Advanced Diagnostic Resources

In addition to the common clinical examination items found in a doctors office, our doctors tend to also utilize the following advanced diagnostic tools to aid in the clinical examination process.  Our doctors are expertly trained in the use of all of these items.  It should be additionally noted that these diagnostic tools are not fringe and are accepted medical protocols which are often used by sub-specialists and rarely by general practitioners.


Patient in VNG Goggles

Patient in VNG Goggles

Often abbreviated as simply VNG, which is short for video nystagmography, this is an advanced variation of ENG, (electronystagmography).  VNG/ENG is used to assess the oculomotor system, which is essentially the neuromuscular control mechanisms for eye movements.  Because of the central integration of the muscles which move the eyes, and the specificity of the areas of the brain controlling these movements, much diagnostic information regarding both the oculomotor system and the brain can be derived from VNG study.  VNG is performed by having the patient wear a mask with cameras mounted in the lenses, which are infrared, and thus video photography can be made both in light and in dark environments.  The procedure is not painful, involves no pretest drug procedures and takes only minutes to perform.  The data available from the test is typically invaluable to the doctor performing the study.  Below is a picture demonstrating a patient wearing VNG goggles.

NJ Chiropractic Council On Neurology Examining Patient With VNG More information can be obtained from the following medical vendors who offer VNG equipment:

Micromedical Technologies:

Vestibular Technologies:

CAPS Posturography

Patient on CAPS Posturography Fall Risk Analysis Platform

Patient on CAPS Posturography Fall Risk Analysis Platform

CAPS posturography is quite simply a computerized balance board, which monitors a patient standing on it for twenty seconds.  Similar to how an MRI reconstructs images, CAPS analyzes the data and formulates all statistics that can be derived, including overall stability, risk of fall, (compared to others of similar stature), sway directions, sway frequencies, fatigue, etc.  It quickly becomes apparent that this information can be used in the determination of a treatment plan, as well as to monitor the results of treatment for its effectiveness.

NJ Chiropractic Council On Neurology Examing Patient on CAPSPosturography For more information, visit: Vestibular Technologies: