InformalTests - Hallpike maneuver VSR/Postural Control •...

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Informal Tests of the Systems Involved in Balance
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Ocular Range of Motion/Gaze Stability Move a target (18” from nose) 35-40 degrees Left and Right. 30-35 degrees Up and Down. 25-30 degrees Diagonally Pausing 15-20 second Volitional Saccades
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Frenzel lens exam: (no target)
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Monocular Eye Cover looking for vertical adjustment
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Passive Head Rotation screening for bilateral weakness.
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Halmagyi Head Thrust rapid isolated unidirectional screening for low VOR gain on side turning towards.
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Head Shake “No” movement vigorously for 15-20 secs then examine with Frenzel lenses. Nyst usually away from lesion side.
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Pneumatic Otoscopy Looking for Hennebert’s sign.
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Post-Rotary Nyst in swivel chair
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Unformatted text preview: Hallpike maneuver VSR/Postural Control • Past-Pointing – arms out pointing with index fingers to examiners hands, then up and back to examiner’s hands 2 to 3 times w/ eyes open and several times with eyes closed. Both arms move toward weaker ear. Romberg •-- eyes closed, feet together. • Tandem (Sharpened) Romberg – eyes closed heel to toe. Modified CTSIB • eyes open firm surface • eyes closed firm surface • eyes open compressible surface • eyes closed compressible surface Fukuda • 50 steps in place with eyes closed. Rotate toward weaker labyrinth. Casual Gait • walking 15 feet, with eyes open. • With and without head turns....
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This note was uploaded on 08/23/2011 for the course SPA 6317 taught by Professor Griffiths during the Spring '08 term at University of Florida.

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InformalTests - Hallpike maneuver VSR/Postural Control •...

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