Journal of Vestibular Research-Equilibrium & Orientation最新文献

{"title":"The effect of tilt degree and position changes on video ocular counter-roll test performance.","authors":"Asya Fatma Men, Ayşenur Küçük Ceyhan","doi":"10.1177/09574271251382787","DOIUrl":"https://doi.org/10.1177/09574271251382787","url":null,"abstract":"<p><p>BackgroundThe vestibular system is essential for balance and visual stability and relies on the ocular counter-roll (OCR) reflex to regulate torsional eye movements during head tilt.ObjectiveThis study aimed to investigate how different tilt angles (15° and 45°) and tilt positions (head and body) influence static video Ocular Counter-Rolling (vOCR) responses in healthy individuals.MethodsA total of 30 healthy volunteers (17 females and 13 males), aged between 18 and 30 years, participated in the study. vOCR testing was conducted using the Interacoustics VisualEyes™ 525 video-oculography (VOG) system. Torsional eye movements were recorded at 15° and 45° during both lateral head tilt and body block tilt. Torsion degree, asymmetry, and gain values were analyzed and compared across all conditions.ResultsGain values did not significantly differ based on tilt angle or position (p > 0.05). The degree of torsional eye movement was significantly higher at 45° tilts compared to 15°, and greater during body tilt than head tilt (p < 0.0001). Asymmetry values remained within normal limits under all conditions and showed no significant differences (p > 0.05).ConclusionsThese findings indicate that the angle and position of tilt affect the magnitude of the rotational response, but that gain and asymmetry values remain consistent across conditions. This suggests that comparable gains can be obtained at different angles, such as 15° and 45°, and that low-angle tilts may be sufficient for evaluating otolith-ocular gain.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251382787"},"PeriodicalIF":3.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of post-operative vestibular function between vestibular schwannoma and non-vestibular schwannoma cerebellopontine angle tumors patients using video head impulse test.","authors":"Keishi Fujiwara, Shinya Morita, Kimiko Hoshino, Hideaki Takeda, Kento Komatsuda, Yuji Nakamaru, Akihiro Homma","doi":"10.1177/09574271251383361","DOIUrl":"https://doi.org/10.1177/09574271251383361","url":null,"abstract":"<p><p>BackgroundCerebellopontine angle (CPA) tumors commonly cause audiovestibular symptoms due to eighth cranial nerve involvement. While vestibular schwannoma (VS) is the most frequently observed CPA tumor, vestibular outcomes following surgery for non-VS CPA tumors remain underreported.ObjectivesTo compare post-operative vestibular function, as assessed by the video Head Impulse Test (vHIT), between patients with VS and non-VS CPA tumors.MethodsA retrospective review was conducted on 37 patients (23 VS, 14 non-VS) who underwent CPA tumor resection and had vHIT evaluations pre- and post-operatively. Changes in vestibulo-ocular reflex (VOR) gain across the three semicircular canals were analyzed at 1 and 6 months after surgery.ResultsAlthough pre-operative VOR gains were comparable, the non-VS group demonstrated significantly better VOR gain recovery at 6 months in the horizontal and posterior semicircular canals (p = 0.0055, p = 0.0019, respectively). Notably, VOR gains in these canals improved beyond pre-operative levels in the non-VS group. No significant improvement was observed in the anterior semicircular canal.ConclusionsvHIT outcomes indicate more favorable spontaneous vestibular recovery in non-VS CPA tumor than in VS tumor patients. These findings emphasize the importance of vestibular nerve preservation during non-VS tumor surgery and suggest differences in neural involvement between tumor types.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251383361"},"PeriodicalIF":3.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic utility of Niigata Persistent Postural-Perceptual Dizziness (PPPD) Questionnaire (NPQ) for PPPD in comparison to dizziness handicap inventory.","authors":"Hyo-Jung Kim, Jae Han Park, Ji-Soo Kim","doi":"10.1177/09574271251382800","DOIUrl":"https://doi.org/10.1177/09574271251382800","url":null,"abstract":"<p><p>BackgroundPersistent postural-perceptual dizziness (PPPD) is a common yet challenging functional vestibular disorder. The Niigata PPPD Questionnaire (NPQ) is a simple diagnostic tool developed to assess the severity and presence of PPPD.ObjectiveTo validate the Korean version of the NPQ and to evaluate its reliability and diagnostic performance in differentiating PPPD from other vestibular disorders in comparison to Dizziness Handicap Inventory (DHI).MethodsWe recruited 255 patients, 150 with PPPD, 64 with peripheral vestibular disorders, and 41 with central vestibulopathy at a tertiary dizziness center in South Korea from January to December 2024. The NPQ was translated into Korean with a forward-backward translation procedure. In addition, all participants completed DHI, the Beck Depression Inventory-II (BDI-II), the State-Trait Anxiety Inventory (STAI), and the Perceived Stress Scale (PSS) to assess dizziness-related disability and psychological symptoms. Internal consistency was assessed using Cronbach's alpha. Discriminative ability was evaluated through between-group comparisons, correlation analyses, and receiver operating characteristic (ROC) curve analyses.ResultsThe Korean NPQ demonstrated excellent internal consistency (Cronbach's α = 0.93). The total and subscale scores of the NPQ were significantly higher in PPPD than in other vestibular disorder groups. ROC analysis yielded an area under the curve of 0.670 with a cut-off score at 15.5 (sensitivity 59.3%, specificity 71.4%). The visual stimulation subscale showed the highest AUC (0.703). A logistic regression combined model using NPQ visual stimulation and dizziness handicap inventory (DHI) emotional subscales achieved the best diagnostic accuracy (AUC = 0.756). The NPQ total score was moderately correlated with the DHI (ρ = 0.65) and modestly correlated with psychological symptoms.ConclusionThe Korean NPQ is reliable and provides acceptable diagnostic utility for distinguishing PPPD. Combining NPQ and DHI subscales enhances diagnostic accuracy, supporting its use as a screening tool in diverse clinical settings, including telemedicine.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251382800"},"PeriodicalIF":3.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness after stroke: A prospective study of 284 cases.","authors":"Jiashu Li, Xuesong Bai, Ruile Fang, Gaifen Liu, Xingquan Zhao, Yi Ju","doi":"10.1177/09574271251374544","DOIUrl":"https://doi.org/10.1177/09574271251374544","url":null,"abstract":"<p><p>ObjectiveTo explore the incidence, risk factors, and comorbidities of persistent postural-perceptual dizziness (PPPD) after stroke.MethodsPatients with acute stroke and vestibular symptoms were enrolled prospectively and continuously. Baseline information, risk factors, imaging materials, and diagnosis were collected. PPPD, anxiety, depression, and quality of life were followed up in 6 months after stroke. Binary logistic regression was used to identify the risk factors of PPPD.ResultsIn this study, 284 patients (82.0% of males) were enrolled, with a mean age of 56.33 ± 11.87 years. Thirty-five patients (12.3%) had PPPD in 6-month follow-up. Patients with PPPD had a higher proportion of clinically significant anxiety and clinically significant depression and a lower three-level five-dimension EuroQol (EQ-5D-3L) index. Binary logistic regression analysis identified medulla oblongata stroke (OR, 5.549; <i>p</i> < .001), cerebellar stroke in posterior inferior cerebellar artery (PICA) territory (OR, 2.449; <i>p</i> = .026), and clinically significant anxiety at discharge (OR, 5.030; <i>p</i> < .001) were significant predictors for PPPD.ConclusionsAbout 12.3% of stroke patients with vestibular symptoms developed PPPD at 6 months after stroke, with a higher prevalence of psychological comorbidities and decreased quality of life. Medulla oblongata lesion, cerebellar (PICA territory) lesion, and clinically significant anxiety at discharge were independent risk factors for PPPD.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251374544"},"PeriodicalIF":3.3,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of Tampa scale to detect kinesiophobia in patients with peripheral vestibular dizziness.","authors":"Lena Kollen, Bengt Jansson, Ylva Dahlin-Redfors, Lena Hallin, Maria Bäck","doi":"10.1177/09574271251374878","DOIUrl":"10.1177/09574271251374878","url":null,"abstract":"<p><p>BackgroundDizziness is an unpleasant symptom which can cause anxiety and fear of movement (kinesiophobia) which may lead to avoidance of physical activity. There are no reliable and valid questionnaires available to detect kinesiophobia in patients with peripheral vestibular dizziness.ObjectiveTo adapt the Tampa Scale for Kinesiophobia (TSK-SV) to TSK-SV Dizziness and to investigate the questionnaire´s reliability and validity.MethodsThe TSK-SV was adapted to TSK-SV Dizziness in patients with peripheral vestibular disorder. Test-retest reliability and internal consistency was calculated. Face and content validity construct and a confirmatory factor analysis were performed. Concurrent validity was assessed in relation to Hospital anxiety and depression scale (HADS-A, HADS-D), Dizziness Handicap Inventory (DHI), Short form-36, Self-reported physical activity, assessment of dynamic and static balance function.ResultsTSK-SV dizziness showed excellent test-retest reliability (intraclass correlation coefficient 0.91) and excellent internal consistentcy (Cronbach's alpha 0.76). Confirmatory factor analysis provided acceptable model fit for the modified second-order factor model. In concurrent validity moderate to large associations between TSK-SV dizziness, HADS-A, HADS-D and DHI total sum.ConclusionsThis study supports the reliability and validity of the TSK-SV dizziness questionnaire for clinical use in patients with peripheral vestibular dizziness.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251374878"},"PeriodicalIF":3.