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This article and any supplementary material should be cited as follows: Rine RM, Roberts D, Corbin BA, McKean-Cowdin R, Varma R, Beaumont J, Slotkin J, Schubert MC. New portable tool to screen vestibular and visual function—National Institutes of Health Toolbox initiative. J Rehabil Res Dev. 2012;49(2):209–20. http://dx.doi.org/10.1682/JRRD.2010.12.0239
Slideshow ProjectDOI:10.1682/JRRD.2010.12.0239JSP
New portable tool to screen vestibular and visual function—
National Institutes of Health Toolbox initiative
Rose Marie Rine, PT, PhD; Dale Roberts, MS; Bree A. Corbin, MPT; Roberta McKean-Cowdin, PhD;
Rohit Varma, MD, MPH; J. Beaumont, MS; J. Slotkin, PhD; M. C. Schubert, PT, PhD
This article and any supplementary material should be cited as follows: Rine RM, Roberts D, Corbin BA, McKean-Cowdin R, Varma R, Beaumont J, Slotkin J, Schubert MC. New portable tool to screen vestibular and visual function—National Institutes of Health Toolbox initiative. J Rehabil Res Dev. 2012;49(2):209–20. http://dx.doi.org/10.1682/JRRD.2010.12.0239
Slideshow ProjectDOI:10.1682/JRRD.2010.12.0239JSP
• Aim– Develop vestibular and visual function test that is:
• Limited in number of participant tests/demands.• Inexpensive.• Time efficient.• Portable.• Valid indicator of gaze stability and vision acuity.• Applicable to subjects aged 3–85.
• Relevance– Significant percentage of children and adults have vestibular
deficits.– >150 million American have a visual impairment.
This article and any supplementary material should be cited as follows: Rine RM, Roberts D, Corbin BA, McKean-Cowdin R, Varma R, Beaumont J, Slotkin J, Schubert MC. New portable tool to screen vestibular and visual function—National Institutes of Health Toolbox initiative. J Rehabil Res Dev. 2012;49(2):209–20. http://dx.doi.org/10.1682/JRRD.2010.12.0239
Slideshow ProjectDOI:10.1682/JRRD.2010.12.0239JSP
Methods
• Used computerized test of dynamic visual acuity (cDVA) to measure difference in visual acuity between head still and head moving in yaw.
• Tested adults and children with 3 optotype sets.
• Validated cDVA with bithermal calorics, rotational chair, and light box testing.
This article and any supplementary material should be cited as follows: Rine RM, Roberts D, Corbin BA, McKean-Cowdin R, Varma R, Beaumont J, Slotkin J, Schubert MC. New portable tool to screen vestibular and visual function—National Institutes of Health Toolbox initiative. J Rehabil Res Dev. 2012;49(2):209–20. http://dx.doi.org/10.1682/JRRD.2010.12.0239
Slideshow ProjectDOI:10.1682/JRRD.2010.12.0239JSP
Results• cDVA scores significantly differed between those
with and without pathology.
• Good to excellent sensitivity (73%) and specificity (69%).
This article and any supplementary material should be cited as follows: Rine RM, Roberts D, Corbin BA, McKean-Cowdin R, Varma R, Beaumont J, Slotkin J, Schubert MC. New portable tool to screen vestibular and visual function—National Institutes of Health Toolbox initiative. J Rehabil Res Dev. 2012;49(2):209–20. http://dx.doi.org/10.1682/JRRD.2010.12.0239
Slideshow ProjectDOI:10.1682/JRRD.2010.12.0239JSP
Conclusions
• cDVA – Yields reliable and valid measures of both
static and dynamic visual acuity.
– Meets National Institutes of Health Toolbox initiative qualifications.