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Vestibular Tests: Roll Test

  • The maneuver we can use to assess for horizontal canal BPPV is called the Roll Test.  For this maneuver the patient starts sitting up and then they will lay straight back and you will hold their head at a 30 degree angle.  First we’ll turn to have them look over their right shoulder, assessing for any nystagmus and eye movements.  You would stay here waiting to see eye movements for 30 seconds and if nystagmus is present, you would wait until the nystagmus fatigues.  Then you will move the patient head to this center and then to the left, assessing for eye movements here again waiting for another 30 seconds.  Coming back to the center and then the patient can sit up.

Balance Ear, Nose and Throat;Hearing and Balance