Understanding Vertigo and Balance Tests (Romberg's & Unterberger's tests)
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- Опубліковано 11 чер 2024
- This video will teach you the very basics of balance, nystagmus, vertigo from labyrithitis / vestibular neuritis and the Romberg's and Unterberger's tests. There has been a lot of simplification to allow for understanding. If you want to know more there are some links below to books on the subject.
Obviously this will not be a substitute for seeing a doctor about vertigo, and you should not use this to diagnose yourself. This is clearly not medical advice.
I hope you find this video useful.
Chapters
0:00 Introduction
0:13 How the Balance System Works
0:36 Proprioception
1:19 How the Ears (Peripheral Vestibular System) Help with Balance
1:55 Vertigo
2:21 Nystagmus
3:29 Compensating from a vestibular injury
3:56 Labyrinthitis and Vestibular Neuritis
4:18 The Effect of Stemitil Prochlorperazine - Vestibular Sedatives
4:41 Romberg's Test
6:45 Unterberger's Test
8:13 Problems after Labyrinthitis
8:56 When these Balance Tests Don't Work
9:14 Conclusion
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Books on Vertigo
Vertigo and Dizziness: Your Guide To Balance Disorders - amzn.to/30G85zB
Dizziness and Vertigo: A Simple Guide to Figuring It Out - amzn.to/3cvRBQg
The Vertigo Treatment: A Simple Step By Step Guide For Treating Vertigo - amzn.to/30F8m67
Feeling Dizzy: Understanding and Treating Vertigo, Dizziness, and Other Balance Disorders - amzn.to/3tgfodv
Dizziness: Why You Feel Dizzy and What Will Help You Feel Better - amzn.to/3qK7szL
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Canon EOS M6 Mark II - amzn.to/2KQjQPF
Canon 50mm F1.8 (nifty fifty) - The lens I use most of the time - amzn.to/3eI25yN
Sigma 18-35mm F1.8 - The lens I use occasionally - amzn.to/2M8RjFB
Canon Mount Adapter EF-EOS M - amzn.to/3j1opDF
Amazon Basics Tripod - amzn.to/3cntUuU
OnePlus 7 Pro - amzn.to/36p6sty
Audio kit
Yeti Blue Microphone - amzn.to/3afEEJ7
Rode On Camera Microphone - amzn.to/3taVMIv
Tiger MCA68-BK Microphone Boom Stand - amzn.to/2Yw2NWc
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ASUS ZenBook Pro Duo UX581 - amzn.to/2KUsfli
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Adobe Creative Suite - for talking head videos
Vyond - for animation videos - tracking.goanimate.com/SHF2
** Disclaimer - The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. ** - Наука та технологія
Great video, thanks so much! It’s so hard to find anyone who has knowledge of these vestibular symptoms, let alone explain them so well and so simply. Look forward to more videos!
You are very kind. I will do my best to make more.
So well explained! Thanks for helping me figure out what my key symptoms are beyond "dizzy"
Thank you so much for your explanations, particularly of the tests.. and outcomes of vestibular neuritis. No one in 7 years has ever explained any of this to me. So grateful
Glad it was helpful!
BRAVO!!!! I love the simple way you explained a difficult concept! Thank you so much.
Glad it was helpful - agree it is a hard topic, scared to do anything more on it - working on it.
Thank you doctor for teaching in such a simple way.
God blessssss you.
A good Vestibular rehab therapist can help in developing compensatory strategies.
Very helpful and clear explanation
What a fabulous way of describing it!
Thank you for Unterberger test explained, i just started ent, senior doctor questioned us today, and we didnt knew it well, thank you😭💖
Thank you. My husband has Vertigo. I’m going to share this video with him. I found your channel via a link on Conor’s channel.
Great explanation ! Thanks for your efforts 🙏🏻
Great explanation! I had the Unterberger test done before, but I didn’t know it had a name. Thank you so much for bringing awareness about the different vestibular disorders.
Glad it was helpful!
Great video and explanations. Thank you
Wonderful explanation!
