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European Archives of Oto-Rhino-Laryngology

, Volume 275, Issue 5, pp 1343–1348 | Cite as

Feasibility of the clinical dynamic visual acuity test in typically developing preschoolers

  • Evi Verbecque
  • Niels De Belder
  • Tessa Marijnissen
  • Luc Vereeck
  • Paul Van de Heyning
  • Ann Hallemans
Short Communication

Abstract

Objectives

To determine the feasibility of the dynamic visual acuity test (DVA) in children who are preschoolers.

Methods

Thirty-three preschoolers [3 years old (n = 11), 4 years old (n = 6), 5 years old (n = 8), and 6 years old (n = 8)], performed a static visual acuity test (SVA), a passive horizontal DVA (hDVA) at 1 and 2 Hz, and a DVA on treadmill at three age-specific walking speeds (slow/medium/high). The DVA scores, the difference between SVA and hDVA, were used to determine false positive results.

Results

The SVA was performed by 31/33 children, the hDVA and DVA on treadmill at slow and medium speed by 27/33 and the DVA on treadmill at high speed by 25/33. Except for one 5 years old, all drop-outs were 3 years old. The hDVA at 2 Hz was administered in only six children because of difficulties with focusing on reading the symbols at this frequency. False positive results for the hDVA at 1 Hz were found in 3/27 children, all 3 years old, and 2/6 for the hDVA at 2 Hz.

Conclusions

The DVA on treadmill seems useful for preschoolers from age 5, but this should be further investigated in children with underlying pathologies.

Keywords

“Child, Preschool”[mesh] “Vestibular function tests”[mesh] Dynamic visual acuity test “Feasibility studies”[mesh] 

Notes

Acknowledgements

All authors contributed to the design of the study, test administration, and data-analysis. We would like to thank Carlien Ameloot, Ellen Declercq, Lize Meyers, Anja Simons, and Sofie Thijs for their help during data collection. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

All procedures performed in studies involving human 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. Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Christy JB, Payne J, Azuero A, Formby C (2014) Reliability and diagnostic accuracy of clinical tests of vestibular function for children. Pediatr Phys Ther 26:180–189CrossRefPubMedGoogle Scholar
  2. 2.
    Martin W, Jelsma J, Rogers C (2012) Motor proficiency and dynamic visual acuity in children with bilateral sensorineural hearing loss. Int J Pediatr Otorhinolaryngol 76:1520–1525CrossRefPubMedGoogle Scholar
  3. 3.
    Rine RM (2009) Growing evidence for balance and vestibular problems in children. Audiol Med 7:138–142CrossRefGoogle Scholar
  4. 4.
    Rine RM, Braswell J (2003) A clinical test of dynamic visual acuity for children. Int J Pediatr Otorhinolaryngol 67:1195–1201CrossRefPubMedGoogle Scholar
  5. 5.
    Rine RM, Cornwall G, Gan K, LoCascio C, O’Hare T, Robinson E (2000) Evidence of progressive delay of motor development in children with sensorineural hearing loss and concurrent vestibular dysfunction. Percept Mot Skills 90:1101–1112CrossRefPubMedGoogle Scholar
  6. 6.
    Braswell J, Rine RM (2006) Evidence that vestibular hypofunction affects reading acuity in children. Int J Pediatr Otorhinolaryngol 70(11):1957–1965CrossRefPubMedGoogle Scholar
  7. 7.
    Peters BT, Mulavara AP, Cohen HS, Sangi-Haghpeykar H, Bloomberg JJ (2012) Dynamic visual acuity testing for screening patients with vestibular impairments. J Vestib Res 22(2):145–151PubMedPubMedCentralGoogle Scholar
  8. 8.
    Rine RM, Schubert MC, Whitney SL, Roberts D, Redfern MS, Musolino MC, Roche JL, Steed DP, Corbin B, Lin CC, Marchetti GF, Beaumont J, Carey JP, Shepard NP, Jacobson GP, Wrisley DM, Hoffman HJ, Furman G, Slotkin J (2013) Vestibular function assessment using the NIH toolbox. Neurology 80(11 Suppl 3):S25–S31Google Scholar
  9. 9.
    Janky KL, Givens D (2015) Vestibular, visual acuity, and balance outcomes in children with cochlear implants: a preliminary report. Ear Hear 36(6):e364–e372CrossRefGoogle Scholar
  10. 10.
    Hillman EJ, Bloomberg JJ, McDonald PV, Cohen HS (1999) Dynamic visual acuity while walking in normals and labyrinthine-deficient patients. J Vestib Res 9:49–57PubMedGoogle Scholar
  11. 11.
    Guinand N, Pijnenburg M, Janssen M (2012) Visual acuity while walking and oscillopsia severity in healthy subjects and patients with unilateral and bilateral vestibular function loss. Arch Otolaryngol Head Neck Surg 138(3):301–306CrossRefPubMedGoogle Scholar
  12. 12.
    MacDougall HG, Moore ST (2005) Marching to the beat of the same drummer: the spontaneous tempo of human locomotion. J Appl Physiol (1985) 99:1164–1173CrossRefGoogle Scholar
  13. 13.
    Fredriks AM, van Buuren S, van Heel WJ, Dijkman-Neerincx RH, Verloove-Vanhorick SP, Wit JM (2005) Nationwide age references for sitting height, leg length, and sitting height/height ratio, and their diagnostic value for disproportionate growth disorders. Arch Dis Child 90:807–812CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Rosser DA, Laidlaw DA, Murdoch IE (2001) The development of a “reduced logMAR” visual acuity chart for use in routine clinical practice. Br J Ophthalmol 85:432–436CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health ScienceUniversity of AntwerpWilrijkBelgium
  2. 2.Multidisciplinary Motor Centre AntwerpUniversity of AntwerpWilrijkBelgium
  3. 3.Department of Otorhinolargynology and Neck and Head surgeryAntwerp University HospitalEdegemBelgium
  4. 4.Department of Translational Neurosciences, Faculty of Medicine and Health SciencesUniversity of AntwerpWilrijkBelgium

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