Assessing Subjective Visual Vertical Reliability: A Comparison of the “Bucket Test,” a Mobile App, and a Virtual System

Abstract

The subjective visual vertical (SVV) is a potential indicator of vestibular dysfunction as it assesses an individual’s perception of a vertical line. Despite this, and as a result of specific logistical impediments, SVV has not entered standard clinical practice. Dizziness is the third most common clinical complaint by patients (20%) in outpatient offices. It adversely affects the patient’s life and is often accompanied by intensive healthcare. This study aims to determine whether the bucket test and mobile phone app are as reliable as the Virtual SVV system in assessing the SVV. This study involves four types of investigation to determine the relationship or difference among three tests, including their performance comparison, descriptive analysis, one-way ANOVA test, receiver operating characteristic (ROC) curve, and correlation analysis. After organizing the raw data from 207 healthy volunteer participants for 8 trials, it was found that 59% were female and 41% were male. The data was analyzed utilizing the SPSS program. The test performance is measured using the ROC curve, and the results indicate that the bucket with the highest ROC coefficient is 0.72.