visio-vestibular examination (VVE)

Indications

• diagnosis of concussion in young persons (children, adolecents)

Procedure

• series of testing vision &vestibular function (including balance)
  • smooth pursuits
    • symptom provocation while eyes track a moving object in a single plane
  • saccadic eye movements
    • symptom provocation while eyes jump rapidly between two fixed objects
  • gaze stability, angular vestibulo-ocular reflex
    • symptom provocation with eyes fixed & head moving up & down or side to side
  • near point-of-convergence & monocular accommodation
    • how close an object can get before becoming double or blurry
• balance
  • tandem gait, walking forward & backward in tandem, with eyes open & closed

More general terms

• physical examination technique