Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2018, Vol. 32 ›› Issue (6): 60-63.doi: 10.6040/j.issn.1673-3770.0.2018.313

Previous Articles     Next Articles

Invention and application of subjective visual vertical and horizontal examination software

ZHANG Yuzhong1, WEI Xinyu1, LI Yingqi2, CHEN Zichen1, XU Yong1,3, CHENG Ying1, GAO Ying1, CHEN Feiyun1, HU Juan1, XU Min1, ZHANG Qing1   

  1. The Second Clinical Medical College of Xian Jiaotong University, Xian 710004, Shaanxi, China;
    3. Department of Otolaryngology, Xian 141 Hospital, Xian 710089, Shaanxi, China
  • Published:2018-11-29

PDF (PC)

460

Abstract: Objective To develop software to examine the subjective visual vertical(SVV)and subjective visual horizontal(SVH). These parameters are mainly used to determine the symmetry and dominant side of bilateral otolith function, evaluate the static compensation state of otolith function, and guide vestibular rehabilitation. Methods The SVV/SVH software was developed and combined with a visual reference barrel device, and used in a dark examination room to collect data from 80 healthy volunteers to determine the normal reference range. This study was a cross-sectional study. Results In the 80 healthy volunteers, the average deviation of the SVV examination ranged from -3.00° to 3.00°. The mean(± standard deviation)was -0.29(±1.42)°. The mean deviation of SVH ranged from -4.00° to 3.50°. The mean value(± standard deviation)was -0.38(±1.84)°. Conclusion The 95% normal reference ranges of the SVV and SVH measured using the software were -3.13 to 2.55° and -4.06 to 3.30°, respectively. The software and equipment can be used to evaluate the functional status of the otolith. Combined with other vestibular examinations, such as vestibular-evoked myogenic potentials, caloric test, and video head impulse test, the software can be used to comprehensively evaluate the patients vestibular function and vestibular compensation status and guide vestibular rehabilitation.

Key words: Subjective visual vertical, Subjective visual horizon, Vestibular otolith, Software design and application

CLC Number: 

