Related Experiment Video
Updated: Oct 31, 2025

Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
Using mastoid vibration to detect age-related uni/bilateral vestibular deterioration during standing
Yufeng Lin1, Mukul Mukherjee2, Nicholas Stergiou2
1Division of Physical Therapy Education, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE, USA.
Background:
The mastoid vibration (MV) has been used to investigate unilateral vestibular dysfunction by inducing nystagmus. Additionally, this MV can be used to quantify the effect of deterioration by aging on the vestibular system during walking. Could such MV be used to assess the uni/bilateral vestibular deterioration by aging during standing?
Objective:
This study attempted to determine the feasibility of using MV for identifying the uni/bilateral vestibular deterioration by aging during standing.
Methods:
Fifteen young and ten old adults' balance control patterns were assessed by three random MV conditions: 1) No MV; 2) Unilateral MV; 3) Bilateral MV. The dependent variables were the 95% confidence ellipse areas and the sample entropy values, which were calculated based on the center of gravity displacement within each condition.
Results:
Significant main effects of MV and aging were found on all outcome variables. A significant interaction between aging and different MV types was observed in the 95% confidence ellipse area (p = 0.002) and the length of the short axis (anterior-posterior direction, p = 0.001).
Conclusions:
We concluded that the MV could be used to identify different vestibular dysfunctions, specifically in old adults.
Related Concept Videos
Equilibrium and Balance
The Vestibular System

