title: Fukuda stepping test: sensitivity and specificity.
abstract: BACKGROUND
  A vestibulospinal test known as the Fukuda stepping test (FST) has been suggested to be a measure of asymmetrical labyrinthine function. However, an extensive review of the performance of this test to identify a peripheral vestibular lesion has not been reported.
  
  
  OBJECTIVE
  The purpose of this study was to evaluate the sensitivity and specificity of the standard FST and a head shaking variation for identification of a peripheral vestibular system lesion.
  
  
  METHODS
  In this retrospective review, we compared performance on the FST with and without a head shaking component to electronystagmography (ENG) caloric irrigation unilateral weakness results.
  
  
  METHODS
  We studied these factors in 736 chronic dizzy patients.
  
  
  RESULTS
  Receiving operating characteristics (ROC) analysis and area under the curve (AUC) indicated no significant benefit to performance from the head shaking variation compared to the standard FST in identifying labyrinthine weakness as classified by caloric unilateral weakness results.
  
  
  CONCLUSIONS
  These findings suggest that the FST with and without head shake component is not a reliable screening tool for peripheral vestibular asymmetry in chronic dizzy patients; however, future research may hold promise for the FST as a tool for patients with acute unilateral disorders.
authors: Division of Audiology, Mayo Clinic, Rochester, MN 55905, USA. honaker.julie@mayo.edu
authors: Julie A
authors: JA
authors: Honaker
authors: Thomas E
authors: TE
authors: Boismier
authors: Nathan P
authors: NP
authors: Shepard
authors: Neil T
authors: NT
authors: Shepard
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D019416:Head Movements / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D004856:Postural Balance; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012678:Sensation Disorders / Q000175:diagnosis* / Q000503:physiopathology; D014724:Vestibular Function Tests / Q000379:methods*; D055815:Young Adult