VBA Tests for Insufficiency

Question 1

Patient Seated, examiner instructs pt to rotate head maximally from side to side. Done slowly first and then accelerated to pt tolerance

Answer 1

Barre-Lieou

Question 2

Pt stands with eyes open, arms at sides, feet close together. Then in this position the pt is instructed to march in place.

Answer 2

Underberg

Question 3

Pt supine. Examiner instructs pt to rotate and extend head off table then turn to ea side for 15-45 sec. Dr can lend minimal support.

Answer 3

DeKleyn’s

Question 4

Pt supine. Head extended off table. Examiner can support skull, brings head into extension, rotation & lateral flex.

Answer 4

Hallpike

Question 5

Pt. seated. Eyes open, arms at side, feet close together. Pt closes eyes, flexes arms forward to shoulder level with hands supinated. Maintain position for a few seconds. Pt closes eyes, rotates & hyper-extends the neck to one side. Repeat on opposite side.

Answer 5

Hautant’s