Indications

Swivel Chair (dizziness) test is a cervical spine examination procedure that tests for cervigogenic vertigo and cervical joint dysfunction. A swivel chair or rotating chair is needed for this exam, hence the name of the test.

Procedure

Patient should be awake and cooperative in performing the Swivel Chair (dizziness) test.

  1. Patient should be seated on a swivel chair.
  2. The examiner holds the patient’s head with his hands along the sides of the head. The examiner is at the back of the patient.
  3. The patient twists her body while on the swivel chair.
  4. The examiner checks for any complaints of vertigo.

Examiner stabilizes the patient’s head as the patient twists her body in a swivel chair.

Interpretation

Positive Swivel Chair (dizziness) Test

There is positive Swivel Chair (dizziness) test when the patient complains of vertigo. This sign could mean possible cervicogenic vertigo or cervical joint dysfuncion.

Clinical Notes

The Swivel Chair (dizziness) test is useful for differentiating cervicogenic vertigo from vestibular vertigo. During the test, the vestibular apparatus is stationary as the examiner holds the patient’s head. The cervical spine is freely moving as the patient twists while seated on a swivel chair.