{"id":9661,"date":"2022-01-21T18:17:06","date_gmt":"2022-01-21T17:17:06","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=9661"},"modified":"2022-01-21T18:17:06","modified_gmt":"2022-01-21T17:17:06","slug":"head-impulse-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/","title":{"rendered":"Head Impulse Test"},"featured_media":0,"template":"","class_list":["post-9661","wiki","type-wiki","status-publish","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":9665,"background_image_alt_text":"Head Impulse Test"},"heading":"Head Impulse Test | Peripheral Vestibular Dysfunction Assessment","subheading":"Dizziness Assessment","content_editor":"","button_type":"url","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"https:\/\/study.physiotutors.com\/course\/vestibular-rehabilitation\/","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Vestibular Rehab Course","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Head Impulse Test | Peripheral Vestibular Dysfunction Assessment<\/h2>\nMolnar et al.\u00a0 (2014)\u00a0<\/a> describe that most patients with sustained vertigo suffer from vestibular neuronitis, although a few patients (especially elderly patients with cardiovascular risk factors) are having a stroke or other serious disease in the cerebellum and brainstem. A helpful bedside maneuver to help distinguish central and peripheral causes is the head impulse test. <\/span>Dros et al. (2010)<\/a> performed an analysis of 7 studies and found a pooled sensitivity of 63% and a pooled specificity of 93%. For this reason, the Head Impulse Test has a high clinical value to confirm peripheral vestibular dysfunction in patients with prolonged dizziness.<\/span>\n\nBefore you start make sure that you only do this test in a patient with prolonged vertigo as brief episodes more likely indicate BPPV and should be tested with the Dix-Hallpike maneuver that you can watch with a click in the top right corner.<\/span>\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=YxbVdyfU1Ko[\/embed]\n\n<\/div>\nTo perform the test the examiner sits in front of the patient and places a hand on each side of the patient\u2019s head. The patient is instructed to focus on the examiner\u2019s nose and the examiner focuses on the patient\u2019s eyes. The patient should keep their eyes open even if vertigo symptoms worsen. Now the examiner quickly turns the patient\u2019s head towards the side to be tested while watching the patient\u2019s eyes. Afterward, the head is slowly returned to neutral and the process is repeated several times.<\/span>\n\n[cta]\n\n \n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

References<\/h4>"},"column_right":{"content_editor":"Dros J, Maarsingh OR, van der Horst HE, Bindels PJ, Ter Riet G, van Weert HC. Tests used to evaluate dizziness in primary care. Cmaj. 2010 Sep 21;182(13):E621-31.<\/a>\n\nWeber KP, Aw ST, Todd MJ, McGarvie LA, Curthoys IS, Halmagyi GM. Head impulse test in unilateral vestibular loss: vestibulo-ocular reflex and catch-up saccades. Neurology. 2008 Feb 5;70(6):454-63<\/a>.\nMolnar A, McGee S. Diagnosing and treating dizziness. Medical Clinics. 2014 May 1;98(3):583-96.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"

Like what you\u2019re learning?<\/p>\n

BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK<\/strong><\/p>\n\n

    \n \t
  • 600+ Pages e-Book<\/li>\n \t
  • Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t
  • Statistical Values for all Special Tests from the latest research<\/li>\n \t
  • Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t
  • And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"\nHead Impulse Test | Peripheral Vestibular Dysfunction Assessment<\/title>\n<meta name=\"description\" content=\"The Head Impulse Test is a vestibular test to distinguish between central and peripheral Vestibular Dysfunction. Learn how to perform it!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Head Impulse Test | Peripheral Vestibular Dysfunction Assessment\" \/>\n<meta property=\"og:description\" content=\"The Head Impulse Test is a vestibular test to distinguish between central and peripheral Vestibular Dysfunction. Learn how to perform it!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/\" \/>\n<meta property=\"og:site_name\" content=\"Physiotutors\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/facebook.com\/physiotutors\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@physiotutors\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/head-impulse-test\\\/\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/head-impulse-test\\\/\",\"name\":\"Head Impulse Test | Peripheral Vestibular Dysfunction Assessment\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#website\"},\"datePublished\":\"2022-01-21T17:17:06+00:00\",\"description\":\"The Head Impulse Test is a vestibular test to distinguish between central and peripheral Vestibular Dysfunction. Learn how to perform it!\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/head-impulse-test\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/head-impulse-test\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/head-impulse-test\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.physiotutors.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Head Impulse Test\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#website\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/\",\"name\":\"Physiotutors\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.physiotutors.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#organization\",\"name\":\"Physiotutors\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2021\\\/06\\\/PHY_Logo-Purple-2.svg\",\"contentUrl\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2021\\\/06\\\/PHY_Logo-Purple-2.svg\",\"width\":315,\"height\":65,\"caption\":\"Physiotutors\"},\"image\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/facebook.com\\\/physiotutors\",\"https:\\\/\\\/x.com\\\/physiotutors\",\"https:\\\/\\\/instagram.com\\\/physiotutors\",\"https:\\\/\\\/youtube.com\\\/physiotutors\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Head Impulse Test | Peripheral Vestibular Dysfunction Assessment","description":"The Head Impulse Test is a vestibular test to distinguish between central and peripheral Vestibular Dysfunction. Learn how to perform it!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/","og_locale":"en_US","og_type":"article","og_title":"Head Impulse Test | Peripheral Vestibular Dysfunction Assessment","og_description":"The Head Impulse Test is a vestibular test to distinguish between central and peripheral Vestibular Dysfunction. Learn how to perform it!","og_url":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/","og_site_name":"Physiotutors","article_publisher":"https:\/\/facebook.com\/physiotutors","twitter_card":"summary_large_image","twitter_site":"@physiotutors","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/","url":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/","name":"Head Impulse Test | Peripheral Vestibular Dysfunction Assessment","isPartOf":{"@id":"https:\/\/www.physiotutors.com\/#website"},"datePublished":"2022-01-21T17:17:06+00:00","description":"The Head Impulse Test is a vestibular test to distinguish between central and peripheral Vestibular Dysfunction. Learn how to perform it!","breadcrumb":{"@id":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.physiotutors.com\/wiki\/head-impulse-test\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.physiotutors.com\/"},{"@type":"ListItem","position":2,"name":"Head Impulse Test"}]},{"@type":"WebSite","@id":"https:\/\/www.physiotutors.com\/#website","url":"https:\/\/www.physiotutors.com\/","name":"Physiotutors","description":"","publisher":{"@id":"https:\/\/www.physiotutors.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.physiotutors.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.physiotutors.com\/#organization","name":"Physiotutors","url":"https:\/\/www.physiotutors.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.physiotutors.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2021\/06\/PHY_Logo-Purple-2.svg","contentUrl":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2021\/06\/PHY_Logo-Purple-2.svg","width":315,"height":65,"caption":"Physiotutors"},"image":{"@id":"https:\/\/www.physiotutors.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/facebook.com\/physiotutors","https:\/\/x.com\/physiotutors","https:\/\/instagram.com\/physiotutors","https:\/\/youtube.com\/physiotutors"]}]}},"_links":{"self":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki\/9661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/types\/wiki"}],"version-history":[{"count":0,"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki\/9661\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/media?parent=9661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}