Test-retest reliability of open-loop bithermal caloric irrigation responses from healthy young adults.
OBJECTIVE: To determine normal caloric responses and test-retest correlations of caloric responses in a group of otologically normal persons using an open-loop caloric irrigation system. STUDY DESIGN: An open-loop bithermal caloric irrigator was used to obtain maximum slow component speed caloric responses of healthy young persons with a repeat caloric test occurring- 1 week later. SETTING: The caloric examination took place in a university speech and hearing clinic. SUBJECTS: Twenty healthy young adults (10 men and 10 women, ranging in age from 18 to 33 years) who reported no history of dizziness or hearing loss were recruited at a university. They had thresholds of 25 dB HL or better for frequencies 250 of 8000 Hz and had passed an examination performed by an otologist. RESULTS: The mean unilateral weakness (UW) response was 1.73% with a standard deviation of 12.1%. Test retest correlations were 0.82 for UW and 0.80 to 0.90 for individual ear responses. CONCLUSIONS: The results indicate that a minimum of a 25% UW should be present when identifying a significant UW. Also the test-retest correlations were considerably higher using an open-loop irrigator than those obtained using a closed-loop irrigation system in a previously reported study.