Vestibular Rehabilitation

Used to diagnose Benign Paroxysmal Positional Vertigo (BPPV), which occurs when inner ear crystals (otoconia) move into the wrong part of the ear.

• Dix-Hallpike Maneuver: Moves the patient from sitting to lying to trigger vertigo and nystagmus.
• Supine Roll Test: Checks for horizontal canal BPPV.
• Side-Lying Test: For those who cannot tolerate neck extension.
• Epley Maneuver: Assesses cervical and shoulder involvement with dizziness symptoms.

Oculomotor & Vestibular Function Tests (Eye Movement)

These tests evaluate how the eyes and vestibular system work together:

• Smooth Pursuit & Saccades: Tests central brain function through eye tracking.
• Head Shaking Nystagmus Test: Detects lingering eye movements after shaking the head.
• VOR Cancellation: Assesses the ability to control reflexive eye movement with head motion.

These tests measure how your body maintains balance using input from eyes, feet, and inner ear:

• Modified Clinical Test of Sensory Interaction on Balance (mCTSIB): Measures body sway on firm and foam surfaces, eyes open and closed.
• Dynamic Visual Acuity (DVA): Tests how well vision stays stable during head movement.
• Tandem Walking (Eyes Closed): Heel-to-toe walking to assess stability and fall risk.
• Fukuda Stepping Test: Marching in place with eyes closed to detect vestibular imbalance.

Based on your assessment, treatment may include:

• Customized exercise programs to improve balance, eye-head coordination, and gait.
• Manual therapy to address neck or vestibular-related dysfunctions.
• Vestibular adaptation and habituation exercises to reduce dizziness.
• Patient education and strategies for safely navigating daily activities.