Environmental factors that affect the Fukuda stepping test in normal participants

Journal article


Munnings, A., Chisnall, B., Oji, S., Whittaker, M. and Kanegaonkar, R. 2015. Environmental factors that affect the Fukuda stepping test in normal participants. The Journal of Laryngology & Otology. 129 (5), pp. 450-453. https://doi.org/10.1017/S0022215115000560
AuthorsMunnings, A., Chisnall, B., Oji, S., Whittaker, M. and Kanegaonkar, R.
Abstract

Background: The Fukuda stepping test is commonly used to assess peripheral vestibular function. It has, however, been suggested that its maximal sensitivity and specificity are 70 per cent and 50 per cent, respectively. This study was undertaken to evaluate environmental factors that may influence the reliability of this assessment and hence to ‘sharpen’ its use in a clinical setting.

Methods: Forty-four participants aged between 20 and 43 years were asked to perform the Fukuda stepping test in both a standard clinic room and a soundproofed room under the following conditions in a randomised order: on the floor versus on foam; with and without a sound-localising source; and with and without ear defenders.

Results: Significant differences in the extent of rotation were found when comparing the results obtained in several settings, including standing on the floor in a standard room versus a soundproofed room (p = 0.036), and standing on foam in a standard room versus a soundproofed room (p = 0.015).

Conclusion: Our results suggest that certain alterations to the test environment may improve the sensitivity of this clinical examination.

KeywordsLabyrinth; physical examination; postural balance; vertigo; vestibule
Year2015
JournalThe Journal of Laryngology & Otology
Journal citation129 (5), pp. 450-453
PublisherRoyal Society of Medicine
ISSN0022-2151
Digital Object Identifier (DOI)https://doi.org/10.1017/S0022215115000560
Publication dates
Online30 Mar 2015
Publication process dates
Deposited10 Apr 2019
Accepted25 Aug 2014
Output statusPublished
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https://repository.canterbury.ac.uk/item/88z67/environmental-factors-that-affect-the-fukuda-stepping-test-in-normal-participants

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