IGNORE: Revision table

Question 1

Gaze/ Spontaneous Nystagmus Test.

• Peripheral Vestibular Disorder (Yes/ No)
• Central Disorder (Yes/No)
• Key things to look out for:
  *Patient instructions:
• Key factors that could affect testing e.g. testing equipment, patient considerations
• This test would help diagnose (which condition/ pathology?)

Answer 1

• yes it tests peripheral vesitb disorders
• yes it tests central vestib disorders

look out for the direction the nystagmus beats in & are they >3degrees/ sec

Patient instructions: keep looking at the target, try not to move your head or close your eyes

Key affecting factors are:
- no mascara, good lock on pupil
- patient factors like fatigue, visual acuity, cooperation and suppressant medications

• this test helps diagnose both central or peripheral pathology

Question 2

Saccade Test.

• Peripheral Vestibular Disorder (Yes/ No)
• Central Disorder (Yes/No)
• Key things to look out for:
  *Patient instructions:
• Key factors that could affect testing e.g. testing equipment, patient considerations
• This test would help diagnose (which condition/ pathology?)

Answer 2

• no it doesn’t test for peripheral
• yes it tests for central disorders
• key things to look for:
• are the results within normal limits or not
• patient instructions:
  keep head still
• key affecting factors:
• no mascara, good lock on pupil- keep head still, only move eyes.
• patient factors like fatigue, visual acuity, cooperation and suppressant meds
• this tests helps diagnose ONLY central pathology

Question 3

Smooth Pursuit Test.

• Peripheral Vestibular Disorder (Yes/ No)
• Central Disorder (Yes/No)
• Key things to look out for:
  *Patient instructions:
• Key factors that could affect testing e.g. testing equipment, patient considerations
• This test would help diagnose (which condition/ pathology?)

Answer 3

• this test does not test for peripheral disorders
• this test does test for central disorders
• key things to look out for: are the results within normal limits or not?
• patient instructions:
  keep head still- follow trace as smoothly as possible
• key affecting factors:
• no mascara, good lock on pupil- keep head still, only move eyes.
• patient factors like fatigue, visual acuity, cooperation and suppressant meds
• this tests helps diagnose ONLY central pathology

Question 4

Post Head Shake Test.

• Peripheral Vestibular Disorder (Yes/ No)
• Central Disorder (Yes/No)
• Key things to look out for:
  *Patient instructions:
• Key factors that could affect testing e.g. testing equipment, patient considerations
• This test would help diagnose (which condition/ pathology?)

Answer 4

• yes this tests for peripheral vestibular disorders
• it SOMETIMES tests for central disorders
• key things to look out for:
• are there nystagmus presents?
• how many beats?
• patient instructions: keep eyes open
• key affecting factors:
  no mascara, good lock on pupil
• this test helps diagnose peripheral pathology on the side of the lesion

Question 5

Head Impulse Test.

• Peripheral Vestibular Disorder (Yes/ No)
• Central Disorder (Yes/No)
• Key things to look out for:
  *Patient instructions:
• Key factors that could affect testing e.g. testing equipment, patient considerations
• This test would help diagnose (which condition/ pathology?)

Answer 5

• yes this tests for peripheral vestibular disorders
• no, this test does not test for central vestibular disorders
• key things to look out for:
• which side gives you the corrective eye movements? OR is the response within normal limits?
• patient instructions: keep eyes open
• key affecting factors:
• no mascara, good lock on pupil

-this test would help diagnose peripheral pathology on the side of lesion

Question 6

Dynamic Visual Acuity Test.

• Peripheral Vestibular Disorder (Yes/ No)
• Central Disorder (Yes/No)
• Key things to look out for:
  *Patient instructions:
• Key factors that could affect testing e.g. testing equipment, patient considerations
• This test would help diagnose (which condition/ pathology?)

Answer 6

• yes it does diagnose vestibular disorders
• it RARELY helps diagnose central disorders
• key things to look out for:
• Normal: no change or decrease by one line
• Abnormal: Decrease by 2 or more lines on the chart
• Patient instructions: ‘ read the lowest line on the chart with your head still, then again while your head is moved rapidly side to side, up and down and rotationally’

Key affecting factors:
- chart placement at a consistent distance, rapid head movement by the clinician and patient cooperation.

• This test helps diagnose bilateral vestibular hypofunction, impaired VOR