PTOtherEar and hearing2024

Goggle Versus Remote-Camera Video Head Impulse Test Device Comparison.

Kristen L Janky, Jessie N Patterson, Casey Vandervelde

PMID 38965656

WHAT IT FOUND

Remote-camera vHIT gave lower eye movement scores than goggles in people with vestibular dysfunction.

The normal versus abnormal classification matched except for a vertical canal.

Key findings

01In the vestibular group, horizontal canal gain was lower with the remote-camera device (.21) than with the goggle device (.35).

02In the vestibular group, vertical canal gain was lower with the remote-camera device (.27) than with the goggle device (.36).

03Despite gain differences, the devices classified normal versus abnormal identically, except for a vertical canal rated abnormal by goggles and normal by the remote camera.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only 17 control participants and 10 participants with vestibular dysfunction. Vertical canal testing was not completed for all participants; it was missing for 1 control participant and 4 participants with vestibular dysfunction. The study did not test the difficult-to-test populations it aims to support, such as infants; the reported participant age ranges started at 6 years. The remote-camera device is not FDA approved. Vestibular dysfunction was defined using the goggle device, so the comparison is anchored to one device. The remote-camera device collected fewer impulses, and the authors noted more variability in its saccade frequency.

The easy way to misread this

Do not conclude that the remote-camera device is interchangeable with goggles. It gave lower eye movement scores in people with vestibular dysfunction, and the device is not FDA approved.

Read it on PubMed →