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Vertigo - vertibular EVALUATION
Vestibular evoked myogenic potential (VEMP) is an emerging diagnostic tool for identifying vestibular lesions. The VEMP test is noninvasive and causes little or no discomfort to the patient. The VEMP test is administered like the traditional auditory brain stem response [ABR] test using surface electrodes placed on sternocleidomastoid muscles to detect sound evoked potentials due to inhibitory muscle activity in response to suprathreshold tonal sounds in each ear.
VEMP testing targets the vestibule and neural connections to the sternocleidomastoid muscles of the neck. The VEMP neural pathway consists of the saccule, inferior vestibular nerve, and vestibulospional tract. VEMP so far has been mainly useful in documenting abnormally low thresholds in persons with the Tullio effect, which mostly occurs in patients with fistulae or superior canal dehiscence syndrome (SCD).
Balance tests are a group of tests that check for balance disorders. A balance disorder is a condition that makes you feel unsteady on your feet and dizzy. Dizziness is a general term for different symptoms of imbalance. Dizziness can include vertigo, a feeling that you or your surroundings are spinning, and lightheadedness, a feeling like you are going to faint. Balance disorders can be mild, or so severe that you may have trouble walking, climbing stairs, or doing other normal activities.
Different systems in your body need to work together for you to have good balance. The most important system is called the vestibular system. This system is located in your inner ear and includes special nerves and structures that help you keep your balance. Your vision and sense of touch are also essential for good balance. Problems with any of these systems can lead to a balance disorder.
Balance disorders can happen at any age, but are more common in older people. It's one of the main reasons that older adults tend to fall more often than younger people.
Vestibular rehabilitation is an exercise-based program, designed by a speciality-trained vestibular physical therapist, to improve balance and reduce problems related to dizziness
Patients typically referred for vestibular rehabilitation therapy are those diagnosed with dizziness, imbalance, vertigo, Meniere’s syndrome, benign paroxysmal positional vertigo (BPPV), neck-related dizziness and migraines. Other candidates are patients who have had a stroke or brain injury or who frequently fall.
Common symptoms that can be helped with vestibular rehabilitation include:
- Dizziness or blurry vision with head movements
- Neck tightness, stiffness and/or pain
- Imbalance or the need to hold onto objects when walking
- Headaches
- Frequent falls
- Generalized “dizziness, wooziness and foggy head” feelings
- Vertigo/spinning
Vertigo - Vertibular Evaluation
VEMP (Vestibular evoked myogenic potential)
The VEMP test is noninvasive and causes little or no discomfort to the patient.
VEMP testing targets the vestibule and neural connections to the sternocleidomastoid muscles of the neck.
Balance test
Balance tests are a group of tests that check for balance disorders. A balance disorder is a condition that makes you feel unsteady on your feet and dizzy. Dizziness is a general term for different symptoms of imbalance. Dizziness can include vertigo, a feeling that you or your surroundings are spinning, and lightheadedness, a feeling like you are going to faint. Balance disorders can be mild, or so severe that you may have trouble walking, climbing stairs, or doing other normal activities.
Vestibular rehabilitation
Vestibular rehabilitation is an exercise-based program, designed by a speciality-trained vestibular physical therapist, to improve balance and reduce problems related to dizziness.