Abstract
BackgroundThe bucket test is a simple and practical instrument to evaluate vestibular diseases; additionally, it could be a useful tool in the evaluation of the vertigo patient. Unfortunately, the bucket test still lacks standardization. The objective of this study was to evaluate and to interpret the subjective visual vertical (SVV) using the bucket test in benign paroxysmal positional vertigo (BPPV) and Ménière’s disease patients. We performed a cross-sectional study in a secondary care center. All patients with diagnosis of unilateral posterior canal BPPV or Ménière’s disease underwent complete neuro-otological physical examination and the bucket test. Normal bucket test was 0° to 3° according to previous study.ResultsWe included seventy-eight subjects. Benign paroxysmal positional vertigo cases (n = 51) showed a mean 2.62° of SVV prior to the Epley maneuver and 1.7° of SVV after the maneuver (p = < 0.001), 57% of patients with BPPV were categorized as abnormal. Inactive Ménière’s disease patients (n = 22) had mean SVV of 2.74° and Ménière’s disease with active crisis (n = 5) had 5.06° of SVV (p = 0.002).ConclusionThe bucket test is a simple and useful test for the evaluation of SVV, and it has a role in the evaluation of patients with active vestibular diseases such as Ménière’s disease and BPPV.
Highlights
The bucket test is a simple and practical instrument to evaluate vestibular diseases; it could be a useful tool in the evaluation of the vertigo patient
Abnormal values were obtained in 54% of the total population—Ménière’s and benign paroxysmal positional vertigo (BPPV) patients (Fig. 1)
Impaired values were obtained in 57% of the unilateral posterior canal BPPV subjects (Fig. 1)
Summary
The bucket test is a simple and practical instrument to evaluate vestibular diseases; it could be a useful tool in the evaluation of the vertigo patient. The objective of this study was to evaluate and to interpret the subjective visual vertical (SVV) using the bucket test in benign paroxysmal positional vertigo (BPPV) and Ménière’s disease patients. Bucket test is a very simple and economical method to detect and evaluate the SVV, especially in patients with some vestibular disability [1]. The bucket test is easy and quick to perform; a previous study has defined a normal range of 0° to 3.0° in the healthy population [2]. Normal values of SVV deviation were 1.4° ± 1.9° with a range of − 0.5° to. The mean measurements without including negative values were 1.61° ± 1.44° with a range of 0.2° to 3.1° (with two standard deviations) [2].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
