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Vestibular Tests & Measures: Study Guide

Vestibular Tests & Measures: Study Guide Nystagmus is described by the direction of the quick phase. Rotary / Torsional N. is described by the direction that the superior pole of the iris moves, L or R. Directions to perform TEST Positive sign demonstrated by Central vs. Peripheral Eye Movement Range Take your finger out past 18-24 to examine if the patient has full ocular range of motion. Ask the patient to follow moving target that is held several feet in front of the patient s face (to avoid convergence of eyes.) Combination: ocular muscles Smooth Pursuit Maintains gaze stabilization when rate of eye movement is < 60d/sec, slower then VOR Gain testing Hold the patient s head stationary.

Positional Testing Maneuvers Positional Testing: 1. Dix-Hallpike Test (test the unaffected side first, if obvious from history) Test of Posterior and Anterior SCC (example is for a R side lesion) Turn head 45 degrees to R side; quickly lie back with head supported & extended 30° in a hanging position.

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