Assesses for cervicogenic dizziness.
- Dizziness and Swivel Chair Test
- Vertigo and neck pain
- Differentiation of cervicogenic dizziness from vestibular disorders
Patient Position
- Seated on a swivel chair, eyes closed, with hips and knees flexed to 90°
Examiner Position
- Standing directly behind the patient
Steps of Performance
- Examiner fixes patients head in neutral position with both hands
- Patient actively alternates between 45° of left and right rotation of their trunk with the help of their legs
- Rotation is at a metronome pace of 60 beats per minute
Alternative Methods
- Patient rotates their head side to side first to assess for symptoms
- The standard technique is then executed and symptoms are compared
Holding the head still while rotating the trunk prevents stimulation of the vestibular system; thereby, isolating stimulation of cervical afferent nerve fibers.
General
Positives
Dizziness
- Dizziness is cervicogenic
- Other common symptoms include: visual disturbances, speech disturbance, motion sickness or nausea, slurred speech, dysphagia, lightheadedness, tinnitus, headache, paresthesia, or unusual eye movements when opening the eyes after the test
Pertinent Negatives
- Vertigo and neck pain
- Differentiation of cervicogenic dizziness from vestibular disorders
Patient Position
- Seated on a swivel chair, eyes closed, with hips and knees flexed to 90°
Examiner Position
- Standing directly behind the patient
Steps of Performance
- Examiner fixes patients head in neutral position with both hands
- Patient actively alternates between 45° of left and right rotation of their trunk with the help of their legs
- Rotation is at a metronome pace of 60 beats per minute
Alternative Methods
- Patient rotates their head side to side first to assess for symptoms
- The standard technique is then executed and symptoms are compared
Holding the head still while rotating the trunk prevents stimulation of the vestibular system; thereby, isolating stimulation of cervical afferent nerve fibers.
General
Positives
Dizziness
- Dizziness is cervicogenic
- Other common symptoms include: visual disturbances, speech disturbance, motion sickness or nausea, slurred speech, dysphagia, lightheadedness, tinnitus, headache, paresthesia, or unusual eye movements when opening the eyes after the test
Pertinent Negatives