HINTS Exam vs Subjective Visual Vertical SVV

This app was developed to enhance the HINTS exam by using a smartphone to better facilitate effective exam implementation and improve posterior CVA detection for enhanced patient outcomes within primary care, urgent care, and emergency care settings. This application allows for a streamlined screening process, with most full exams being concluded within five minutes from the start, and subjectively, being able to replay the exam video at half-speed allowed for a much easier and more confident assessment of nystagmus direction, skew deviation, and head impulse test corrective saccade with correct training and understanding of the exam's application. The smartphone application starts by taking the user through several screening questions to help determine if the application is appropriate or if a stroke workup is highly indicated. Videos are recorded for review and can be slowed down for optimal evaluation.

Subjective Visual Vertical turns your iPhone into a simple tool for checking how well a person can set a line to true vertical using sight alone — a quick way to screen for inner-ear (otolith) and balance differences. The app shows a line and uses the phone's motion sensors to know which way is truly vertical. The patient adjusts the line until it looks upright to them, and the app reports how far that is from true vertical, in degrees. TWO WAYS TO TEST • Bucket mode — fix the phone inside the base of a bucket with reusable putty, screen facing in. The patient holds the open rim to their face so the room is hidden, then turns the bucket until the line looks straight. • VR mode — drop the phone into a VR viewer or Google Cardboard. The line is shown to each eye in a split view. The patient turns the line with on-screen buttons or a Bluetooth remote and locks it in when it looks vertical. FLEXIBLE TESTING • Choose the right eye (OD), left eye (OS), both eyes (OU), or all in turn. • Run a single measurement or repeat each condition several times. • Set the trial length and the pause between trials. • Repeated trials are averaged automatically, with the standard deviation shown. CLEAR RESULTS • See the deviation in degrees for each eye, with a simple diagram of the perceived vs. true vertical. • Share the numbers as text, with no image attached. • In bucket mode you can record a photo or video of the trial with the true and perceived vertical lines drawn over it, and a date-and-time label. Media is saved to your own Photo Library. • Customisable line and background colours. • Right eye (OD) listed first, by convention. • Works with a Bluetooth remote so the line can be turned while the phone is sealed in a viewer. • Everything runs on the device. No account, no sign-in, no tracking. IMPORTANT This app is for educational purposes only and should not be used for clinical diagnosis or treatment decisions. It is not a medical device and has not been validated for clinical use. Always consult qualified healthcare professionals for medical advice.