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Test-retest reliability of the computerized rotational head impulse test in the pediatric population

Dissertation (MA (Audiology))--University of Pretoria, 2022.

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Other Authors: Reddy, Tarryn Marisca
Format: Thesis
Language:English
Published: University of Pretoria 2023
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access_status_str Open Access
author2 Reddy, Tarryn Marisca
author_browse Reddy, Tarryn Marisca
author_facet Reddy, Tarryn Marisca
collection Thesis
dc_rights_str_mv © 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MA (Audiology))--University of Pretoria, 2022.
format Thesis
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:39:13.632Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/89347 Test-retest reliability of the computerized rotational head impulse test in the pediatric population Reddy, Tarryn Marisca nicole.mittendorf@gmail.com Heinze, Barbara M. Kiderman, Alex González, Jorge Mittendorf, Nicole Clinical tool Computerized head impulse test Horizontal semi-circular canal functioning Pediatric vestibular assessment Vestibular test battery UCTD Dissertation (MA (Audiology))--University of Pretoria, 2022. Objective: This study aimed to determine the test-retest reliability of the computerized rotational head impulse test (crHIT) as an additional clinical tool to assess horizontal semi-circular canal (HSCC) function in the pediatric population. Methods: To determine the test-retest reliability of the crHIT, the study included 29 normally developing children with a mean age of 12.2 years ± 2.7 (range: 8-17 years) with no history of vestibular symptoms and disorders. Participants underwent two crHITs within one session and one crHIT within 4 weeks in the following session. Each crHIT included two protocols: one using an earth-bound target and the other using a head-fixed target. The test-retest reliability was determined using a quantitative research approach with a repeated measures design. Results: The mean aVOR gains for both stationary and suppression crHIT ranged from 0.93 – 1.01, with gains being lower for suppression compared to stationary crHIT. For stationary crHIT the ANOVA regression was not statistically significant for both leftward (within-session p=0.021 & between-session p=0.015) and rightward (within session p=0.052 & between-session p=0.038) rotations, indicating no linear relationship between the differences and the averages, revealing a good test-retest reliability. For the suppression crHIT the regression of the differences was statistically significant for both leftward (within-session p=0.608 & between-session p=0.318) and rightward (within-session p=0.631 & between-session p=0.523) rotations. A positive relationship was observed for within-session and a negative relationship for between session measurements. The suppression crHIT did not yield a good test-retest reliability, but the differences measured were smaller for between-session compared to within-session. Conclusions: The stationary crHIT is a reliable clinical tool in assessing HSCC functioning in the pediatric population as it demonstrates good test-retest repeatability. Therefore, extending the pediatric vestibular test battery with crHIT can be a valuable diagnostic tool without adding to the overall test time. The suppression crHIT does not present with a good test-retest reliability due to the VOR inhibition reducing the gain with each impulse. Further research is needed to determine whether the statistically significant regression is clinically significant. Speech-Language Pathology and Audiology MA (Audiology) Unrestricted 2023-02-08T14:03:49Z 2023-02-08T14:03:49Z 2023-04-24 2022 Dissertation * A2023 https://repository.up.ac.za/handle/2263/89347 10.25403/UPresearchdata.22047107 en © 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle Clinical tool
Computerized head impulse test
Horizontal semi-circular canal functioning
Pediatric vestibular assessment
Vestibular test battery
UCTD
Test-retest reliability of the computerized rotational head impulse test in the pediatric population
title Test-retest reliability of the computerized rotational head impulse test in the pediatric population
title_full Test-retest reliability of the computerized rotational head impulse test in the pediatric population
title_fullStr Test-retest reliability of the computerized rotational head impulse test in the pediatric population
title_full_unstemmed Test-retest reliability of the computerized rotational head impulse test in the pediatric population
title_short Test-retest reliability of the computerized rotational head impulse test in the pediatric population
title_sort test retest reliability of the computerized rotational head impulse test in the pediatric population
topic Clinical tool
Computerized head impulse test
Horizontal semi-circular canal functioning
Pediatric vestibular assessment
Vestibular test battery
UCTD
url https://repository.up.ac.za/handle/2263/89347