The clinical value in using both paradigm HIMP and SHIMP with video head impulse test in patients with vestibulopathy

INTRODUCTION: This review aims to explore the potential clinical application of both head impulse paradigm (HIMP) and suppression head impulse paradigm (SHIMP) in patients with vestibulopathy. EVIDENCE ACQUISITION: An electronic search was conducted by two independent reviewers in the following databases: Embase, MED-LINE (PubMed), Scopus. Screening of titles, abstracts, and full texts and data extraction were undertaken independently by pairs of reviewers. Included studies were quality appraised using a modified version of the Newcastle-Ottawa Scale. EVIDENCE SYNTHESIS: Our search yielded 1008 unique records, of which thirty-six remained after screening titles and abstracts. Twenty-seven studies were included covering a total of 1351 participants (704 patients and 188 healthy participants). CONCLUSIONS: HIMP and SHIMP paradigm could be a useful tool to diagnose a VOR alteration in patients with vestibulopathy.