vestibular evaluation

vestibular evaluation

Decreased Balance, Increased Mortality in U.S. Adults

Results of a large, population-based cohort study indicate a higher risk of death from all causes, cardiovascular disease, and cancer in adults with balance impairment. More specifically, Cao, et al (2021) reported results for over 5,800 middle-aged (> 40 years) and older adults who completed the Romberg Test of Standing Balance on Firm and Compliant Surfaces.

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COVID-19 in Cerumen—A Potential Source of Viral Spread of Patients Infected with SARS-CoV-2

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Dizziness Handicap and Anxiety in Patients with BPPV and Migraines

A recent study found that significant differences in perceived handicap scores and levels of anxiety and depression exist between patients diagnosed with benign paroxysmal positional vertigo (BPPV) and those with vestibular migraines. 

Patients with BPPV reported lower scores on the Dizziness Handicap Inventory (DHI) and Hospital Anxiety and Depression Scale (HADS) than patients with vestibular migraines. 

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Photo of an older man receiving vestibular testing

Revolutionize Vestibular Testing: New Ways to Assess Patients with Central Disorders

The patient journey for vestibular assessment can be a lengthy process. A 2011 survey by the Vestibular Disorders Association (VEDA) states that, on average, patients consult four to five doctors before receiving a diagnosis. Furthermore, it takes an average of three to five years for a person with a vestibular disorder to receive a diagnosis (VEDA, 2011). By applying new testing techniques, clinicians can scale down their workflow and obtain an accurate diagnosis in less time.

Topic(s): Encephalopathy, vestibular schwannoma, vestibular migraine (VM), Vestibular, vestibular evaluation

Vestibular Testing Safety: COVID-19 and Beyond

All recommendations are made with the best current information and in the context of a multifaceted safety program. When a variety of safety measures are put in place our chance of protecting our patients and colleagues increases.

All safety recommendations assume that

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COVID-19: Considerations for Treatments Using Quinine Derivatives and Other Ototoxic Compounds

Hydroxychloroquine was recently approved by the U.S. Food and Drug Administration (FDA) for emergency use to treat adults and adolescents with COVID-19.

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Vestibular Evaluation and Rehabilitation: A Team Approach for Audiologists and Physical Therapists

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

Close-up abstract illustration of person with vertigo

Alternatives to (Not Substitutes for) Caloric Testing

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

Coding and Reimbursement Main Image

CODING AND REIMBURSEMENT | Billing and Coding the Vestibular Evaluation

The vestibular evaluation can include a number of different procedures, and coding for these evaluations can often be confusing. There are several current procedural terminology (CPT®) codes that should be considered when completing your evaluation.

Topic(s): Coding, Reimbursement, Balance/Vestibular, Audio-vestibular/Audiovestibular, vestibular evaluation, dix-hallpike maneuver, positional nystagmus test, caloric irrigation, cervical vestibular-evoked myogenic potential (cVEMP), optokinetic nystagmus test, oscillating tracking test, spontaneous nystagmus test, sinusoidal vertical axis rotation testing, computerized dynamic posturography

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Publication Issue: Audiology Today January/February 2018