Vestibular Objective Assessment - BIRU Vestibular objective assessment template for physiotherapists at Princess Alexandra Hospital 2025

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Red flag symptoms should alert you to a non-vestibular cause: persistent, worsening vertigo or dysequilibrium; atypical non-peripheral vertigo, such as vertical movement; severe headache, especially early in the morning; diplopia; cranial nerve palsies; dysarthria, ataxia, or other cerebellar signs; and
Your vestibular physiotherapist is trained to assess your inner ear organs with positional testing which puts your head in different angles to try reproduce your vertigo while carefully noting the related nystagmus or patterns of eye reflexes.
A soft probe tip is placed into your ear. You will you feel a slight pressure in your ears like going through a tunnel or up in a lift. To assess your balance, you may be asked to stand with your eyes open, and then with your eyes closed on a foam pad.
The Generic Objective Assessment is now an opportunity for your patient to do some simple big movements like touching their toes, bending backwards etc and to gain an appreciation of how they are achieving these tasks WITHOUT trying to diagnose based on just these few movements.
Overview. Vestibular rehabilitation therapy (VRT) is physical therapy that helps to reduce or eliminate balance issues. Studies show people with balance issues who have VRT have improved balance, less dizziness and reduce their risk of falling.
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