. Pearson's correlation coefficient and simple linear regression indicated a statistically significant relationship between crHIT gain output and age (p > .05) for right gain, 1030°/s2, and left gain, 1005°/s2. Although a statistically significant relationship was found, the slope was minor, demonstrating that the clinical effect of age on crHIT gain output was insignificant. Furthermore, no statistically significant relationship exists between crHIT gain output and gender (p > .05). Age-dependent normative data were calculated using the 2.5th and 97.5th confidence interval (CI) percentile method. The responses of angular vestibulo-ocular reflex (aVOR) gain values for crHIT are expected to occur within the range for lower limit reference interval (RI) of 0.85-0.9 and upper limit RI of 1.11-1.18 for 1030°/s2 and lower limit RI of 0.86-0.92 and upper limit RI of 1.13-1.16 for 1005°/s2. It can be expected that 90% CI of the population with normal lateral SCC functioning will have aVOR gain values that fall within this range.

CONCLUSION:

Despite a statistically significant relationship that exists with aVOR gain output and age, the changes are minor, declining by 0.0088 units per 10 years, justifying the same normative data for all decade age bands.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reflejo Vestibuloocular / Prueba de Impulso Cefálico Límite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Audiol Asunto de la revista: AUDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reflejo Vestibuloocular / Prueba de Impulso Cefálico Límite: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Audiol Asunto de la revista: AUDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Sudáfrica Pais de publicación: Estados Unidos