Value of passive whole-body rotation: a model-based approach

  • Holger A. RamboldEmail author
  • David Barthold
  • Stefano Ramat
Letter to the Editors

Dear Sirs,

The video-head-impulse test (vHIT) [1] and bithermal caloric irrigation (CI) [2] are routinely used for examining unilateral vestibular hypofunction of the horizontal vestibular-ocular reflex (VOR). Passive whole body rotation of the subject around an earth vertical axis on a rotatory chair is another method which not only tests the peripheral VOR, but also the central processing. The test depends on the velocity profile, the disease itself, the stage of the disease and on the cooperation and alertness of the patients. This kind of test has been applied for years, but the sensitivity to identify unilateral vestibular failure is low [3, 4]. These results are based on fitting the data using a single exponential (i.e. a first-order model), which provides an inaccurate description of the data [5]. We report here a first step to better describe the responses to the ‘rotatory intensity damping test’ (RIDT) with multiple parameters using a model of the VOR.

This retrospective study...



The authors thank U. Goetz and I. Ribarczyk for technical assistance.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical standards

All procedures performed in studies involving humans participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


  1. 1.
    Halmagyi GM, Curthoys IS (1988) A clinical sign of canal paresis. Arch Neurol 45(7):737–739CrossRefGoogle Scholar
  2. 2.
    Mahringer A, Rambold HA (2013) Caloric test and video-head-impulse: a study of vertigo/dizziness patients in a community hospital. Eur Arch Otorhinolaryngol. Google Scholar
  3. 3.
    Baloh RW, Sills AW, Honrubia V (1979) Impulsive and sinusoidal rotatory testing: a comparison with results of caloric testing. Laryngoscope 89(4):646–654. CrossRefGoogle Scholar
  4. 4.
    Maes L, Vinck BM, Wuyts F, D'Haenens W, Bockstael A, Keppler H, Philips B, Swinnen F, Dhooge I (2011) Clinical usefulness of the rotatory, caloric, and vestibular evoked myogenic potential test in unilateral peripheral vestibular pathologies. Int J Audiol 50(8):566–576. CrossRefGoogle Scholar
  5. 5.
    Ramat S, Bertolini G (2009) Estimating the time constants of the rVOR. A model-based study. Ann N Y Acad Sci 1164:140–146. CrossRefGoogle Scholar
  6. 6.
    Brandt T (2003) Vertigo: its multisensory syndromes, 2nd edn. Springer, LondonCrossRefGoogle Scholar
  7. 7.
    Committee on Hearing and Equilibrium (1995) Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Meniere’s disease. Otolaryngol Head Neck Surg 113(3):181–185CrossRefGoogle Scholar
  8. 8.
    Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, Bisdorff A, Versino M, Evers S, Newman-Toker D (2012) Vestibular migraine: diagnostic criteria. J Vestib Res Equilib Orientat 22(4):167–172. Google Scholar
  9. 9.
    Claussen CF, Claussen E, Patil NP, Schneider D (1989) The rotatory intensity damping test (RIDT)—a combined clinical supraliminal and supramaximal rotational test. Acta Otolaryngol Supplementum 468:313–316CrossRefGoogle Scholar
  10. 10.
    Furman JM, Hain TC, Paige GD (1989) Central adaptation models of the vestibulo-ocular and optokinetic systems. Biol Cybern 61(4):255–264CrossRefGoogle Scholar
  11. 11.
    Goldberg JM, Fernandez C (1971) Physiology of peripheral neurons innervating semicircular canals of the squirrel monkey. I. Resting discharge and response to constant angular accelerations. J Neurophysiol 34(4):635–660. CrossRefGoogle Scholar
  12. 12.
    Jareonsettasin P, Otero-Millan J, Ward BK, Roberts DC, Schubert MC, Zee DS (2016) Multiple time courses of vestibular set-point adaptation revealed by sustained magnetic field stimulation of the labyrinth. Curr Biol 26(10):1359–1366. CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of NeurologyCounty Hospitals of Altötting and BurghausenAltöttingGermany
  2. 2.University of RegensburgRegensburgGermany
  3. 3.Department of Electrical, Computer and Biomedical EngineeringUniversity of PaviaPaviaItaly

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