Proposal of a standardized testing protocol for BPPV: Using 3D simulations for insights into movement of otoliths during positional tests
An order effect can occur when performing diagnostic maneuvers for BPPV. The maneuvers can displace debris in the semicircular canals into new positions that may influence the findings in subsequent maneuvers and confound interpretation. A standardized testing protocol, starting with the SRT first, can decrease the order effect and simplify the interpretation of test results and in turn improve diagnostic accuracy and outcomes in the management of BPPV.
Authors
- Daniele Nuti (ORCID: https://orcid.org/0000-0002-1525-7218)
- Rajneesh Bhandari (ORCID: https://orcid.org/0000-0002-8351-6664)
- David S. Zee (ORCID: https://orcid.org/0000-0003-3909-2494)
- Raymond van de Berg (ORCID: https://orcid.org/0000-0001-9734-8668)
- Herman Kingma (ORCID: https://orcid.org/0000-0001-9880-8224)
- Anita Bhandari (ORCID: https://orcid.org/0000-0002-4134-8885)
Institutions
- University of Siena (IT)
- Johns Hopkins University (US)
- Maastricht University Medical Centre (NL)
- Equilibrium Research (GB)
- Aalborg University (DK)
Publication Details
- Journal
- European Archives of Oto-Rhino-Laryngology
- Published
- 2025-06-03
- DOI
- https://doi.org/10.1007/s00405-025-09400-1
- Citations
- 4
- Primary Topic
- Vestibular and auditory disorders
- Type
- article
- Field-Weighted Citation Impact
- 3.37