Table 3. Summary of Age-Related Clinical Findings Adapted from Maes et al25 .
Clinical Measure | Clinical Findings | Literature |
---|---|---|
Rotational vestibular testing | Reduced VOR gain for the low frequencies | Wall et al83; Peturka et al79; Paige71; Furman and Redfern23 |
Reduced VOR for the high frequencies | Li et al115 | |
Reduced VOR gain to higher stimulus velocities | Paige70; Baloh et al28 | |
Increased VOR phase lead for low frequencies | Li et al115; Paige et al71 | |
Increased VOR phase lead for high frequencies | Baloh et al28; Peterka et al79; Furman and Redfern23 | |
VOR asymmetry | None reported | |
Decreasing time constant | Baloh et al28 | |
Larger time constant asymmetry | Stefansson and Imoto116; Dizio and Lackner117; Furman and Redfern23 | |
Videonystagmography | Decreasing max slow-phase velocity | Stefansson and Imoto116 |
Increasing directional preponderance | Stefansson and Imoto116 | |
Increasing max slow-phase velocity to maximum age followed by a slight decline | Bruner and Norris73 (60–70 y); Karlsen et al76 (60–70 y); Mulch and Petermann (50 y)51 | |
No change reported | Peterka et al79; Mallinson and Longridge80; Zapala et al118 | |
Vestibular evoked myogenic potential | Decreasing absolute amplitude | Welgampola and Colebatch95; Ochi and Ohashi119; Su et al94; Zapala and Brey96; Basta et al120 121; Brantberg et al92; Lee et al93 |
Increasing threshold | Welgampola and Colebatch95; Su et al94 | |
Prolonged P1–N1 latencies | Zapala and Brey96; Brantberg et al92; Lee et al93 |
Abbreviation: VOR, vestibular ocular reflex.