Evidence map›Paper›PMID 40800692›Full record

ArticleFrontiers in neurology2025

Introducing the pictogram-based ocular motor and visual-perceptual symptom scale: a multinational, cross-cultural feasibility study.

Ali A Melliti, Raymond Van de Berg, Evangelos Anagnostou, Ondrej Cakrt, Christian Chabbert, Wolfgang Heide, Christoph Helmchen, Jaroslav Jerabek, Erna Kentala, Hassen Kerkeni and 13 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Ali A MellitiDivision of Balance Disorders, Department of Otorhinolaryngology and Head and Neck Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.
Raymond Van de BergDivision of Balance Disorders, Department of Otorhinolaryngology and Head and Neck Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.
Evangelos AnagnostouDepartment of Neurology, Eginition Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Ondrej CakrtDepartment of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czechia.
Christian ChabbertAix Marseille Univ, CNRS, Centre de Recherche en Psychologie et Neurosciences (CRPN), Marseille, France.
Wolfgang HeideDepartment of Neurology, General Hospital Celle, Celle, Germany.
Christoph HelmchenDepartment of Neurology, University Hospital Schleswig-Holstein, University of Lübeck, Lübeck, Germany.
Jaroslav JerabekDepartment of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czechia.
Erna KentalaDepartment of Otorhinolaryngology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hassen KerkeniDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Nehzat KoohiDepartment of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, University College London, London, United Kingdom.
Christophe LopezAix Marseille Univ, CNRS, Centre de Recherche en Psychologie et Neurosciences (CRPN), Marseille, France.
Leonel LuisDepartment of ENT, Lisbon Academic Medical Center, Lisbon, Portugal.
Dara MeldrumAcademic Unit of Neurology, Trinity College Dublin, Dublin, Ireland.
Dusan PavlovicHearing and Balance Centre Belgrade, Belgrade, Serbia.
Maritta SpiegelbergDepartment of Neurology, Cantonal Hospital of Baden, Baden, Switzerland.
Luc VereeckDepartment of Rehabilitation Sciences and Physiotherapy/Movant, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Eva GrillAix Marseille Univ, CNRS, Centre de Recherche en Psychologie et Neurosciences (CRPN), Marseille, France.
Klaus JahnGerman Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Munich, Germany.
Maja StriteskaDepartment of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine in Hradec Kralove, University Hospital Hradec Kralove, Charles University, Hradec Kralove, Czechia.
Sophie VanbelleMethodology and Statistics, CAPHRI, Maastricht University, Maastricht, Netherlands.
Andreas ZwergalGerman Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Munich, Germany.
Johannes GerbGerman Center for Vertigo and Balance Disorders, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with vestibular and ocular motor disorders often perceive oscillopsia, diplopia or visual hallucinations as their chief complaint. However, they often struggle with verbalizing these subjective ocular motor and visual-perceptual signs precisely, which complicates a correct diagnostic classification of the suspected pathogenic mechanism. Methods: In this multinational and cross-cultural feasibility study, a novel pictogram-based scale of 10 common ocular motor and visual-perceptual symptoms (called Pictogram Ocular Motor and Visual-Perceptual Symptom Scale, POVSS) was developed and validated. Healthcare professionals with or without expertise in neuro-ophthalmology and neuro-otology, representing a broad range of nationality and primary languages, were asked to match pictograms with medical symptoms (specialists) or a simple English symptom description (non-specialists). Results: A total of 174 participants (112 specialists, 62 non-specialists) from 30 nationalities evaluated the POVSS. On average, specialists reached a score of 9.7 out of 10 (SD = 0.5; 95% CI: 9.6-9.8) in matching symptoms and pictograms. Non-specialists achieved a mean score of 7.9 (SD = 2.3; 95% CI: 7.3-8.5) in accurately matching pictograms to simple English descriptions. In the specialist group, all pictograms met the common ISO quality standards, whereas in the non-specialist group, 8 out of 10 met the standards. While a significant difference in performance was found between the two groups, success rates did not differ between male and female participants. Conclusion: Visual-perceptual symptoms originating from common vestibular and ocular motor disorders could be reliably identified using the POVSS by healthcare professionals, independent of participant nationality, or gender. Further research is needed to test the clinical applicability of the POVSS in different patient care settings.

Indexed as

diplopiahealth communicationneuro-otologynystagmusoscillopsiavertigovisual disorder

Identifiers

PMID40800692
PMCPMC12340241

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.