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Balance Pediatric Evaluations and video Head Impulse Test (v-HIT): Use and Applications

Background: The video Head Impulse Test (v-HIT) is the first vestibular test that allows to evaluate all six semicircular canals. Its invention has proven to be quite beneficial in the past as it relates to children since it reduces some fears they might experience. The goal of this article is to discuss the current literature available on the use and application of v-HIT as it relates to pediatric vestibular/balance assessments. Discussion: The use of v-HIT as a way to asses vestibular and balance function for children has been proven to be accurate and a good, quick method to diagnose deficiency of the affected semicircular canals. Furthermore, it is quick and comfortable for the child which can ease the testing process and establish trust with the patient and family. Conclusion: v-HIT is an effective test for evaluating the semicircular canal function in children as it offers major advantages in comparison to caloric testing and rotary chair. However, there is still need for further research in order to understand its application as a possible treatment tool and verification of intervention in the pediatric population.