J Audiol Otol.  2017 Jul;21(2):88-94. 10.7874/jao.2017.21.2.88.

Comparisons in Outcome and Subject Comfort between Rotation Chair Systems

Affiliations
  • 1Department of Otolaryngology Head & Neck Surgery, Dankook University Hospital, Cheonan, Korea.
  • 2Wide River Institute of Immunology, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea. drmung@naver.com

Abstract

BACKGROUND AND OBJECTIVES
A rotation chair test has been used to evaluate the function of the horizontal semicircular canals. Currently, two chair systems according to the presence of cylindrical darkroom are used in a clinic setting. However, it has not been thoroughly investigated whether one system is superior to the other system or not. In this study, we aimed to compare test outcomes and subject convenience between two systems.
SUBJECTS AND METHODS
Twenty subjects with no history of otologic disease were enrolled. Subjects were tested with two systems: system [A] with a cylindrical chamber and system [B] with no chamber. The results of sinusoidal harmonic acceleration (SHA), step velocity (SV), and visual fixation (VFX) tests were compared between the systems. Subject convenience was assessed with a questionnaire survey and results were compared between the systems.
RESULTS
There were no significant differences in gain or asymmetry in SHA test between the systems. However, the phase of system [A] was significantly lower than that of system [B] at 0.16 Hz. There was no significant difference between the systems in directional preponderance (DP) gain or DP time constant. Regarding the VFX test, gain was higher in system [A] than system [B]. Subjects reported less stuffiness and less anxiety with system [B] than system [A], while preferring the system [A] goggles.
CONCLUSIONS
A rotation chair system without a darkroom can provide a more comfortable experience for subjects in terms of stuffiness and anxiety, while showing comparable results in SHA and SV tests with a darkroom system.

Keyword

Rotating chair test; Sinusoidal harmonic acceleration; Step velocity; Visual fixation

MeSH Terms

Acceleration
Anxiety
Ear Diseases
Eye Protective Devices
Semicircular Canals
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