State-of-the-Art Infrared Goggles provide the precise

image capture. No other VNG on the market offers

built-in (VOR) Vestibular Ocular Reflex Testing.

MobiCheck

VIDEONYSTAGRAPHY
& BALANCE ASSESSMENT
PROGRAM

Are you seeing Patients that present Dizzy,

Unsteadiness and have a propensity to-
Fall? Now there is a tool to help to objec-
tively diagnose these patients.

In general the Videonystagmography (VNG) is a study used to clini-
cally evaluate patients with dizziness, vertigo, or balance dysfunction.
The vestibular system monitors the position
and movements of the head to stabilize reti-
nal images. This information is integrated with
the visual system and spinal afferents in the
brain stem to produce the vestibulo-ocular
reflex (VOR). VNG provides an objective
assessment of the oculomotor and vestibular
systems.
Essentially, the standard VNG test battery consists of 3 parts: oculomo-
tor evaluation, positioning/positional testing, and caloric stimulation of
the vestibular system. The comparison of results obtained from various
subtests of VNG assists in determining whether a disorder is central or
peripheral. In peripheral vestibular disorders, the side of lesion can be
inferred from the results of caloric stimulation and, to some degree,
from positional findings. In a large study of patients tested with VNG
in a wide range of clinical settings, Stockwell (2000) found an abnor-
mal test results in approximately 39% of patients tested,. Peripheral
vestibular abnormalities were found in approximately 23% of patients
tested, whereas central abnormalities were found in only approximately
5% of patients tested.
While VNG is the most widely used clinical laboratory test to assess
vestibular function, remember that normal VNG test results do not nec-
essarily mean that a patient has typical vestibular function. VNG ab-
normalities can be useful in the diagnosis and localization of site of
lesion; however, many abnormalities are nonlocalizing; therefore, the
clinical history and otologic examination of the patient are vital in for
mulating a diagnosis and treatment plan for a patient presenting with
dizziness or vertigo. VNG offers many advantages that make it a pre-
ferred method over electrodes. Probably the most important of these
advantages is that all eye movements are captured on video and can
be viewed by the clinician during and after testing. In addition to cap-
turing horizontal and vertical eye tracings, the clinician is also able to
visually assess for torsional eye movement by observing the striations of
the iris. This is especially important for the diagnosis of benign parox-
ysmal positional vertigo (BPPV).
The Goggle is the most instrumental piece of equipment for any video
ENG. It should be lightweight, durable, and comfortable for your pa- TRAINING AND SUPPORT

tient. MedTrak builds market-proven equipment with the most durable

and shock resistant design that will hold up for years of use. It is also
the most popular choice by the patient. Unlike the others, we have no
light bar assembly or calibration requirements. The patient just looks
into our Goggle and all the tests can be performed instantly! We offer
the most streamlined and user-friendly Windows™ based software pro-
gram that is the fastest test station available in the industry today.
Other manufacturers have designed complicated software systems that
require continuous interaction and calibrations between tests. Their
impressive software design has done very little in the way of streamlin-
ing the test procedures for the technician and patients. MedTrak's sys-
tems are more efficient and time saving as a result of a faster testing
software interface.
With the MedTrak VNG you can rest assure that your getting a
complete solution. We also pride ourselves with World-Class
Service. With the purchase of the MedTrak VNG your practice
will also receive:
• Two-Day Onsite Installation and Train ing.
• Introductory Data Analysis for 60 Days or 30 Tests.
Complete Video Training Library
•
• Five Year Parts & Labor Warranty
• Access to Quarterly Training Workshops
SAMPLE CODING

The newly designed compact goggle system is lighter, smaller and bet-
ter balanced. The House InfraRed/Video ENG System provides com-
plete four-channel electronystagmo-
graphy without electrodes. The hori-
zontal and vertical movements of
each eye are displayed, saved and
analyzed by the computer-based
system. In addition, rotary move-
92541 X 1 UNIT - Spontaneous nystagmus tes
92542 X 1 UNIT - Positional nystagmus test
92543 X 4 UNIT - Caloric vestibular test,
92544 X 1 UNIT - Optokinetic nystagmus test!
92545 X 1 OR 2 UNIT - Oscillating tracking test
92546 X 1 OR 2 UNIT - Sinusoidal vertical axis rotational testing
92547 X 1 UNIT - Use of vertical electrodes or video
*PLEASE CHECK WITH YOUR INS. PROVIDES FOR EXACT USE OF CODES

ments of the eyes may be observed

and videotaped for documentation.
Two channel systems measuring one
eye horizontally and vertically are also available. The new compact
lightweight Goggle Assembly is used for spontaneous, positional, Hall-
pike, and rotational testing and for monitoring nystagmus during canal-
ith repositioning. The patient is in complete darkness, providing a non-
fixating environment with the eyes open. With new Diagnostic VNG
Software for Windows. The Leaders of Videonystagmography have
done it again... The fastest testing software package available for
SAMPLE DIAGNOSIS CODES
Peripheral vertigo, unspecified !......... 386.10
Benign paroxysmal positional vertigo!. 386.11
Vestibular neuronitis!......................... 386.12
Other peripheral vertigo!................... 386.19
Vertigo of central origin!...................... 386.2
*PLEASE CHECK WITH YOUR INS. PROVIDES FOR EXACT USE OF CODES

ENG.

MedTrak has also developed the industries The MobiTrak, the only truly mobile VNG System on the market

first mobile VNG system called the Mobi-

Trak. The MobiTrak System includes the
same best in class technology, but in a
compact and mobile package. No pro-
gram on the market today can match the
Technology and the Support that MedTrak
provides. So act now and bring Balance
back into your patients life's.
 The FallCheck System will help you deter-
mine and document who is at a risk of Fal-
ling so you can refer them for appropriate
therapy. Also the FallCheck can be up-
graded to provide Balance Retraining for
facilities that provide Physical Therapy
Services.

The FallCheck’s Assessment protocols are designed to quantify a per-

son’s ability to maintain balance while standing. While the subject
stands on the platform, data from force sensors, at each corner of the
plate are collected. These data are then processed to compute the mo-
tion of the CoP, which is compared to the Standard Limit of Stability of
the subject. This information is then used to produce printable reports Simple three minute Balance Assessment Step. 1 (Eyes Open)

displaying the
Stability Scores
along with
other balance
related parame-
ters. The physi-
cian report also
displays norma-
tive data for
age matched
normal popula-
tion for com-
parison pur-
poses.

Step 2. - (Eyes Closed) and repeat both tests with perturbed surface.
FallCheck soft-
ware includes
provisions for both static and dynamic balance assessments through the
availability of diversified types of tests, test patterns and difficulty levels.
Therapists may use the built-in training modes with a great deal of ease
and flexibility. In addition the system allows the design of unique, indi-
vidual training protocols when specific deficits are identified during the
test phase. The system enables positive visual feedback to the patient
and automatically calculates results based on the patient's weight and
level of difficulty. The software provides the capability of maintaining
patient's charts to include personal data, medical data and a test edi-
tor. Test data, automatically stored for each person by date, time and
type of test, allows analysis of patient progress. The FallTrak is an in-
credibly valuable tool in the diagnosis, evaluation and rehabilitation of
neurosensory deficits

Step 3. - Review easy to read Color Coded Report.

For more Information contact InBalance (888) 239-6436