Rotation test

The rotation test is an experiment to check whether the vestibular function is normal. The flow of the endolymph of the semicircular canal is stimulated to stimulate the ampulla reaction, which is the basic principle of semicircular canal function examination. Generally, the characteristics of induced nystagmus are used as criteria for judgment. The relationship between endolymph fluid flow and induced nystagmus can be inferred according to the following law: 1. The plane of the nysonic motion of Flouren's law is the same as the plane of the stimulated semicircular canal. 2, Ewald's first law outside the semicircular canal is stimulated, such as the lymphatic fluid flowing from the tube to the ampulla, resulting in stronger stimulation, the weaker stimulation will occur from the ampulla to the tube. The opposite is true when the upper semicircular canal and the posterior semicircular canal are stimulated. The ratio of strong and weak stimuli caused by the reaction is 2:1 or 3:2. 3. Ewald's second law is that the nystagmus is facing toward the semicircular canal with the stronger side, while the slow phase is toward the semicircular canal with the weaker side. Basic Information Specialist Category: Inspection Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Tips: Taboo strenuous exercise. Nervous sedation or stimulant, alcoholic beverages were contraindicated 48 hours before the test. Normal value The normal duration of nystagmus is 30 seconds (15~45 seconds), and the difference between the two sides is less than 5 seconds. Clinical significance Abnormal results The average duration of nystagmus is greater than or less than 30 seconds (15 to 45 seconds), with a difference of more than 5 seconds on both sides. Need to check patients with abnormal vestibular function. Precautions Taboo before examination: taboo strenuous exercise. Nervous sedation or stimulant, alcoholic beverages were contraindicated 48 hours before the test. Taboo during inspection: Choose a quiet environment to prevent the subject from being disturbed. Inspection process The subject sits on a swivel chair with the head fixed at 30° forward, so that the outer semicircular canal is horizontal, and rotates 10 times to the right (clockwise) or left (counterclockwise) at a speed of 2 seconds. After a sudden stop, the subject was staring forward and observing the nystagmus. After rotating in the clockwise direction, an nystagmus to the left occurs, and a counterclockwise rotation is a nystagmus to the right. Need to pay attention to the two checks at least 5 minutes apart. Not suitable for the crowd Not suitable for people: people with imperfect limbs.

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