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Instantaneous Gain in Video Head Impulse Test: A Reliability Study.

Burak Kabiş1, Hakan Tutar2, Bülent Gündüz1

  • 1Department of Audiology, Gazi University Faculty of Health Sciences, Ankara, Turkey.

Turkish Archives of Otorhinolaryngology
|May 31, 2022
PubMed
Summary
This summary is machine-generated.

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This study assessed the reliability of vestibulo-ocular reflex (VOR) instantaneous gain measurements in healthy adults. Results show higher test-retest reliability for horizontal semicircular canals at 80 ms, suggesting potential improvements in VOR gain calculation methods.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Audiology

Background:

  • The vestibulo-ocular reflex (VOR) stabilizes gaze during head movements.
  • Instantaneous gain is a measure of VOR function at specific latencies post-head movement.
  • Reliability of instantaneous gain measurements is crucial for clinical assessment.

Purpose of the Study:

  • To investigate the test-retest reliability of instantaneous vestibulo-ocular reflex (VOR) gain values.
  • To evaluate instantaneous gain at 40, 60, and 80 ms following head movement onset.
  • To compare the reliability of horizontal versus vertical semicircular canal gain measurements.

Main Methods:

  • Utilized the Interacoustics EyeSeeCam video head impulse test (vHIT).
  • 42 healthy adults underwent two test sessions with a 30-minute interval.
Keywords:
Vestibular systemreliabilityvestibular function testsvestibulo ocular reflexvideo head impulse test

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Last Updated: Sep 21, 2025

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  • Paired samples t-test and correlation analyses assessed agreement for mean gain, gain asymmetry, and instantaneous gain.
  • Main Results:

    • Higher test-retest correlation was observed for horizontal semicircular canals compared to vertical ones.
    • The highest correlation for instantaneous gain in horizontal canals was at 80 ms (r=0.791 right, r=0.838 left).
    • Gain asymmetry values showed the lowest test-retest correlation.

    Conclusions:

    • Instantaneous VOR gain at 80 ms demonstrates good reliability for horizontal semicircular canals.
    • Current video head impulse test (vHIT) mean gain calculation (approx. 60 ms) may need reevaluation.
    • Development of standardized, reliable methods for vertical semicircular canal gain and asymmetry is needed.