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Related Concept Videos

Equilibrium and Balance01:15

Equilibrium and Balance

The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...

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Related Experiment Video

Updated: Jun 2, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
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Visual vertigo analogue scale: an assessment questionnaire for visual vertigo.

Elizabeth Dannenbaum1, Gevorg Chilingaryan, Joyce Fung

  • 1Feil & Oberfeld Research Centre, Jewish Rehabilitation Hospital, Laval, QC, Canada. edannenbaum hjr@ssss.gouv.qc.ca

Journal of Vestibular Research : Equilibrium & Orientation
|May 12, 2011
PubMed
Summary

This study introduces the Visual Vertigo Analogue Scale (VVAS) to measure dizziness in vestibulopathy patients. The VVAS is a reliable tool for quantifying visual vertigo, showing significant differences between patient and control groups.

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Area of Science:

  • Neurology
  • Ophthalmology
  • Audiology

Background:

  • Vestibulopathy commonly causes dizziness triggered by visual stimuli, termed visual vertigo (VV).
  • Assessing VV severity is crucial for effective patient management.
  • Existing assessment methods may not fully capture the impact of VV on daily life.

Purpose of the Study:

  • To introduce and validate a novel nine-item analog scale for assessing visual vertigo (VV).
  • To evaluate the reliability and validity of the Visual Vertigo Analogue Scale (VVAS).

Main Methods:

  • Development of the Visual Vertigo Analogue Scale (VVAS), a nine-item questionnaire for daily situations inducing VV.
  • VVAS administered to 102 participants with vestibulopathy and 102 physiotherapy patients.
  • Dizziness Handicap Inventory (DHI) also completed by the vestibulopathy group.
  • Internal consistency assessed using Cronbach's Alpha; group differences analyzed with Wilcoxon-Mann Whitney test; correlation with DHI using Spearman analysis.

Main Results:

  • The VVAS demonstrated high internal consistency and reliability (Cronbach's Alpha=0.94).
  • Significant differences in VVAS scores were observed between vestibulopathic and non-vestibulopathic populations (p < 0.0001).
  • A moderate positive correlation was found between VVAS and DHI scores in vestibulopathy patients (r=0.67, p< 0.0001).

Conclusions:

  • The Visual Vertigo Analogue Scale (VVAS) is a reliable and valid instrument for quantifying visual vertigo.
  • VVAS can differentiate between individuals with and without vestibulopathy.
  • The scale shows potential for clinical use in evaluating the impact of VV.