Loading ...Purpose
A test used to determine if the patient has benign paroxysmal positional vertigo (BPPV). This test is used to test the horizontal canals.
Technique
Patient is positioned in supine.
Clinician places his hands on the patient’s mastoid processes and brings the patient into 30° of cervical flexion.
Clinician instructs the patient to keep her eyes open during the test.
Clinician rapidly rotates the head 90° to one side and observes the patient’s eye movements looking for nystagmus.
Clinician holds the patient in this position for 60 seconds.
Clinician then brings the patient’s head back to neutral, waits in then position for a few seconds, and then rapidly rotates the head 90° to the opposite side.
Clinician observes the patient’s eye movements looking for nystagmus.
Positive
The production of nystagmus or other symptoms (vertigo, nausea, ect).
Interpretation
The production of nystagmus indicates horizontal canal BPPV on the side that produces symptoms.
References
- Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York, NY: The McGraw-Hill Companies, Inc.
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