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Related Experiment Video

Updated: Apr 11, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
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Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

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Subjective visual vertical testing in children and adolescents.

Jacob R Brodsky1,2, Brandon A Cusick1,2, Margaret A Kenna1

  • 1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.

The Laryngoscope
|May 28, 2015
PubMed
Summary

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The subjective visual vertical (SVV) test effectively identifies peripheral vestibular loss in children. This simple, noninvasive method aids in diagnosing dizziness in pediatric patients.

Area of Science:

  • Vestibular Neuroscience
  • Pediatric Audiology
  • Neurology

Background:

  • Subjective visual vertical (SVV) is a standard vestibular assessment in adults.
  • Its utility and efficacy in pediatric populations remain less explored.
  • Vestibular dysfunction can significantly impact a child's development and quality of life.

Purpose of the Study:

  • To evaluate the effectiveness of the static subjective visual vertical (SVV) test in diagnosing vestibular disorders in children.
  • To establish normative data and diagnostic accuracy of SVV in a pediatric cohort.

Main Methods:

  • A prospective, controlled study involving 33 children aged 7–18 years.
  • Participants were categorized into groups: peripheral vestibular loss (PVL), benign paroxysmal positioning vertigo (BPPV), central vertigo (CV), nonvestibular dizziness (NVD), and controls.
Keywords:
Subjective visual verticalpediatric vestibular testingutriclevestibular neuritis

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  • Static SVV testing was performed, alongside comprehensive vestibular evaluations including history, physical examination, rotary chair, and caloric testing.

    • Main Results:

    • Children with peripheral vestibular loss (PVL) exhibited significantly higher mean SVV deviation compared to BPPV, CV, NVD, and control groups (P=.002).
    • An SVV deviation threshold of >2° demonstrated high diagnostic accuracy for PVL, with 100% sensitivity, 75% specificity, 100% positive predictive value, and 97% negative predictive value.

    Conclusions:

    • The subjective visual vertical (SVV) test is a valuable, noninvasive tool for assessing peripheral vestibular function in children.
    • SVV testing can aid clinicians in the differential diagnosis of dizziness in pediatric patients, particularly in identifying peripheral vestibular loss.