Dizziness and imbalance are complex and, often, multifactorial conditions that require skilled evaluation, sometimes by multiple health-care providers.
As audiologists, our role is largely diagnostic in nature. We are able to perform a variety of tests to help identify or rule out the site of lesion. Working in a collaborative team with physical therapists who are specifically trained in vestibular rehabilitation provides a comprehensive and dynamic approach to treating these patients.
Topic(s): vestibular evaluation, vestibular disorders, therapy
The standard electronystagmography/videonystagmography (ENG/VNG) exam, first described 80 years ago, has been around for about 60 years. The recording techniques have improved, but the tests are the same. Our understanding of vestibular function and methods to evaluate the vestibular ocular reflex (VOR) also have improved, but our profession still relies primarily on VNG testing to determine vestibular function. Let’s take a critical look at this standard of care.
Topic(s): vestibular disorders, vestibular evaluation, Vertigo, vng, videonystagmography