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

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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

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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.
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