ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2023
Video Ocular Counter-Roll (vOCR): Otolith-Ocular Function and Compensatory Effect of the Neck Following Vestibular Loss.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Unveiling Otolith Mystery: Contemporary Testing Approaches and Their Clinical Significance.World journal of otorhinolaryngology - head and neck surgery · 2026Review
- Rehabilitative monitoring of utricular dysfunction: VOCR findings before and after Epley maneuver in BPPV patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
- Evaluation of Otolithic Function in Patients with Unilateral Ménière's Disease Using Video Ocular Counter-Roll Test.Journal of the American Academy of Audiology · 2025Article
- Focused Update on Clinical Testing of Otolith Organs.Audiology research · 2024Review
- Video ocular counter roll: A bedside test of otolith-ocular function.Annals of clinical and translational neurology · 2023Review
- When, where, and why should we look for vestibular dysfunction in people with diabetes mellitus?Frontiers in rehabilitation sciences · 2023Review
- Assessing Otolith-Ocular Function With Video-Ocular Counter-Roll: Optimal Tilt Angles and Impact of Visual Inputs.Ear and hearingArticle
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Authors and funding
5 authors.
Funding
Abstract
objectiveAssessment of recovery following vestibular loss has been limited by the lack of bedside measures in clinical settings. Here, we used the video ocular counter-roll (vOCR) test to study otolith-ocular function and compensatory effect of neck proprioception in patients at different stages of vestibular loss. STUDY
designCase-control study.
settingTertiary care center.
methodsFifty-six subjects were recruited including patients with acute (9 ± 2 days [mean ± standard error of mean]), subacute (61 ± 11 days), and chronic (1009 ± 266 days) unilateral loss of vestibular function, as well as a group of healthy controls. We used a video-oculography method based on tracking the iris for vOCR measurement. To examine the effect of neck inputs, vOCR was recorded during two simple tilt maneuvers in all subjects while seated: 30° head-on-body tilt and 30° head-and-body tilt.
resultsThe vOCR responses evolved at different stages following vestibular loss with improvement of the gains in the chronic stage. The deficit was more pronounced when the whole body was tilted (acute: 0.08 ± 0.01, subacute: 0.11 ± 0.01, chronic: 0.13 ± 0.02, healthy control: 0.18 ± 0.01), and the gain of vOCR improved when the head was tilted on the body (acute: 0.11 ± 0.01, subacute: 0.14 ± 0.01, chronic: 0.13 ± 0.02, healthy control: 0.17 ± 0.01). The time course of vOCR response was affected as well with reduced amplitude and slower response in the acute stage of vestibular loss.
conclusionThe vOCR test can be valuable as a clinical marker to measure vestibular recovery and compensatory effect of neck proprioception in patients at different stages following loss of vestibular function.
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