Really glad you think so. I have been meaning to do more videos about vertigo. it's a very misunderstood topic.
Your honesty integrity sound knowledge helping nature and great expln are all lovable and laudable lot of thanks God bless with the best
So nice of you
Oh how I wish you were in the US. Your videos are amazing. So very informative, plus your speaking voice is nice. Thank you so much. I highly recommend subscribing.
Clear & crisp!
Thanks Dr Veer Am a GP trainee just found your channel by chance trying to sort myself in GP land when dizziness are there !so much informative
Wonderful video
Absolutely awesome explanation ..Thankyou 🙏
You're most welcome
Very interesting and informative video. I have had Vertigo, dizziness, tinnitus and balance problems since January. I’ve seen the ENT doctor at my local hospital. I have tried to be positive doing vestibular exercises every day. I’m waiting for results of an MRI (ears) in a letter to my GP the consultant stated Romberg- negative, the problem is I was never tested for this. I definitely cannot keep my balance if my eyes are closed. Your description at the end of the video was very familiar when I get up at night to go to the toilet I stagger and usually bump into the doorway. Hopefully will get some answers soon. Thank you again.
I have been dealing with vertigo for 6 months!!!
thank you for this information ❤
I cannot tell you how much I appreciate your videos. I am struggling with ear fullness in the left ear along with vertigo (about once a week) and some dizziness off and on, especially at night in bed and when I make sudden head movements. Sadly I have tinnitus in the left ear as well. I tried Brandt-Darnoff exercises as prescribed by my ENT, but he has just ordered vestibular testing as the exercise did not really help and sometimes made things worse. Hearing test showed up normal two weeks ago. Whatever is going on, it is annoying. CT and MRI scans did not show any immediate problems. The funny thing is last Friday, my left ear seemed to clear...there was some beating sounds like a drum 5 times and I felt movement in the ear...the tinnitus went away for a few days, but on the third day, the ear felt tight and full again and the tinnitus came back. Anyway, thank you for the video...I don't really know what vestibular tests are yet, but I keep watching your material to educate myself on my issues. Thank you from the USA.
I hope you're feeling better by now. For how you tell, you seem to possibly have Ménière's disease.
fab video - thank you
Nice video doc
Thank you verrrry much dr.
I really honorable to watching you ❤️
excelent! Thank you.
Another amazing explanation of the subject similar to the one where you produced throat sounds to explain different conditions I am an alternative medicine research officer retired aged 65 I think I am suffering with post BPPV syndrome as after 3 to 4 years of off and on attacks I now only have swaying side to side or front to back problem i shall be more than happy if you have any suggestions for my condition thanks for the video .
Nice one, thanks
No problem 👍
Excellent!!
I would really appreciate if you could do a comparison between the different ent related diseases causing vertigo and how to diagnose one over the other...
Secondly any easy differentiating points between vertigo and dizziness clinically?
Oh and how to take history and examination in vertigo patient?
Would appreciate a systematic approach..
Thanks!
Thank you very much . Really helpful . God Bless you.
Glad it helped
Thank you.
Hi Vik. Great channel. May i ask yo, do you have any other videos on virtigo please. And do you do referrals or private treatment in the uk. Hope to hear from you.. keep up the informative videos.
great work - please cover bvvp
thank you sir
Great explanation, thanx a lot. Fukuda and unturberger is same ?
Thanks for this! Can you explain a bit about the difference (or relation) between Meniere's and vestibular migraines?
Thanks
Thank you ever so much, that was very kind of you.
Great 👍
Hi, i stumbled across your very helpful page tonight...I had vertgo a year ago and dont take the medication but now i have nystagmus and labrintitus and do the brandt daroff exercises but it does not go, i have hearing loss, tinnitus and constant wax in the left ear and i get dizzy and had for about three months now its getting me down. The dr does nothing.. what can i do please help!
