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Peer-reviewedCC BY 4.0The Journal of Laryngology and Otology

The effect of hand dominance on results in the Functional Head Impulse Test

6 affiliations
  1. 1Department of Audiometry, Vocational School of Health Services, Trakya University, Edirne, Türkiye
  2. 2Department of Audiology, Faculty of Health Sciences, Bezmialem Vakif University, Istanbul, Türkiye
  3. 3Department of Audiology, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul, Türkiye
  4. 4Department of Audiology, Faculty of Health Sciences, Trakya University, Edirne, Türkiye
  5. 5Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Türkiye
  6. 6Department of Audiology, Faculty of Health Sciences, Ankara University, Ankara, Türkiye

Abstract

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.

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BibTeX
@article{arslan2026effect,
  title = {{The effect of hand dominance on results in the Functional Head Impulse Test}},
  author = {Gülçin Hançer Arslan and Ayşenur Kanık and Aysu Ünlü and Orkun Tahir Aran and Mine Baydan Aran},
  journal = {The Journal of Laryngology and Otology},
  year = {2026},
  month = nov,
  doi = {10.1017/s0022215126105258},
  url = {https://doi.org/10.1017/s0022215126105258},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - The effect of hand dominance on results in the Functional Head Impulse Test
AU  - Gülçin Hançer Arslan
AU  - Ayşenur Kanık
AU  - Aysu Ünlü
AU  - Orkun Tahir Aran
AU  - Mine Baydan Aran
PY  - 2026
DA  - 2026/11/06
JO  - The Journal of Laryngology and Otology
DO  - 10.1017/s0022215126105258
UR  - https://doi.org/10.1017/s0022215126105258
AB  - 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.
SN  - 0022-2151
SN  - 1748-5460
ER  -