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I now like to execute for you what we term a vor cancellation test now this is a vestibular ocular reflex cancellation test and this is assessing for the cerebellums capability to inhibit the vestibular ocular reflex so the vestibular ocular reflex allows for the eyeballs to maintain fixation on a target while the head is moving so in order to assess for its ability to be canceled via the cerebellums inhibitory input were going to ask the patient to extend their arms and interlace your fingers and go ahead and put your thumbs up this like that alright what I want you to do is I want you to stare at your thumbs the entire time all right as a clinician were going to be stabilizing the patients hands as well as their head and next were going to be moving them in a rotatory fashion here while assessing for their eye movement all right as were moving the patient if the cerebellum is working appropriately we will see no eye motion if the cerebellar is not working appropriately then the