WorksheetsJournal Club Fall 2025
Total questions: 22
Worksheet time: 22mins
Are you ready for Journal Club!!!!???
YES!!!!!!!!
oh yeahhhhhhhhh
Which two vestibular disorders were being compared in this article?
Benign paroxysmal positional vertigo (BPPV) and vestibular neuritis
Meneire's disease and vestibular migraine
Persistent postural perceptual dizziness and vestibular migraine
Vestibular schwannoma and BPPV
Which symptom is most characteristic of Meniere's disease?
Neck stiffness
Agoraphobia
Stenosis
Fluctuating hearing loss
There is overlap of symptoms in Vestibular Migraine and Meniere's Disease diagnosis.
True
False
What was the MAIN hypothesis of the study?
fMRI can give explain dizziness in MD and VM
Eye movement recordings can identify VM
Perceptual thresholds could help differentiate MD and VM
Caloric testing could predict frequency of Vestibular Migraine
The study included participants meeting probable MD or VM criteria.
True
False
Which perceptual threshold was significantly elevated in Meniere’s disease compared to VM and controls?
Interaural translation
Naso-occipital translation
Yaw rotation
Superior-inferior translation
Participants were tested in active episodes of vertigo.
True
False
Which group was included as a control in the study?
Patients with vestibular neuritis
Normal controls (NC) without vestibular symptoms
Patients with benign paroxysmal positional vertigo
Patients with chronic dizziness of unknown cause
Standard vestibular tests (caloric, vHIT, cVEMP) correlated strongly with perceptual thresholds.
True
False
Multi-select: What steps were taken to reduce sound and light cues?
Testing was completed without hearing aids on
White noise played through noise cancellation headphones
All testing was performed in darkness
Participants were asked to close their eyes for the duration of testing.
How were participants instructed to respond during perceptual threshold testing?
By pressing a button to indicate motion direction
By reporting perceived loudness
By describing dizziness severity
By identifying motion speed
What does DHI stand for?
Dizziness Health Indicator
Dynamic Hearing Index
Dizziness Handicap Inventory
Diagnostic Hearing Inventory
Multi-Select: What subjective questionnaires were used to quantify severity of dizziness in this study?
Dizziness Severity Scale (DSS)
Balance Assessment Tool (BAT)
Head Impact Test
(HIT-6)
Dizziness Handicap Inventory (DHI)
Which group scored higher on both DHI and HIT-6 questionnaires?
Vestibular migraine
BPPV
Meniere's disease
Both scored the same
Multi-Select: Which vestibular non-threshold tests were performed?
Caloric Testing
Rotary Chair Testing
Video Head Impulse Testing
oVEMP
cVEMP
Multi-select: What are possible advantages of perceptual threshold testing?
Uses physiologic motion stimuli
Accesses central vestibular processing
Tests only one end organ
Provides unique information beyond standard tests
Multi-Select: Which motion axes were used for perceptual threshold testing in the study?
Interaural
(y-translation)
Naso-occipital
(x-translation)
Superior-inferior
(z-translation)
Yaw rotation
Head-centered roll tilt (HCRT)
What explains the difference in roll tilt perceptual thresholds between
Meniere’s disease (MD) and vestibular migraine (VM) patients?
MD patients have increased thresholds due to saccular dysfunction, while VM patients have decreased thresholds from central hypersensitivity.
VM patients have higher thresholds due to utricular damage, and MD patients have lower thresholds from migraine hypersensitivity.
Both MD and VM patients show equally elevated thresholds because roll tilt only activates the otolith organs.
MD and VM patients have similar thresholds because roll tilt responses are independent of frequency.
What were the primary findings of the study regarding perceptual thresholds in MD and VM patients?
MD patients had lower thresholds than both VM and NC subjects for all motion types.
MD patients had elevated superior-inferior thresholds compared with VM and NC subjects and elevated head-centered roll tilt (HCRT) thresholds compared with VM subjects.
MD and VM patients showed identical threshold patterns across all axes.
MD patients only showed elevated yaw rotation thresholds compared with controls.
What was one major limitation noted by the authors?
Too many comorbid conditions were included
Small sample size and focus only on “definite” diagnoses
Inconsistent testing protocols
Use of unvalidated measures
Did you actually read the article? Be honest 😏 (no wrong answers)
oh yes
oops no
