Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment

Background: Vestibular assessments, such as the video ocular counter roll (vOCR) test, offer valuable insights into the interactions between age, otolith function, and vestibular performance. Objective: To analyze the relation between age and vOCR gains as a potential marker of age-related otolith d...

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Main Authors: Melissa Castillo-Bustamante, Jorge Madrigal, Elizabeth Andalón-Dueñas, Johanna Marcela Vanegas, Ireri Espinoza
Format: Article
Language:English
Published: Tsinghua University Press 2025-07-01
Series:Journal of Otology
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Online Access:https://www.sciopen.com/article/10.26599/JOTO.2025.9540030
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author Melissa Castillo-Bustamante
Jorge Madrigal
Elizabeth Andalón-Dueñas
Johanna Marcela Vanegas
Ireri Espinoza
author_facet Melissa Castillo-Bustamante
Jorge Madrigal
Elizabeth Andalón-Dueñas
Johanna Marcela Vanegas
Ireri Espinoza
author_sort Melissa Castillo-Bustamante
collection DOAJ
description Background: Vestibular assessments, such as the video ocular counter roll (vOCR) test, offer valuable insights into the interactions between age, otolith function, and vestibular performance. Objective: To analyze the relation between age and vOCR gains as a potential marker of age-related otolith degeneration. Methods: A total of 107 participants underwent vOCR testing. Descriptive statistics and simple linear regression analyses were conducted to explore the association between age and vOCR gains. Results were presented using regression coefficients, 95% confidence intervals, p-values, and R-squared values. Results: In the overall sample, statistically significant associations were observed between age and vOCR gains in both ears. For the right ear, vOCR gains decreased with increasing age (coefficient: -0.03; 95% CI: -0.05 to -0.01; p <0.001; R² = 0.08), while the left ear showed a slightly stronger association (coefficient: -0.04; 95% CI: -0.07 to -0.02; p < 0.001; R² = 0.12). These findings indicate a moderate age-related decline in otolith-mediated vestibular responses. Conclusion: vOCR gains appear to decline with age, reflecting potential age-related otolith degeneration. These results support the clinical value of vOCR as a non-invasive method to assess vestibular function and its changes across the lifespan.
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spelling doaj-art-5ffac6f1e2574b579e700ce39e11de4d2025-08-20T03:50:49ZengTsinghua University PressJournal of Otology1672-29302524-17532025-07-0120319820310.26599/JOTO.2025.9540030Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) AssessmentMelissa Castillo-Bustamante0Jorge Madrigal1Elizabeth Andalón-Dueñas2Johanna Marcela Vanegas3Ireri Espinoza4School of Health Sciences, Universidad Pontificia Bolivariana, Street 1ª 70-01, Medellín, ColombiaFacultad Mexicana de Medicina, Universidad La Salle México. Ciudad de México, MéxicoCentro de Vértigo y Mareo. Guadalajara, MéxicoSchool of Health Sciences, Universidad Pontificia Bolivariana, Street 1ª 70-01, Medellín, ColombiaCentro de Vértigo y Mareo. Ciudad de México, MéxicoBackground: Vestibular assessments, such as the video ocular counter roll (vOCR) test, offer valuable insights into the interactions between age, otolith function, and vestibular performance. Objective: To analyze the relation between age and vOCR gains as a potential marker of age-related otolith degeneration. Methods: A total of 107 participants underwent vOCR testing. Descriptive statistics and simple linear regression analyses were conducted to explore the association between age and vOCR gains. Results were presented using regression coefficients, 95% confidence intervals, p-values, and R-squared values. Results: In the overall sample, statistically significant associations were observed between age and vOCR gains in both ears. For the right ear, vOCR gains decreased with increasing age (coefficient: -0.03; 95% CI: -0.05 to -0.01; p <0.001; R² = 0.08), while the left ear showed a slightly stronger association (coefficient: -0.04; 95% CI: -0.07 to -0.02; p < 0.001; R² = 0.12). These findings indicate a moderate age-related decline in otolith-mediated vestibular responses. Conclusion: vOCR gains appear to decline with age, reflecting potential age-related otolith degeneration. These results support the clinical value of vOCR as a non-invasive method to assess vestibular function and its changes across the lifespan.https://www.sciopen.com/article/10.26599/JOTO.2025.9540030otolith degenerationvideo ocular counter rollvestibular disordersvestibular testing
spellingShingle Melissa Castillo-Bustamante
Jorge Madrigal
Elizabeth Andalón-Dueñas
Johanna Marcela Vanegas
Ireri Espinoza
Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment
Journal of Otology
otolith degeneration
video ocular counter roll
vestibular disorders
vestibular testing
title Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment
title_full Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment
title_fullStr Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment
title_full_unstemmed Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment
title_short Otolith Degeneration with Aging: Insights from Video Ocular Counter-Roll (vOCR) Assessment
title_sort otolith degeneration with aging insights from video ocular counter roll vocr assessment
topic otolith degeneration
video ocular counter roll
vestibular disorders
vestibular testing
url https://www.sciopen.com/article/10.26599/JOTO.2025.9540030
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AT johannamarcelavanegas otolithdegenerationwithaginginsightsfromvideoocularcounterrollvocrassessment
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