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FUNCTION
TESTS
H.Babar-Craig
VFT
Balance maintained by :
1. Vestibular system
2. Eyes
3. Proprioceptors in the muscles
VFT
Vestibulospinal Reflexes
ROMBERGS TEST
Patient stands with feet together, arms
by the side with eyes open then closed
Peripheral vestibular lesions- the
bodys centre of gravity is displaced to
the side of the labyrinthine lesion
Central disturbances- pattern of
unsteadiness of gait and direction of
fall are irregular.
Vestibulospinal Reflexes
Vestibulospinal Reflexes
Nystagmus
Spontaneous Nystagmus
Positional Nystagmus
Hallpike Manouvre
Patient sits on bed, head turned 45
degrees to left or right.
Patient is rapidly laid back with head over
edge of bed 30 degrees below the
horizontal. Eyes open look for nystagmus.
After 30 sec return patient to upright
position
Repeat with head to other side
Vestibulo-ocular reflex
ROTATIONAL TESTS
Nystagmus Induced by accelerating and
decelerating rotating chair, tests both
labyrinths simultaneously
CALORIC TESTS
COWS- cold water opposite side, warm
water same side, direction of nystagmus
Extent of caloric response indicates
function of labyrinth
Vestibulo-ocular Reflex
Electronystagmograghy
Positive potential between the
cornea and retina recorded as eyes
move from straight ahead gaze
Test includes different head
positions, eyes open, closed and
caloric tests