Stroke Clinical Trial
Official title:
Feasibility and Safety of a Telemedically Performed Three-Component Oculomotor Testing Battery (HINTS) in Healthy Adults
The study investigates the feasibility and safety of the telemedical implementation of three
diagnostic oculomotor tests using a video-oculography device and an extended
teleconferencing system. The testing battery comprises Halmagyi's head impulse test, test
for nystagmus and test of skew (vertical misalignment) known as the HINTS protocol.
Previously published data have shown high sensitivity and specificity of the protocol for
the discrimination of central and peripheral causes of acute vestibular syndrome. In this
study the three tests will be executed on 30 healthy subjects using video goggles
(EyeSeeCam, Interacoustics GmbH, Germany) connected to a mobile wireless-workstation for
bidirectional audiovisual communication in a clinical environment (MEYTEC GmbH, Germany). A
newly developed remote control and video conferencing solution allows the execution and
evaluation of the HINTS protocol in a telemedical setup.
The examination is guided by a remote physician using the help of a trained assistant
attending to the subject. Corresponding clinical bedside tests will be executed for
comparison. Primary endpoint is feasibility of the three diagnostic tests in a telemedical
setting. Safety as well as accuracy of the telemedical versus bedside examination will be
analyzed as secondary outcome measures. Aim of the study is to improve diagnostic accuracy
for patients with acute vestibular syndrome in remote areas where specialists are rare.
n/a
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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