Evaluation of tests for vestibular function

Vestibular testing methodologies are examined in terms of their clinical value and applicability to the assessment of astronaut candidates and human responses to microgravity. Classical and novel testing approaches are examined in terms of nine functions such as otolith organs, vestibular neural processing, and ocular motor systems. The tests reviewed include the basic vestibular-function test battery, postural stability testing, visual-vestibular interaction, reactions to off-axis rotation, and vestibular evoked responses. The basic test battery is shown to be essential for astronaut and inertial-environment baseline-data evaluations, whereas the newer and research tests are only recommended in special cases. Stimulus rearrangement and motion-sickness tests are indicated for testing adaptation to inertial environments. Postural stability and visual-vestibular interaction are recommended for evaluating one's suitability for being an astronaut.