Tom Boismier, MPH
boismier at umich.edu
Mon Sep 25 08:17:59 EST 1995
In article <43v54r$akf at newsbf02.news.aol.com> asbfun at aol.com (ASB FUN) writes:
>1. Are there any great web pages related to vestibular function and
Check the Vestibular Disorders Association page at
It has lots of links to other sites.
>2. Who out there administers ENG regularly and who is really comfortable
>performing the Hallpike Maneuver with elderly patients? I am considering
>eliminating this test from the ENG battery for many of my patients. If you
>have any great tips on Hallpike, let me know.
We do 1000+ ENGs per year in our lab. Our routine is to do Hallpike's without
head hanging on all patients 65 years or older, to avoid problems with
carotid kinking. Any patients with complaints of neck pain, regardless of age
will get Hallpike without neck torsion (i.e., straight back). Any patient with
back pain gets asked "do you think this will bother your back?". Most will let
you do it, but move slowly. That's OK though, because you can be pretty sure
that they aren't moving much fastwer at home when they get dizzy...
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