Quantitative evaluation of the Vestibular Autorotation Test (VAT) in normal subjects. 1995

A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
Department of Otolaryngology, P. Debeyelaan 25, Maastricht, The Netherlands.

The Vestibular Autorotation Test (VAT) is a relatively easy method for testing the Vestibulo Ocular Reflex (VOR) at higher frequencies by asking the patient to actively shake his/her head from side to side (jaw) with increasing frequency. In this study we investigated reproducibility and clinical applicability of this method and quantified gain and phase of the VOR in normal subjects. We studied the VOR in 33 subjects over a frequency range from 2 to 6 Hz. Ten subjects were investigated with an angular rate sensor mounted on a headband. In this group the velocity gain tended to decrease at higher frequencies and phase lag increased slightly. In a second experiment (2 subjects) head velocity was detected simultaneously by an angular sensor fixed to a headband and an identical sensor attached to a bite board. It was shown that the gain of the VOR in the first group was underrated and phase shift overrated due to slippage of the headband fixed rate sensor. Therefore in a third experiment, 21 subjects were investigated with the rate sensor attached to a bite board only. In this group VOR gain was close to unity and phase was close to 0 degrees (180 degrees out of phase) from 2 up to 6 Hz. In contrast to other studies, a considerable number of subjects were unable to reach shaking frequencies above 4 Hz. Our results agree with those of recently published reports and disagree with others, both using a headband. This is interpreted as being due to difficulties in sensing head velocity accurately. CONCLUSIONS vestibular autorotation is an accurate and reproducible way of testing the high frequency range of the vestibulo-ocular reflex, provided that head velocity is measured by a bite board. Our present work is focused on determining the high frequency characteristics of the VOR in patients suffering from vertigo.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D012027 Reflex, Vestibulo-Ocular A reflex wherein impulses are conveyed from the cupulas of the SEMICIRCULAR CANALS and from the OTOLITHIC MEMBRANE of the SACCULE AND UTRICLE via the VESTIBULAR NUCLEI of the BRAIN STEM and the median longitudinal fasciculus to the OCULOMOTOR NERVE nuclei. It functions to maintain a stable retinal image during head rotation by generating appropriate compensatory EYE MOVEMENTS. Vestibulo-Ocular Reflex,Reflex, Vestibuloocular,Reflexes, Vestibo-Ocular,Reflexes, Vestibuloocular,Reflex, Vestibulo Ocular,Reflexes, Vestibo Ocular,Vestibo-Ocular Reflexes,Vestibulo Ocular Reflex,Vestibuloocular Reflex,Vestibuloocular Reflexes
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012399 Rotation Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Clinorotation,Clinorotations,Rotations
D014724 Vestibular Function Tests A number of tests used to determine if the brain or balance portion of the inner ear are causing dizziness. Function Test, Vestibular,Function Tests, Vestibular,Test, Vestibular Function,Tests, Vestibular Function,Vestibular Function Test
D014725 Vestibular Nerve The vestibular part of the 8th cranial nerve (VESTIBULOCOCHLEAR NERVE). The vestibular nerve fibers arise from neurons of Scarpa's ganglion and project peripherally to vestibular hair cells and centrally to the VESTIBULAR NUCLEI of the BRAIN STEM. These fibers mediate the sense of balance and head position. Scarpa's Ganglion,Ganglion, Scarpa's,Nerve, Vestibular,Nerves, Vestibular,Scarpa Ganglion,Scarpas Ganglion,Vestibular Nerves

Related Publications

A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
January 2000, Archives of medical research,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
June 2008, Journal of neurologic physical therapy : JNPT,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
July 1998, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
December 2008, Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
December 1997, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
June 2015, Acta oto-laryngologica,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
October 2017, Acta oto-laryngologica,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
January 2014, Clinical interventions in aging,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
January 2022, Evidence-based complementary and alternative medicine : eCAM,
A A Meulenbroeks, and H Kingma, and J J Van Twisk, and M P Vermeulen
January 1991, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
Copied contents to your clipboard!