Electronystagmography  - (ENG)

This battery of tests is used to help assess the function of your vestibular system.  The vestibular system, comprising of your inner ear and associated nerves, is part of a complex system that helps control eye movements and balance.  Measurement of certain eye movement can help determine how well the vestibular system is functioning. 

One ENG test includes an evaluation of the movement of your eyes as they follow a moving target.  Another observes eye movements as your head is positioned in different directions.  During the caloric test, warm or cool air (or water) is directed briefly in the ear canal, stimulating a part of the inner ear generating eye movements.  This portion of the test may cause a momentary spinning sensation that typically lasts about 60 seconds.  The entire ENG test takes approximately 1 ½ hours and is not painful.  We advise our patients to have someone help with their transportation for this visit.

Balance and Vestibular Rehabilitation Therapy

What is Vestibular Rehabilitation Therapy (VRT)?

VRT is a form of physical therapy designed to promote compensation and habituation for patients with vestibular and balance disorders.  The therapist will begin with a thorough evaluation, including observation of balance, posture, gait, movement, and compensatory strategies.  Each patient will be given an individually designed routine of exercises and activities to perform at home.  Patients attend regular follow-up visits with the physical therapist until compensation and habituation are complete and the best possible balance is achieved.

What are the reasons for referral?

·        Poor balance

·        History or risk of falls

·        Persistent vertigo

·        Positional vertigo

·        Blurred vision

·        Motion sensitivity

·        Headache, neck stiffness

What rehabilitation procedures are performed?

Rehabilitation may include habituation head exercises, exercises for positional vertigo, balance retraining, safety training, training in mobility skills, and training in daily life activities.  

What are the goals of therapy?  

·        Improve balance

·        Minimize falls

·        Reduce intensity, frequency, and duration of vertigo

·        Reduce or eliminate related symptoms such as headache, fatigue, muscle tension, nausea, and lightheadedness

·        Increase independence in activities of daily life

·        Develop compensatory strategies for managing dizziness, disequilibria, and anxiety