{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:19:45Z","timestamp":1777889985116,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2-3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VES"],"published-print":{"date-parts":[[2024,5,9]]},"abstract":"<jats:p>BACKGROUND: The upright head roll test (UHRT) is a recently introduced diagnostic maneuver for lateral semicircular canal benign paroxysmal positional vertigo (LSC-BPPV). OBJECTIVE: This study aimed to evaluate the reliability and validity of the UHRT. METHODS: Two separate studies were conducted. Study 1 analyzed 827 results of videonystagmography (VNG) to assess UHRT reliability, and Study 2 analyzed 130 LSC-BPPV cases to evaluate UHRT validity. RESULTS: The inter-test reliability between UHRT and the supine head roll test (SHRT) showed substantial agreement (Cohen\u2019s kappa\u200a=\u200a0.753) in direction-changing positional nystagmus (DCPN) and almost perfect agreement (Cohen\u2019s kappa\u200a=\u200a0.836) in distinguishing the direction of DCPN. The validity assessment of UHRT showed high accuracy in diagnosing LSC-BPPV (80.0%) and in differentiating the variant types (74.6%). UHRT was highly accurate in diagnosing the canalolithiasis type in LSC-BPPV patients (Cohen\u2019s kappa\u200a=\u200a0.835); however, it showed only moderate accuracy in diagnosing the cupulolithiasis type (Cohen\u2019s kappa\u200a=\u200a0.415). The intensity of nystagmus in UHRT was relatively weaker than that in SHRT (P\u200a&lt;\u200a0.05). CONCLUSION: UHRT is a reliable test for diagnosing LSC-BPPV and distinguishing subtypes. However, UHRT has a limitation in discriminating the affected side owing to a weaker intensity of nystagmus than SHRT.<\/jats:p>","DOI":"10.3233\/ves-230127","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T11:54:35Z","timestamp":1709639675000},"page":"103-112","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of the reliability and validity of the upright head roll test for lateral semicircular canal benign paroxysmal positional vertigo"],"prefix":"10.1177","volume":"34","author":[{"given":"Jae Sang","family":"Han","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong-Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Uijeongbu St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi Nae","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyoung Ho","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Ho","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Hong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Seoul St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Ju","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, St. Vincent\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"So-Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Bucheon St. Mary\u2019s Hospital, College of Medicine, The Catholic University of Korea, Seoul, 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