About this trial
The goal of this age-based cohort study is to provide normative data of vestibular function in the general Danish pediatric population. Thus, the investigators will be able to compare patient data with norms, allowing for more precise diagnostics. The participants will be children in the age of 6 months to 10 years, without any known hearing or balance problems. The test protocol consists of questionnaires, hearing screening and vestibular and postural assessments.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Children in the age of 6 months -10 years
Normal hearing
No history of dizziness or balance problems
Written informed consent from the parents.
Disqualifiers
Premature birth
Existing or previous inner ear disease(s) or previous inner ear surgery
Cholesteatoma or previous middle ear surgery
Known or previous vestibular disorder (Vestibular schwannoma, Mb Meniere, vestibular neuritis or other known)
Trial population
Healthy children in the age of 6 months to 10 years, without any known hearing or balance problems (35 children in the age group from 6 months to 2 years, 30 children in the age group from 3 to 5 years, and 25 children from 6 to 10 years) are recruited in local nurseries, kinder gardens, and schools.
Trial design
Cohort
Prospective
Treatments tested in this trial
video Head Impulse Test
Diagnostic testFor v-HIT, the Synapsys v-HIT Ulmer device is used.
Cervical Vestibular Evoked Myogenic Potential
Diagnostic testFor cVEMP, the Eclipse (Interacoustic, Middelfart, Denmark) is used. To bypass the frequent middle ear problems bone conduction stimuli (B-81, Interacoustic, Middelfart, Denmark) are administrated. The bone conductor is placed on the mastoid process and two trials at 70 dB nHL are conducted to check waveform reproducibility. 500 Hz short tone bursts (2-2-2 ms) are applied at 5 per second stimulus repetition rate.
Ocular Vestibular Evoked Myogenic Potential
Diagnostic testFor oVEMP, the Eclipse (Interacoustic, Middelfart, Denmark) is used. To bypass the frequent middle ear problems bone conduction stimuli (B-81, Interacoustic, Middelfart, Denmark) are administrated. The bone conductor is placed on the mastoid process and two trials at 70 dB nHL are conducted to check waveform reproducibility. 500 Hz short tone bursts (2-2-2 ms) are applied at 5 per second stimulus repetition rate.
Computerized Dynamic Posturography
Diagnostic testTo evaluate functional balance of the children and the relative contributions of the vision, proprioception, and vestibular system a CDP from Virtualis (Virtualis, Montpellier, France) is used.
Dizziness Handicap Inventory for patient caregivers
Other interventionDHI is a caregiver-reported 21-item questionnaire. It is designed to evaluate the perceived quality of life and handicap resulting from dizziness and unsteadiness for the pediatric population. For each question there are three possible answers: yes, sometimes or no. Each answer provides respectively 4, 2 and 0 points. The total DHI scores range from 0 to 84 with higher score being consistent with more limitation and more severe handicap. Scores under 16 are characterized as no limitation or handicap. A score from 16-26 present a mild perceived handicap and mild limitations. A DHI-score between 26-43 is classified as a moderate problem, and a score above 43 describes a severe perceived handicap and severe limitations.
Treatment groups
Trial outcomes
Primary outcomes
video Head Impulse Test (vHIT)
Outcome measures: Age-based norms for mean VOR gain
video Head Impulse Test (vHIT)
Outcome measures: Age-based norms for VOR gain asymmetry in percent (%).
video Head Impulse Test (vHIT)
Outcome measures: Description of saccades (overt and covert saccades)
Cervical Vestibular Evoked Myogenic Potential (cVEMP):
Outcome measures: Age-based norms for latency P1 and latency N1 in milliseconds (ms)
Secondary outcomes
Dizziness Handicap Inventory for patient caregivers (DHI-PC):
Outcome measures: Mean total DHI-PC score. DHI-PC is a caregiver-reported 21-item questionnaire. For each question there are three possible answers: yes, sometimes or no. Each answer provides respectively 4, 2 and 0 points. The total DHI scores range from 0 to 84 with higher score being consistent with more limitation and more severe handicap.
Success rate of the vestibular test protocol
Number of subjects with successful results of each of the vestibular assessments.
Sponsors and contacts
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