Standard imaging often looks normal in patients who describe vertigo, imbalance, or motion sensitivity. Without objective vestibular data you may try empiric therapy, refer broadly, or order costly tests with limited yield. VAT ENGPlus fills that gap by clarifying whether dysfunction is peripheral, central, or mixed.
What the VAT ENGPlus Exam Measures
The system combines two complementary studies in one visit:
- Vestibular Autorotation Test (VAT) records head velocity and eye response across frequencies above two hertz, isolating peripheral vestibular performance when visual cues are minimal.
- Electronystagmography (ENG) evaluates smooth pursuit, saccades, gaze stability, and positional nystagmus for signs of central pathway involvement.
Results appear instantly in a structured report that highlights abnormal gain, phase, or ocular metrics.
Translating Report Patterns Into Clear Next Steps
An isolated low gain with normal pursuit suggests peripheral hypofunction; prescribe vestibular rehabilitation aimed at gaze‑stability and habituation. Abnormal pursuit, dysmetric saccades, or gaze‑evoked nystagmus indicate central involvement; arrange neurology consultation and review medications that impair central processing. A mixed profile warrants combined vestibular therapy plus neurologic work‑up.
Building Testing Into Clinic Operations
Position the camera, chair, and lightweight inertial sensors in a quiet exam room. Disposable electrodes adhere quickly after skin prep, and the full protocol—including calibration—averages ten minutes. Staff save the PDF to the chart before the patient leaves, allowing real‑time care planning.
Practical Benefits for Your Team
- Same‑day results reduce diagnostic delays and unnecessary imaging
- Objective data support targeted referrals, improving patient confidence
- PDF summaries streamline documentation for both primary and specialty providers
- Reimbursable vestibular codes enhance revenue while elevating care quality
Monitoring Progress and Timing Retests
Follow the operation guide’s recommendation to retest four to six weeks after abnormal VAT findings. The abbreviated protocol compares gain, phase, and central metrics side by side, confirming rehabilitation effectiveness or signaling the need for additional therapy.
Financing the Upgrade
The GSG Capital summer financing program offers up to twelve months with no payments, helping you adopt VAT ENGPlus without straining cash flow. Reach out to Primary Care Diagnostics to arrange a demo or on‑site training session.