Thanks for this. I'm now confused. I saw an ent chap recently. He told me to stand with arms by my sides and my feet together, eyes closed. I started to sway. He said quite abit. He then said I didn't have an inner problem. He stated he thought the issue was elsewhere probably a neck or back issue maybe pppd. I've just done your tests. Both of them and I have very little movement. So what does that mean, is it inner ear or not? My GP is equally confused by my diagnosis or lack of it. I have normal hearing.
Useful- thanks. Would betahistine also delay recovery in the same way as Stemetil?
Sadly betahistine will do nothing for this type of vertigo. I'm sorry it's so confusing. I will slowly try and explain it as I go along.
Thanks for the explanation. I had one such acute even as mentioned in the video 2 months back. My balance has retorted well. But I still feel a bit of dizziness when I can make sudden head movements to the left. And I’ve returned a positive result for unterberger test. I’m making a full rotation towards my left. ENT has established I have some problem with my left year. But I haven’t been told what exactly the problem was. I have bit of fullness in my left ear as well.
Is there any exercises which can help me restore that balance ? Or is it a permanent thing ? What is the prognosis? Doesn’t it eventually get restored to normalcy in course of time? I’m a 29 year old. Thank you.
That will require another video. I would look into cooksey cawthorne exercises, but generally they are too easy for most people.
I've never had either test but was diagnosed with vestibular neuritis, then bilateral BPPV and possibly vestibular migraine and likely vestibular hypofunction.
It's literally been a roller coaster ride and taken a year trying to get back to 'normal' and still not fully there.
What does it mean when you do the Unterberger's tests and you spin to the right, but then when you do the test again right after for a 2nd time you spin to the left?
Hi Doc.. After following your famous Tinnitus advice on Quora , my 3 months old Tinnitus has reduced somewhat and is now only audible in silence.
Do you think it would go away if I don't have hearing loss upto 8 khz?
Really glad that things have improved. If you have hearing loss, the treatment is harder, but not impossible. Keep Going! you are nearly there. Take care and thank you for commenting.
I wish I could come to you. My ENT does no answering just a phony quote of we want to see why you have lost hearing. Even though I had been to the same office 9 months before and no mention of my hearing loss
I had issues with balance and kept falling over. After some tests, which I couldn't do, I had a calorics test, which diagnosed right ear canal paresis.
You will probably have a positive unterberger test then. you should rotate to the right.
Only me again i just seen that your are from london, im in leeds, would you or could you recommend an ENT doctor in the Leeds west Yorkshire area that i could visit please. I when to my gp, didnt do any tests they said i had Bppv i think they called it, i was dizzy just once that lasted about 20 seconds juts felt like i was been pushed/walking to the right, the anxiety it has caused me is terrifying me and i dont want to have to take medication for this.
What is the cause of being easy to get vertigo so quickly even though I’m not having infection and without doing any movement? Also sometimes I feel like I’m having a quick Shift in Pressure in my Head like I’m going up in an alleviator in speeding way and then in three seconds it’s gone?
Sounds interesting.... What you are saying sounds like a peripheral labyrinthine issue, but those symptoms can be caused by a lot of neurological things too. I would see a balance centre (ENT + Audiology + Neurology + physio etc) and get checked out.
@@VikVeerENTSurgeon i forgot to mention that I had a head injury long time ago got me unconscious, did my MRI nothing serious. But I’ll conceder your advice. Thanks a lot
Hello, can I ask if a clogged Eustachian tube can cause dizziness?
yes it can, but I don't think it causes vertigo.
@@VikVeerENTSurgeon Yeah, i don’t have vertigo, only dizzines like leghtheadednes. These symptoms will gone when eustachan tube will be “unblock” ?
I wouldn't say it causes light headedness. But if you are having the ETD sorted, it might work so i guess just hope and be positive.
Hi sir i have a question, i was told by a ENT in the USA I have mal de debarquement syndrome caused by vestibular migraines, is this possible?, and what can be done about MdDS if one has it, thanks
personally I would just call it vestibular migraine. just sort out the migraines and it should settle down.
Have you ever heard of people who drive for a living experience any problems that may effect their driving.