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Related Experiment Video

Updated: Oct 19, 2025

Testing of all Six Semicircular Canals with Video Head Impulse Test Systems

Testing of all Six Semicircular Canals with Video Head Impulse Test Systems

Published on: April 18, 2019

Vestibular testing in children - The suppression head impulse (SHIMP) test.

J Nguyen¹, J Berger¹, I Curthoys²

¹Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany.

International Journal of Pediatric Otorhinolaryngology

|September 19, 2021

Summary

This summary is machine-generated.

The suppression of the head impulse test (SHIMPs) is a valuable tool for assessing vestibular function in children, offering a sensitive and well-tolerated diagnostic method for pediatric balance disorders.

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Last Updated: Oct 19, 2025

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Area of Science:

Pediatric Neurology
Vestibular System Diagnostics
Otolaryngology

Background:

Childhood vestibular disorders and vertigo are increasingly recognized.
Accurate diagnosis of peripheral vestibular hypofunction in children is challenging due to communication difficulties.
The suppression of the head impulse test (SHIMPs) is a modified, more sensitive version of the video head impulse test (HIMP) for assessing residual vestibular function.

Purpose of the Study:

To investigate the applicability and sensitivity of SHIMPs in healthy children aged 3-18 years.
To determine if SHIMPs can provide a sensitive functional analysis of the vestibular system in pediatric populations.

Main Methods:

A monocentric, prospective study was conducted.
SHIMPs were performed on 40 healthy children aged 3 to 18 years.
The study focused on evaluating the ease of performance and test tolerance in children.

Main Results:

SHIMPs were found to be easily performable in children aged 3-18 years.
Clear explanation of the test procedure is crucial for ensuring adequate test tolerance and compliance in pediatric subjects.
The study demonstrated the feasibility of using SHIMPs in a pediatric cohort.

Conclusions:

SHIMPs serve as a valuable addition to established vestibular tests like HIMP for diagnosing pediatric balance disorders.
SHIMPs can be readily integrated into clinical practice, particularly for children with limited verbal skills or difficulty understanding HIMP instructions.
SHIMPs offer a short test duration and high tolerance, similar to HIMP, making them suitable for pediatric use.