Videos
Watch videos explaining the different neurological and balance tests I perform and how they help guide personalized rehabilitation.
The first visit begins with three objective assessments: VNG eye movement testing, posturography balance testing, and a tapping assessment that evaluates timing and coordination. The testing process typically takes around 15 minutes.
During your first visit, we will review your results together right away and correlate the findings with your symptoms and history to help identify which neurological systems may be overactive, underactive, or not communicating efficiently.
I retest frequently because I want to know with confidence that your system is responding positively to the therapies being used. This allows the rehabilitation process to remain specific, individualized, and adaptable to your progress.
You will also receive personalized home exercises with video demonstrations to guide you through them. These exercises are typically performed 2–3 times per day and usually take about 5–7 minutes each session.
The eyes are one of the best windows into how the brain and nervous system are functioning. During VNG (Video Nystagmography) testing, I evaluate eye movements to help identify areas of neurological dysfunction related to balance, coordination, visual processing, vestibular function, and brain communication.
This type of testing is objective and focused on function rather than structure. MRI’s and CT scans are excellent tools for looking at structural problems such as tumors, bleeding, fractures, or major damage to the brain. However, many people experiencing dizziness, brain fog, motion sensitivity, imbalance, visual disturbances, or post-concussion symptoms have functional neurological issues that do not appear on structural imaging.
When MRI’s and CT scans come back “normal,” patients are often told that everything looks fine even though they still feel very symptomatic. That does not necessarily mean nothing is wrong. It may simply mean the testing performed was not designed to evaluate how the nervous system is functioning in real time.
VNG testing helps provide additional insight into how different neurological systems are communicating and functioning so rehabilitation can be more specific and individualized.
Balance is controlled by a complex network involving the vestibular system, vision, proprioception, the cerebellum, and multiple areas of the brain. Because of this, measuring balance can provide valuable insight into how the nervous system is functioning and help identify areas that may not be working efficiently.
Using computerized posturography testing, I am able to objectively measure balance performance under different conditions to better understand how your vestibular system responds to changes in visual input, head position, and sensory demand. This allows me to look at balance with more specificity rather than simply determining whether someone has “good” or “bad” balance.
The vestibular system has widespread connections throughout the brain and nervous system and is constantly active every second of the day. Since it never truly shuts off, dysfunction within this system can contribute to a wide range of symptoms including dizziness, motion sensitivity, headaches, brain fog, visual strain, poor coordination, fatigue, anxiety, and chronic feelings of instability.
Posturography testing helps identify these functional imbalances objectively so rehabilitation can be more targeted, measurable, and individualized to your specific findings.
The tapping assessment is an objective test used to evaluate timing, coordination, rhythm, and communication within the nervous system. During the test, you will tap in rhythm to a metronome using different hand patterns while the system measures timing accuracy and consistency.
Although the test may appear simple, it gives valuable insight into how efficiently the brain is processing timing, motor control, coordination, attention, and sensory integration. Areas such as the cerebellum, frontal lobe, basal ganglia, and other neurological pathways all play a role in these functions.
Many people with neurological dysfunction, concussions, dizziness, brain fog, or coordination issues struggle with timing and rhythmic accuracy even when strength and basic movement appear normal. The tapping assessment allows me to objectively measure these subtle deficits and track changes over time.
I also use this test frequently during follow-up visits because improvements in timing and coordination can help confirm that the nervous system is responding positively to rehabilitation exercises and therapies.