Vestibular Diagnostic Evaluation

Source: Interacoustics.com

Case History

• Inventories
• Depression Handicap Inventory (DHI)
• Hospital Anxiety and Depression Scale (HADS)
• Mini Mental State Exam (MMSE)
• Clinical Questions

Bedside Testing

Laboratory Testing

• Oculomotility
• Gaze
• Smooth Pursuit
• Saccades
• Optokinetic Nystagmus
• Optokinetic Afternystagmus
• Otolith Function
• Vestibular Evoked Myogenic Potential (VEMP)
• Subjective Visual Vertical
• Translational Vestibulo-ocular Reflex (t-VOR) and Head Translation
• Parallel Swing
• Positioning Maneuvers
• Dix-Hallpike Maneuver
• Positional Testing
• Sitting
• Supine
• Head Right/Left
• Body Right/Left
• Caloric Examination
• Water Calorics
• Air Calorics
• VOR fixation
• Rotational Testing
• Sinusoidal Harmonic Acceleration (SHA)
• Velocity Step Testing
• Visual/Vestibular Interaction
• Off Vertical Axis Rotation (oVAR)
• Computerized Dynamic Posturography (CDP)
• Sensory Organization Test (SOT)
• Motor Control Test (MCT)