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of the endolymphatic sac hypoplasia in a cohort of individuals without Meniere disease.","authors":"Paula Robles-Bolivar, Marta Martínez-Martínez, Rocio Martín-Márquez, Inés Berrio-Domínguez, Jose Luis Martin-Rodríguez, Jose Antonio Lopez-Escamez","doi":"10.1177/09574271251371541","DOIUrl":"https://doi.org/10.1177/09574271251371541","url":null,"abstract":"<p><p>PurposeTo estimate the prevalence of endolymphatic sac hypoplasia (EShp)-a proposed specific finding in Ménière's disease (MD) that defines an endophenotype characterized by bilateral involvement, male predominance, temporal bone abnormalities, and familial clustering-in individuals without MD, to assess its specificity for the condition.MethodsWe analyzed 956 temporal bone CT scans from individuals without MD to assess the prevalence of EShp using the Angular Trajectory of the Vestibular Aqueduct (ATVA) marker. ATVA distribution, reproducibility, and associations with clinical variables were also evaluated.ResultsEShp was identified in 6 ears from 4 individuals, yielding a prevalence of 0.6% per patient and 0.8% per ear. ATVA values had a median of 95.0° (IQR = 12.5°, range 65.9°-159.4°). Interobserver agreement was good (ICC = 0.75), with a mean bias of 6.2° ± 5.4° and 5.5% of ears outside the 95% limits of agreement. No significant associations were found between ATVA and sex, age, or clinical diagnosis.ConclusionsEShp is rare in individuals without MD, supporting its specificity and potential role in MD pathophysiology. The ATVA marker is reliable and reproducible and may serve as a CT biomarker for the hypoplastic MD endophenotype.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251371541"},"PeriodicalIF":3.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating visual-vestibular interactions in motion sickness susceptibility with static subjective visual vertical, dynamic subjective visual vertical, and rod-and-frame test.","authors":"Zahra Polat, Sare Çankaya, Burcu Deniz, Mert Kılıç","doi":"10.1177/09574271251371540","DOIUrl":"https://doi.org/10.1177/09574271251371540","url":null,"abstract":"<p><p>BackgroundMotion sickness (MS) occurs when the brain receives conflicting signals about body movement from the visual, vestibular, and proprioceptive systems. The otolith organs play a key role in perceiving verticality, and their function may be influenced by MS susceptibility.ObjectiveThis study aimed to investigate the effect of MS susceptibility on otolith-mediated verticality perception across different head positions.MethodsForty-seven participants were classified into two groups based on the Motion Sickness Susceptibility Questionnaire-Short Form (MSSQ-SF): an MS group (n = 24) and a control group (n = 23). All participants completed static Subjective Visual Vertical (SVV), dynamic Subjective Visual Vertical (DVV), and Rod-and-Frame Test (RFT) using a virtual reality system. Measurements were conducted in three head tilt (upright, 30° left, 30° right). The absolute deviation from true vertical was calculated for each test.ResultsWhile no significant differences were found in SVV performance between groups across head-tilt angles, the MS group exhibited significantly greater deviations in DVV at all positions and in RFT during 30° head tilts. Higher MSSQ scores correlated with greater deviations in DVV and RFT under tilt conditions.ConclusionsAlthough static verticality perception remains intact, individuals with MS exhibit greater deviations under dynamic and visually misleading conditions, suggesting subtle vestibular-perceptual deficits.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251371540"},"PeriodicalIF":3.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating vestibulo-ocular reflex gain characteristics with monocular video head impulse test across different age groups in a healthy population.","authors":"Qin Zhang, Mingwei Xu, Qiong Wu, Yuan Yao, Tianyu Gong, Jianyong Chen, Yulian Jin, Jun Yang, Qing Zhang","doi":"10.1177/09574271251367672","DOIUrl":"https://doi.org/10.1177/09574271251367672","url":null,"abstract":"<p><p>ObjectiveThe study aims to assess the high-frequency Vestibulo-Ocular Reflex (VOR) gain across three pairs of semicircular canals using the EyeSeeCam device and to determine normative values.MethodsA total of 105 volunteers, aged 19 to 69 years with no history of vestibular disorders, were enrolled. This cohort included 50 males (mean age 41.11 ± 15.98) and 55 females (mean age 35.52 ± 15.07), with no statistically significant age difference between the genders (<i>P</i> = 0.078). Participants were categorized into six age brackets: 11-20, 21-30, 31-40, 41-50, 51-60, and 61-70. For each test, the recording device was consistently positioned on the left side of the goggles, and the tests were conducted by a right-handed operator.ResultsThe average regression gain for left anterior-right posterior canals (LARP) was 1.44 ± 0.19, significantly surpassing that of right anterior-left posterior canals (RALP) at 1.09 ± 0.13 (<i>p</i> < 0.001) and horizontal semicircular canals (HSC) at 1.11 ± 0.07 (<i>p</i> < 0.001). No significant difference was observed between the VOR gains of RALP and HSC (<i>p</i> = 0.1077). Additionally, VOR gain values did not show significant variation across different age groups. In a gender-based analysis, a marginally higher HSC gain was observed in females (1.13 ± 0.07) compared to males (1.11 ± 0.07; <i>p</i> = 0.042), while no significant gender disparity was noted for RALP gains (females: 1.09 ± 0.11; males: 1.10 ± 0.14; <i>p</i> = 0.641). Females exhibited significantly higher LARP gain values (1.49 ± 0.18) than males (1.41 ± 0.20; <i>p</i> = 0.002).ConclusionThis study underscores the stability of high-frequency VOR gain values across ages. However, it also reveals a significant asymmetry in vertical canal gains (LARP vs RALP), suggesting a possible vertical canals monocular directional preponderance. This finding highlights that normative values can be highly specific to the recording and testing protocol. Thus, laboratories should develop their own normative values, customized to their equipment and testing protocols.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251367672"},"PeriodicalIF":3.3,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking balance recovery in people with unilateral vestibular hypofunction.","authors":"Michelle J Harter, Joseph M Furman, Patrick J Sparto, Richard W Smith, Mark S Redfern","doi":"10.1177/09574271251358767","DOIUrl":"https://doi.org/10.1177/09574271251358767","url":null,"abstract":"<p><p>BackgroundPeople with vestibular hypofunction (PwVH) often demonstrate abnormal gait and increased fall risk. An analysis of the strategies used for maintaining walking balance is lacking in PwVH.ObjectiveThe purpose of this study was to examine how PwVH use recovery strategies and maintain stability following perturbations.MethodsPwVH and healthy controls were perturbed during walking with mediolateral ground shifts while kinematic responses were recorded.ResultsAs a group, PwVH (<i>n</i> = 9, unilateral loss) responded similarly to healthy participants (<i>n</i> = 15) with changes in foot placement, ankle inversion, ankle push-off, and trunk sway. However, responses in PwVH depended on the vestibular lesion side and functional compensation as assessed by the Functional Gait Assessment (FGA). PwVH had larger changes in stability when perturbations caused body movement toward the side of the lesion and more effective trunk responses when perturbations caused body movement away from the lesion. Additionally, PwVH who performed poorly on the FGA showed worse stability and overactive ankle and trunk responses following medial perturbations.ConclusionsThese findings demonstrate kinematic differences in balance recovery in PwVH and suggest that PwVH are more susceptible to instability when falling toward the lesion.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251358767"},"PeriodicalIF":2.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation and validation of the Tampa scale to measure kinesiophobia in patients with vestibular disorders.","authors":"Rodrigo Castillejos-Carrasco-Muñoz, Mari Cruz Tapia-Toca, Alfonso Javier Ibáñez-Vera, Ana Belén Peinado-Rubia, Ana Sedeño-Vidal, Rafael Lomas-Vega","doi":"10.1177/09574271251357177","DOIUrl":"https://doi.org/10.1177/09574271251357177","url":null,"abstract":"<p><p>ObjectivesKinesiophobia is the condition in which the patient restricts their movements and activities because of the fear of being injured again after a painful experience. Numerous studies have found kinesiophobia in patients with vestibular disorders. This research study aimed to develop and measure the psychometric properties of the Tampa Scale of Kinesiophobia (TSK-11), for use in persons with dizziness (TSKd).MethodsAn observational validation study of questionnaires was carried out including 211 participants with dizziness. After adapting the TSK-11 items to the symptoms of dizziness, the construct validity was evaluated with principal component analysis (PCA), internal consistency with the calculation of Cronbach's alpha, test-retest reliability with the intraclass correlation coefficient (ICC), concurrent validity with Spearman correlation and predictive validity with ROC curve analysis.ResultsThe PCA retained 10 items from the original scale with a three-factor structure that mediates fear (TSKd_f), negative thoughts (TSKd_n) and avoidance (TSKd_a). Cronbach's alpha was 0.810 for the 10-item TSKd. Reproducibility was moderate to substantial, with ICCs between 0.69 and 0.84. The TSK showed strong correlations with the DHI, while correlations with other dizziness measures were moderate. A TSKd score >25 and TSKd_f score >9 showed good predictive capacity, with an area under the curve (AUC) ROC of 0.85 and a sensitivity and specificity between 0.85 and 0.70.ConclusionsThe TSKd is a tool available for measuring kinesiophobia in persons with dizziness. Both the 10-item TSKd and the 4-item TSKd_f scales have good psychometric properties.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251357177"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}