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Updated: Apr 6, 2026

Controlled Rotation of Human Observers in a Virtual Reality Environment
Published on: April 21, 2022
Normative data for rotational chair stratified by age.
Fung M Chan1, Jessica Galatioto1, Michael Amato2
1Department of Otolaryngology, New York Eye and Ear Infirmary of Mount Sinai, New York, U.S.A.
Vestibulo-ocular reflex (VOR) gain on rotary chair testing varies significantly with age, particularly in preadolescent and geriatric individuals. Current normative data may not accurately reflect these age-related differences.
Area of Science:
- Neuroscience
- Ophthalmology
- Audiology
Background:
- The vestibulo-ocular reflex (VOR) stabilizes gaze during head movements.
- Rotary chair (RC) testing is a standard method for assessing VOR function.
- Accurate normative data for VOR gain across all age groups is crucial for clinical diagnosis.
Purpose of the Study:
- To investigate the range of VOR gain using RC testing in individuals without vestibular or ear issues.
- To stratify VOR gain by age and gender to identify potential variations.
Main Methods:
- A prospective cross-sectional study involving 100 participants aged 6 to 78 years.
- VOR gains were measured at frequencies from 0.01 to 0.64 Hz during RC testing.
- Statistical analysis (PROC MIXED) was used to compare VOR gain across five age groups and by gender.
Main Results:
- The youngest age group (6-12 years) exhibited the highest average VOR gain.
- A significant inverse correlation was found between VOR gain and age (P < .05).
- The strongest age-related correlation was observed at the lowest frequency (0.01 Hz).
Conclusions:
- Age significantly impacts VOR gain, with notable differences in preadolescent and geriatric populations.
- Existing manufacturer-provided normative data for VOR gain may be inaccurate for these specific age groups.
- Further research with larger, diverse populations is needed to establish precise normative VOR gain values.
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