Vestibular function assessment using the NIH Toolbox

Details

• Personal Author:
  Beaumont J ; Carey JP ; Corbin B ; Furman G ; Hoffman HJ ; Jacobson GP ; Lin C-C ; Marchetti GF ; Musolino MC ; Redfern MS ; Rine RM ; Roberts D ; Roche JL ; Schubert MC ; Shepard NP ; Slotkin J ; Steed DP ; Whitney SL ; Wrisley DM
• Description:
  OBJECTIVE: Development of an easy to administer, low-cost test of vestibular function. METHODS: Members of the NIH Toolbox Sensory Domain Vestibular, Vision, and Motor subdomain teams collaborated to identify 2 tests: 1) Dynamic Visual Acuity (DVA), and 2) the Balance Accelerometry Measure (BAM). Extensive work was completed to identify and develop appropriate software and hardware. More than 300 subjects between the ages of 3 and 85 years, with and without vestibular dysfunction, were recruited and tested. Currently accepted gold standard measures of static visual acuity, vestibular function, dynamic visual acuity, and balance were performed to determine validity. Repeat testing was performed to examine reliability. RESULTS: The DVA and BAM tests are affordable and appropriate for use for individuals 3 through 85 years of age. The DVA had fair to good reliability (0.41-0.94) and sensitivity and specificity (50%-73%), depending on age and optotype chosen. The BAM test was moderately correlated with center of pressure (r = 0.42-0.48) and dynamic posturography (r = -0.48), depending on age and test condition. Both tests differentiated those with and without vestibular impairment and the young from the old. Each test was reliable. CONCLUSION: The newly created DVA test provides a valid measure of visual acuity with the head still and moving quickly. The novel BAM is a valid measure of balance. Both tests are sensitive to age-related changes and are able to screen for impairment of the vestibular system. [Description provided by NIOSH]
• Subjects:
  Age Factors Aging Diagnosis Eye Musculoskeletal System Occupational Health Safety Sense Organs Software
• Keywords:
  Age-factors Age-groups Analytical-instruments Computer-models Computer-software Diagnostic-tests Equipment-reliability Eye-movement Eyesight Humans Medical-screening Motion-studies Optic-system Optical-analysis Posture Sensory-motor-system Standards Testing-equipment Vestibular-disorders Vestibular-function Visual-images Visual-motor-performance

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• ISSN:
  0028-3878
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Illinois ; Maryland ; Minnesota ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; Pennsylvania ; Tennessee ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  80
• Issue:
  11
• NIOSHTIC Number:
  nn:20042532
• Citation:
  Neurology 2013 Mar; 80(11)(Suppl 3):S25-S31
• Contact Point Address:
  RoseMarie M. Rine, PhD, Specialty Therapy Source LLC, Jacksonville, FL
• Email:
  specialtytherapy@bellsouth.net
• Federal Fiscal Year:
  2013
• NORA Priority Area:
  Manufacturing ; Services
• Performing Organization:
  University of Pittsburgh at Pittsburgh
• Peer Reviewed:
  True
• Start Date:
  20100801
• Source Full Name:
  Neurology
• Supplement:
  3
• End Date:
  20140731
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7b19976565d6e6b2b00b8ee41d23e63e0fd6a34025fbace58883a3d1d6f7dd5e62130c6de914cce6f879c54c4aeac7fa97cc32f95dce48348c8914cb0fd4f493
• Download URL:
  https://stacks.cdc.gov/view/cdc/194722/cdc_194722_DS1.pdf
• File Type:
  [PDF - 427.29 KB ]