Other Causes For Dizziness

All central signs must be tested for before a diagnosis of BPPV can be made. This includes testing the Oculomotor, Balance and Vestibular Ocular Reflex systems, as well as screening for Vertebral Artery Insufficiency and Upper Cervical instabilities.

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Posterior Capsule Palpation

It is important to have a good understanding of how tender to palpation the posterior capsule is, as it can help differentiate the cause of pain between occlusal issues and poor motor control.  

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Pterygoid Strength Test

The Pterygoids role is to stabilise the condyle in the socket as it rotates and translates forward and then to act as a decelerator when the jaw closes to guide the condyle back into its resting place. 

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Tongue Differentiation Test

The tongue is responsible for maintaining breathing airways, moving food around in the mouth, swallowing and talking. It plays no role in moving the jaw.

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Upper Cervical Spine Range of Motion

C01 and C23 play an intricate role in cervicogenic headache and although a loss of range of motion is not definitively linked to headaches, it is a good indicator that it is involved.

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