%0 Journal Article
%T Evaluation of the reliability and validity of the upright head roll test for lateral semicircular canal benign paroxysmal positional vertigo.
%A Han JS
%A Lee DH
%A Park SN
%A Park KH
%A Kim TH
%A Han JH
%A Kang MJ
%A Kim SH
%A Seo JH
%J J Vestib Res
%V 34
%N 2
%D 2024 Mar 4
%M 38457163
%F 2.354
%R 10.3233/VES-230127
%X <B>UNASSIGNED: </B>The upright head roll test (UHRT) is a recently introduced diagnostic maneuver for lateral semicircular canal benign paroxysmal positional vertigo (LSC-BPPV).<BR><B>UNASSIGNED: </B>This study aimed to evaluate the reliability and validity of the UHRT.<BR><B>UNASSIGNED: </B>Two separate studies were conducted. Study 1 analyzed 827 results of videonystagmography (VNG) to assess UHRT reliability, and Study 2 analyzed 130 LSC-BPPV cases to evaluate UHRT validity.<BR><B>UNASSIGNED: </B>The inter-test reliability between UHRT and the supine head roll test (SHRT) showed substantial agreement (Cohen's kappa = 0.753) in direction-changing positional nystagmus (DCPN) and almost perfect agreement (Cohen's kappa = 0.836) in distinguishing the direction of DCPN. The validity assessment of UHRT showed high accuracy in diagnosing LSC-BPPV (80.0%) and in differentiating the variant types (74.6%). UHRT was highly accurate in diagnosing the canalolithiasis type in LSC-BPPV patients (Cohen's kappa = 0.835); however, it showed only moderate accuracy in diagnosing the cupulolithiasis type (Cohen's kappa = 0.415). The intensity of nystagmus in UHRT was relatively weaker than that in SHRT (P < 0.05).<BR><B>UNASSIGNED: </B>UHRT is a reliable test for diagnosing LSC-BPPV and distinguishing subtypes. However, UHRT has a limitation in discriminating the affected side owing to a weaker intensity of nystagmus than SHRT.