Evaluating the Diagnostic Accuracy of the Head-Impulse Test: A Scoping Review

JAMA Otolaryngology–Head & Neck Surgery

Walther, L. E., Löhler, J., et al. (2019).

JAMA Otolaryngology–Head & Neck Surgery, 145(6), 550-560.

This systematic review compares the diagnostic test accuracy of head impulse test protocols to other diagnostic procedures for individuals with vestibular disorders.

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery



Through April 2017

Published studies (not further specified)

27

"This scoping review of 27 diagnostic studies reveals uncertainties in clinical practice regarding the diagnostic accuracy (sensitivity and specificity) of different [head impulse test] HIT methods compared with other vestibular tests or a clinical diagnosis" (p. 551). When comparing any method of HIT to caloric tests for assessing vestibular disorders in patients, the sensitivity (range of 0%-100%; median of 41%) and specificity (range of 56%-100%; median of 94%) was low.