A Proposal for certification of vestibular testing and laboratories
Timothy C. Hain, MD
Emeritus Professor, Northwestern University Medical School, Chicago IL, USA.
Dr. Hain has run many vestibular laboratories in the last 30 years including the laboratory at Johns Hopkins Hospital, Northwestern Memorial Hospital (in Chicago), and a laboratory in his private practice at Chicago Dizziness and Hearing. He has written several articles on vestibular testing (see end). Dr. Hain is very familiar with all aspects of vestibular testing.
Page last modified:
March 27, 2016
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Recently there has been an upsurge in vestibular testing fraud as well as an ongoing problem with poorly performed testing relevant to dizziness (see the blunders page). This a proposal of a mechanism to correct this problem.
Proposal for Certification of Vestibular Testing
Certification of vestibular laboratories -- required for billing
- Staff -- require a certified technician (see below)
- Equipment -- require calibrated equipment meeting basic criteria
- Water calorics (routine use of air calorics suggests poor methodology)
- VEMP testing using calibrated equipment
- Posturography using computerized dynamic equipment (not foam/dome)
- Laboratory director having board certification in either
- Interpretation by a board certified individual (either laboratory directory or remote reading)
Certification procedure for vestibular testing technicians -- required for laboratory certification.
- Groups eligible
to sit for the examination for an oto-technician
- Person with appropriate training
(one or more)
- Current person doing vestibular testing (including audiologists, medical assistants, and PT's)
- Undergraduate degree or above in biology
- Doctoral degree in medicine
- Relevant college level courses
- Content of examination
- Didactic content
- Inner ear anatomy and physiology, and disorders
- Semicircular canals
- Vestibular nerve
- Brain anatomy and physology relevant to balance
- Cerebellum -- function and disorders
- Basal ganglia -- function and disorders
- Body anatomy and physiology relevant to balance
- Practical Examination
-- show competence in performing these studies.
- Calibration test
- Rotatory Chair testing
- Hain TC: Oculomotor Testing: Background. in Handbook
of Balance Function Testing (Ed. Jacobson and Newman), Mosby, 1992 (2nd edition)
- Hain TC: Oculomotor Testing: Interpretation. in Handbook
of Balance Function Testing (Ed. Jacobson and Newman), Mosby, 1992 (2nd edn)
TD, Tusa RJ, Furman JM, Zee DS, Frohman E, Baloh RW, Hain T, Goebel J, Demer
J, Eviatar L. Assessment: vestibular testing techniques in adults and
children: Report of the therapeutic and technology subcommittee of the American
Academy of Neurology. Neurology, 2000, 55:10, 1431-1441
August 3, 2016
, Timothy C. Hain, M.D.
All rights reserved.
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August 3, 2016