Normative values for the video Head Impulse Test in children without otoneurologic symptoms and their evolution across childhood by gender

The video Head Impulse Test is routinely used to assess semicircular canal function in adults, but to date, pediatric reference values are scarce. This study aimed to explore the vestibulo-ocular reflex (VOR) in healthy children at different development stages and to compare the obtained gain values...

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Detalhes bibliográficos
Autores: Rodríguez Villalba, Rosana, Caballero Borrego, Miguel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/217841
Acesso em linha:https://hdl.handle.net/2445/217841
Access Level:acceso abierto
Palavra-chave:Vertigen
Reflexos (Fisiologia)
Infants
Adolescents
Equilibri
Malalties de l'orella interna
Vertigo
Reflexes
Children
Teenagers
Equilibrium
Inner ear diseases
Descrição
Resumo:The video Head Impulse Test is routinely used to assess semicircular canal function in adults, but to date, pediatric reference values are scarce. This study aimed to explore the vestibulo-ocular reflex (VOR) in healthy children at different development stages and to compare the obtained gain values with reference to those in an adult population. Methods: This prospective, single-center study recruited 187 children from among patients without otoneurological diseases, healthy relatives of these patients, and staff families from a tertiary hospital. Patients were divided into three groups by age: 3-6 years, 7-10 years, and 11-16 years. The vestibulo-ocular reflex was assessed by video Head Impulse Test, using a device with a high-speed infrared camera and accelerometer (EyeSeeCam®; Interacoustics, Denmark). Results: We found a lower vestibulo-ocular reflex gain of both horizontal canals in the 3-6-year-old group when compared with the other age groups. No increasing trend was found in the horizontal canals from age 7-10 years to age 11-16 years, and no differences were found by sex. Conclusion: Gain values in the horizontal canals increased with age until children reached age 7-10 years and matched the normal values for adults.