The Journal of laryngology and otology · 2026
The effect of hand dominance on results in the Functional Head Impulse Test.
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Hançer Arslan Gülçin, Kanık Ayşenur, Ünlü Aysu, Tahir Aran Orkun, Baydan Aran Mine
Аннотация
OBJECTIVE: The vestibulo-ocular reflex is essential for maintaining visual stability during head movements. Individual neurophysiological characteristics, such as hand dominance, may influence vestibular responses through hemispheric lateralisation. This study aimed to investigate the effect of hand dominance on functional vestibulo-ocular reflex performance using the Functional Head Impulse Test.
METHODS: Fifty-eight healthy volunteers were classified as right- or left-handed using the Edinburgh Handedness Inventory. Functional Head Impulse Test reading scores were obtained during passive rightward and leftward head impulses at acceleration levels of 4000, 5000 and 6000°/s2.
RESULTS: No significant differences were observed between right- and left-handed individuals during rightward head movements. In contrast, during leftward head movements, right-handed individuals demonstrated significantly higher Functional Head Impulse Test scores at 4000 and 6000°/s2, as well as higher total reading scores.
CONCLUSION: Hand dominance influences functional vestibulo-ocular performance, particularly during leftward head impulses. Considering hand dominance in the interpretation of Functional Head Impulse Test results may enhance the accuracy and individualisation of vestibular assessments.
METHODS: Fifty-eight healthy volunteers were classified as right- or left-handed using the Edinburgh Handedness Inventory. Functional Head Impulse Test reading scores were obtained during passive rightward and leftward head impulses at acceleration levels of 4000, 5000 and 6000°/s2.
RESULTS: No significant differences were observed between right- and left-handed individuals during rightward head movements. In contrast, during leftward head movements, right-handed individuals demonstrated significantly higher Functional Head Impulse Test scores at 4000 and 6000°/s2, as well as higher total reading scores.
CONCLUSION: Hand dominance influences functional vestibulo-ocular performance, particularly during leftward head impulses. Considering hand dominance in the interpretation of Functional Head Impulse Test results may enhance the accuracy and individualisation of vestibular assessments.