Rotational Vestibular Assessment represents a primary clinical core for audiologists and expands the vestibular assessment battery through a comprehensive discussion of rotational vestibular testing. This text details the various tests that can be performed thoughrotational assessment, including the benefits and limitations of each. Test interpretation and clinical application of rotational outcome measures data is also discussed.
Rotational testing currently enjoys a unique presence in vestibular assessment as it offers an analysis of the vestibular system that is unparalleled in its ability to evaluate both peripheral and central aspects of vestibular disease, particularly when standard measuressuch as videonystagmography (VNG) are non-contributory. The future of rotational testing is promising as more affordable methods become available such as the use of booth-less rotational chairs and more affordable video ocular recording methods. In light of this, rotational testing is poised to become the new standard of vestibular assessment and this timely text is dedicated to its understanding.
The material is supplemented with a PluralPlus companion website that provides a selection of videos showing the various rotational tests, including the rotational stimuli and the VOR response generated during each test. Rotational Vestibular Assessment isinvaluable for anyone performing vestibular testing, rehabilitation, or evaluation. This includes audiologists, otologists, neurotologists, physical therapists, occupational therapists, and students seeking these professions.
Chapter 1. Historical Perspective of Rotational Testing
Chapter 2. Anatomy and Physiology of the Peripheral Vestibular System
Chapter 3. Anatomy and Physiology of the Central Vestibular System, Velocity Storage, and Central Compensation
Chapter 4. The Vestibular Reflexes and Vestibular Nystagmus
Chapter 5. The Clinical Utility of Rotational Testing
Chapter 6. Sinusoidal Harmonic Acceleration (SHA) Testing
Chapter 7. Velocity Step Testing
Chapter 8. Supplemental and Specialized Rotational Tests
About The Author
Christopher K. Zalewski, PhD, received his undergraduate degree from The Pennsylvania State University, his Masters in Audiology from The University of Maryland, and his PhD in Audiology from Gallaudet University. Dr. Zalewski has served as a clinical researchaudiologist with the National Institutes on Deafness and Other Communication Disorders (NIDCD) at the National Institutes of Health (NIH) since 2002. His primary focus is the investigation of the auditory and vestibular phenotype of rare diseases. Dr. Zalewski has also maintained a regular appointment as an adjunct faculty member at the University of Maryland since 2000. His primary interest is in vestibular physiology and balance disorders with an emphasis on rotational testing, otolith assessment and the genetics of rarediseases. In addition, Dr. Zalewski also has a personal interest in the historical perspectives of medicine and, in particular, vestibular science.