  • R764
[1] 赵媛, 陈太生, 王巍, 等. 主观视觉重力线在前庭代偿评定中的应用初探[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(5):355-360. ZHAO Yuan, CHEN Taisheng, WANG Wei, et al. The application of subjective visual gravity in assessment of vestibular compensation: a pilot study[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(5): 355-360.
[2] 贾宏博, 王锦玲. 主观视觉垂直线知觉与前庭器耳石功能评定[J].中华耳科学杂志, 2005,3(1):70-73. JIA Hongbo, WANG Jinling. Subjective visual vertical perception and vestibular otolith function assessment[J]. Chin J Otol, 2005, 3(1):70-73.
[3] Halmagyi GM, Curthoys IS. Clinical testing of otolith function[J]. Ann N Y Acad Sci, 1999, 871(1):195-204.
[4] Pavan TZ, Funabashi M, Carneiro JA, et al. Software for subjective visual vertical assessment: an observational cross-sectional study[J].Braz J Otorhinolaryngol, 2012, 78(5):51-58.
[5] Sun DQ, Zuniga MG, Davalos-Bichara M, et al. Evaluation of a bedside test of utricular function—the bucket test—in older individuals[J]. Acta Otolaryngol, 2014, 134(4):382-389.
[6] Tesio L, Longo S, Rota V. The subjective visual vertical: validation of a simple test[J]. Int J Rehabil Res, 2011, 34(4):307-315.
[7] Friedmann G. The judgement of the visual vertical and horizontal with peripheral and central vestibular lesions[J]. Brain, 1970, 93(2):313-328.
[8] Uloziene I, Totiliene M, Paulauskas A, et al. Subjective visual vertical assessment with mobile virtual reality system[J]. Medicina(Kaunas), 2017, 53(6):394-402.
[9] Tamura A, Wada Y, Kurita A, et al. Visual effects on the subjective visual vertical and subjective postural head vertical during static roll-tilt[J]. Laryngoscope Invest Otolaryngol, 2017, 2(3):125-130.
[10] Ferreira MM, Cunha F, Ganança CF, et al. Subjective visual vertical with the bucket method in Brazilian healthy individuals[J]. Braz J Otorhinolaryngol, 2016, 82(4):442-446.
[11] Venhovens J, Meulstee J, Verhagen WI. Static subjective visual vertical in healthy volunteers: the effects of different preset angle deviations and test-retest variability[J]. Neuroophthalmol, 2016, 40(3):113-119.
[12] Bohmer A, Rickenmann J. The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular disease[J]. J Vestib Res, 1995, 5(1):35-45.
[13] Min KK, Ha JS, Kim MJ. et al. Clinical use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis[J]. Otol Neurotol, 2007, 28(4):520-525.
[14] Kumagami H, Sainoo Y, Fujiyama D, et al. Subjective visual vertical in acute attacks of Menieres disease[J]. Otol Neurotol, 2009, 30(2):206-209.
[15] Bronstein AM, Agarwal K. Subjective visual vertical in acute attacks of Menieres disease[J]. Otol Neurotol, 2010, 31(2):366.
[16] Ferreira MM, Ganança MM, Caovilla HH. Subjective visual vertical after treatment of benign paroxysmal positional vertigo[J]. Braz J Otorhinolaryngol, 2017, 83(6):659-664.
[17] Ashish G, Augustine AM, Tyagi AK, et al. Subjective visual vertical and horizontal in vestibular migraine[J]. J Int Adv Otol, 2017, 13(2):254-258.
[1] DING Jian, LIU Yiming. Effect of vestibular rehabilitation on residual dizziness in elderly patients with benign paroxysmal positional vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 64-68.
[2] ZHOU Qing, LIU Xiongguang, WU Changlin, YE Xiaowu. Clinical observation of 40 cases of tympanic membrane perforation treated with auricular endoscopic cartilage ring and cartilage membrane repair [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 69-72.
[3] MENG Wei, YU Zhenkun, ZHENG Yali, LI Guangfei, LIANG Longjun, WANG Xiaomin. Simulation of the biomechanical effects of deaf appendage implantation in mastoid cortical bone [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 27-30.
[4] LIAO Libing, LIU Qiming, ZONG Ling, ZHAI Jinming, ZHANG Jianguo. Characteristics of 42 patients with tinnitus and hyperacusis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 31-36.
[5] HOU Xiaobing, REN Tongli, ZHANG Yibo. Characteristics of tinnitus and the related influencing factors in patients with Menieres disease [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 37-40.
[6] XU Ming, LUO Xinggu, TANG Hongbo, JIANG Qingshan. Clinical characteristics and prognostic factors for sudden idiopathic sensorineural hearing loss in children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 41-44.
[7] CHEN Wei, HU Zhongnan, TONG Zhaojun, LI Xiangyu, LIU Wenjun. Characteristics of auditory brainstem response to high-frequency stimulus in young and middle-aged patients with sudden deafness and no history of vertigo or cardiocerebrovascular disease [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 45-49.
[8] ZHU Wenyan, JIN Xin, SHE Wandong, MA Yongchi. Assessment of psychopathological characteristics in 30 patients with sudden sensorineural hearing loss [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 50-52.
[9] MENG Lixin, LI Jian, WEI Shanwen. Insertion of microtubules in tympanic membrane for the treatment of middle ear atelectasis [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 61-65.
[10] WANG Chunyu, ZHANG Fen, WANG Beibei, LI Yuyue, WANG Xiaoyu, LI Zhiyun, ZHANG Qingquan. Clinical diagnosis and treatment of 32 cases of vocal cord leukoplakia [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 114-116.
[11] HUANG Fang, ZHENG Zhijuan, XIE Lei. Relationship of anxiety and depression with illness stage in patients with sudden hearing loss and its influencing factors [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 1-6.
[12] HUANG Juan, PANG Yufeng, GONG Jingrong, DONG Yuehui. Relationship between the psychoacoustic characteristics of tinnitus and high frequency hearing threshold [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 7-10.
[13] HUANG Yingming, WAN Baoluo, JIN Yuwei. Clinical efficacy of postauricular mastoid subperiosteal injection with betamethasone and lidocaine hydrochloride [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 11-13.
[14] CHEN Tao, LIU Shanping, LU Yongtian. Analysis of tympanic sinus CT classification and surgical procedure in management of otitis media [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 14-16.
[15] ZHOU Jialei, SUN Shibing, LI Xiaoyan. Wideband tympanometry test in infants [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 91-94.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd