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Vestibular rehabilitation (VR), also known as vestibular rehabilitation therapy (VRT), is a specialized form of physical therapy used to treat vestibular disorders or symptoms, characterized by dizziness, vertigo, imbalance, posture, and vision. These primary symptoms can result in secondary symptoms such as nausea, fatigue, and difficulty ...
The test is commonly used by physicians, audiologists and other trained professionals to validate a diagnosis of asymmetric function in the peripheral vestibular system. Calorics are usually a subtest of the electronystagmography (ENG) battery of tests. It is one of several tests which can be used to test for brain stem death.
Romberg's test is not a test of cerebellar function, as it is commonly misconstrued. Patients with severe cerebellar ataxia will generally be unable to balance even with their eyes open; [ 6 ] therefore, the test cannot proceed beyond the first step and no patient with cerebellar ataxia can correctly be described as Romberg's positive.
The dynamic visual acuity test involves a patient's ability to control eye movements by following letters that appear on a screen. The difference between these two test results is the patient's fixation ability and vestibuloocular reflex (VOR) efficiency. [13] Vestibular reflexes can also be examined using body tilt experiments.
The vestibular evoked myogenic potential (VEMP or VsEP) is a neurophysiological assessment technique used to determine the function of the otolithic organs (utricle and saccule) of the inner ear. It complements the information provided by caloric testing and other forms of inner ear (vestibular apparatus) testing. There are two different types ...
This test can provide site-specific information on vestibular system and its function. [25] Another way of testing the VOR response is a caloric reflex test, which is an attempt to induce nystagmus (compensatory eye movement in the absence of head motion) by pouring cold or warm water into the ear. Also available is bi-thermal air caloric ...
Problems with balance can occur when there is a disruption in any of the vestibular, visual, or proprioceptive systems. Abnormalities in balance function may indicate a wide range of pathologies from causes like inner ear disorders, low blood pressure, brain tumors, and brain injury including stroke.
The Vertebral Artery Test or Wallenberg Test is a physical exam for vertebral artery insufficiency. Commonly, the VA test involves cervical spine motion to an end-range position of rotation, extension or a combination of both. At this point, the physician assesses for vertebrobasilar insufficiency (VBI) symptoms.