According to research by Schubert (2004) the Horizontal Head Thrust Test is most sensitive when the patient's head is flexed

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Schubert's research indicates that the Horizontal Head Thrust Test reaches its highest sensitivity when the patient's head is flexed at 30 degrees. This position optimizes the test's ability to detect vestibular deficits by aligning the horizontal semicircular canals with the plane of head movement.

According to Research by Schubert (2004) the Horizontal Head Thrust