Determination of the normative values of the subjective visual vertical and horizontal test in the pediatric population


SARIOĞLU S. C., CENGİZ D. U., Buğra E., Mazooğlu B., Avşar A.

International Journal of Pediatric Otorhinolaryngology, cilt.202, 2026 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 202
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.ijporl.2026.112749
  • Dergi Adı: International Journal of Pediatric Otorhinolaryngology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Anahtar Kelimeler: Pediatric vestibular system, Subjective visual horizontal test, Subjective visual vertical test, Virtual reality
  • İnönü Üniversitesi Adresli: Evet

Özet

Background: Subjective Visual Vertical (SVV) and Subjective Visual Horizontal (SVH) tests are useful tests to identify central vestibular tone imbalances. Aim: To determine the normal values of the Subjective Visual Vertical/Subjective Visual Horizontal (SVV/SVH) test in the pediatric group. The normative data were intended to be used as reference values in the vestibular evaluation of patients presenting with balance disorders and complaints of dizziness. Materials and methods: The study included 60 individuals between the ages of 8 and 18. All participants underwent static and dynamic SVV and SVH testing using the Virtualis Virtual Reality device, based on a test-retest protocol with six different initial tilt angles (10°, −10°, 20°, −20°, 30°, −30°). Deviation angles were analyzed. Results: Across all tilt angles, the mean deviation angle ranged from 1.93° to 2.44° for the static SVV test and from 1.73° to 2.31° for the static SVH test. For the dynamic SVV test, the mean deviation angle ranged from 10.47° to 11.42°, while in the dynamic SVH test, it ranged from 7.3° to 8.85° across all tilt angles. Conclusion: As a result of this study, normative values for static and dynamic SVV and SVH tests using the Virtualis Virtual Reality Device were established for use in vestibular assessment in the pediatric population. The study contributes to the current literature by providing updated data, addressing the limited number of studies on static and dynamic SVV and SVH tests in pediatric populations.