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OVER 98% PASS RATE FOR THE NCS, OCS, AND PCS EXAMS › forums › NCS Advantage › Impaired VOR v Impaired VOR cancellation

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    • February 25, 2024 at 7:06 am #489684
      Erin Sandridge
      Participant

      On test #1 question #1: it states that impaired VOR reflex is a peripheral pathology and impaired VOR cancellation is a central pathology. What is the difference between impaired VOR reflex and impaired VOR cancellation? And how do you test the difference? Thank you!

    • February 25, 2024 at 9:56 pm #489688
      Chrissy Durrough Lugge
      Keymaster

      Hi Erin!
      The vestibulo-ocular reflex is the reflex that allows us to maintain gaze stability while turning our heads (our eyes move equal and opposite to our head). VOR cancellation is a central vestibular function that allows us to override that reflex in instances when we want our eyes and head to move together.

      VOR is tested with the head impulse test and/or by measuring dynamic visual acuity.

      VOR cancellation is screened by sitting in front of a patient, turning their head side-to-side, and asking them to keep their eyes focused on your nose. You will move side-to-side with the patient, forcing them to suppress their VOR. It might be easier to see someone performing the screen: https://www.youtube.com/watch?v=7Nw3TgieAjI

    • February 26, 2024 at 2:05 pm #489690
      Erin Sandridge
      Participant

      Thank you!

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