ArticleEuropean 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 Surgery2026
Horizontal vHIT gain is unaffected by moderate cognitive load: evidence from a single-distance dual-task paradigm.
Article in 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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine whether moderate cognitive load alters horizontal vestibulo-ocular reflex (VOR) gain during the video head impulse test (vHIT) and to evaluate the reliability of vHIT under dual-task conditions.
methodsThirty-three healthy young adults (mean age 21.3 ± 2.1 years) completed two vHIT conditions: (1) a baseline single-task condition and (2) a dual-task cognitive load condition involving serial subtraction aloud while fixating a constant target at a single distance. Horizontal VOR gains were measured bilaterally. Mental effort and dizziness were rated on 0 to 10 numerical rating scales.
resultsBaseline VOR gains were 0.925 ± 0.063 (left) and 0.924 ± 0.074 (right). Under cognitive load, gains were 0.938 ± 0.084 and 0.938 ± 0.074, small increases of 1.4 to 1.5% that were non-significant (p > 0.40) and met equivalence criteria within ± 0.05 gain units. Reliability across conditions was excellent (ICC [3,1] = 0.90 left; 0.89 right). Cognitive engagement increased significantly (2.1 ± 1.1 to 7.3 ± 1.4; p < 0.001), while dizziness remained minimal. No meaningful correlation was observed between gain change and perceived effort or dizziness (Spearman's ρ < 0.05, p > 0.05).
conclusionHorizontal vHIT gain remained stable, statistically equivalent, and highly reliable under cognitive load, despite marked increases in perceived effort. These findings highlight the attentional resilience of the horizontal VOR, consistent with its brainstem-mediated circuitry. Consequently, horizontal vHIT appears robust for use in routine clinical settings where divided attention may be present.
Indexed as
Identifiers
42507200What OpenQuestion holds
Registered trials
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.