Computerized rotational vestibular testing in normal subjects

As an integral part of the contemporary vestibular testing battery, computerized vestibular rotational testing provides physiologic stimuli and quantitative evaluation of the vestibulo-ocular reflex function of the horizontal semicircular canals. Clinically, it is most commonly used in the sinusoidal harmonic acceleration test (SHAT) and velocity step test. Because the results for a given subject may vary when tested using different facilities, the purpose of this study is to establish the normative data for our laboratory.

Fifty-six normal subjects underwent the SHAT and velocity step test. Three parameters of SHAT--gain, phase and symmetry--were measured and recorded at 0.02, 0.05, 0.09 and 0.10 Hz. In the velocity step test, the three parameters of postrotatory nystagmus-time constant, maximum slow component eye velocity and directional preponderance were measured and recorded.

The means +/- standard deviations of gain in the SHAT were 0.47 +/- 0.16 at 0.02 Hz, 0.50 +/- 0.16 at 0.05 Hz, 0.50 +/- 0.16 at 0.09 Hz and 0.53 +/- 0.17 at 0.10 Hz. The coefficient of variation for SHAT gain was 0.32. The time constant means and standard deviations in the velocity step test were 13.44 +/- 3.53 and 13.52 +/- 3.69 for clockwise and counterclockwise rotations, respectively.

We conclude that computerized rotational vestibular testing is precise.