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Journal of Otolaryngology - Head and Neck Surgery
Article . 2020 . Peer-reviewed
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Mobile phone app Vs bucket test as a subjective visual vertical test: A validation study

Authors: Tianyang Dai; George Kurien; Vincent YW Lin;

Mobile phone app Vs bucket test as a subjective visual vertical test: A validation study

Abstract

Background The SVV tests the ability of a person to perceive the gravitational vertical. A tilt in SVV indicates vestibular imbalance in the roll plane, and thus injuries to the utricle or its connecting nerves. A validated bedside method (et, al., 2009, 72(19):1689–1692, Neurol, Zwergal) is the bucket method, in which the subject estimates the true vertical by attempting to properly align a straight line visible on the bottom of a bucket that is rotated at random by the examiner. In our study, the subjects need to align the plumb line on the Visual Vertical iOS app to the vertical direction. Methods Measurements of the SVV were made in 22 healthy subjects (16 females and 6 males). Each subject conducted 10 iterations of bucket test and 10 iterations of iOS app test. The reliability and validity of the iOS app was analyzed by SPSS21. Results Cronbach's α for the plumb line method was 0.976, and the iOS app was 0.978. Statistical comparison of SVV values measured by the iOS app and the bucket method showed no significant difference in distribution (Mann Whitney U test U = 0.944). Conclusion The Visual Vertical iOS app is an effective and accessible substitute to the plumb line for the measurement of the validated bucket test.

Keywords

Adult, Male, RD1-811, Mobile app, Validation study, Reproducibility of Results, Vestibular Function Tests, Bucket test, Mobile Applications, Healthy Volunteers, Female [MeSH] ; Mobile app ; Subjective visual vertical test ; Bucket test ; Adult [MeSH] ; Humans [MeSH] ; Vestibular Function Tests/methods [MeSH] ; Male [MeSH] ; Reproducibility of Results [MeSH] ; Validation study ; Healthy Volunteers [MeSH] ; Original Research Article ; Mobile Applications [MeSH], Humans, Surgery, Female, Original Research Article, Subjective visual vertical test

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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Top 10%
Green
gold