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How to perform the Smooth Pursuit Neck Torsion (SPNT) test

How to perform the Smooth Pursuit Neck Torsion (SPNT) test

Learn how to perform the Smooth Pursuit Neck Torsion (SPNT) test in the VisualEyes™ software.
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In addition to body right and body left, the smooth pursuit protocol has the following options. A dropdown menu to choose how the results are displayed, currently set to both eyes in this example. Enable or disable the normal horizontal and vertical smooth pursuit tests. A dropdown menu to choose the target type, currently set to color. Options to change the target and background colors. And finally, the option to reset the settings to factory default.

Protocol setup

In this quick guide, you will learn how to perform the Smooth Pursuit Neck Torsion (SPNT) test, which allows for comparison of oculomotor movements in neck neutral versus neck turned conditions. The purpose of this test is to determine if and how much the neck is contributing to abnormal oculomotor performance.

This test was not added to the default VisualEyes™ 525 protocol, as not all patient populations may benefit from this specialized oculomotor assessment. To add Smooth Pursuit Neck Torsion to your protocol, go to “System Default Settings” > “Protocol Management”. Click “Smooth Pursuit” > “Edit Test” and choose “Body Right” and “Body Left” to add to your desired protocol.
After this has been added to the protocol, you should see the subtests in your protocol test menu under “Smooth Pursuit”.
There are several test parameters you can adjust in the settings screen under each test if you click the gear icon.
The first step of the test sequence is to perform the normal horizontal smooth pursuit test.
The neck torsion subtests use the VORTEQ™ sensor for positioning head and body before the test. Before performing the test, make sure your head sensor is on and connected. Once the patient is facing the stimulus, center the IMU so the head model is facing forward (like the patient) and the angle by the head model reads 0 degrees.
For the test, the software will instruct you to turn the patient’s head and body 45 degrees to the right. When the patient is in the correct position for 2 seconds, the orange target bar will turn green.
After two seconds of correct positioning, the target position will move to the 0-degree position indicating the patient’s head only should turn back to center.

The following test parameters are available. Duration, which is set automatically based on the other parameters. Toggle skip calibration on or off. Disable or enable fixation light. Toggle save eye recording on or off. Adjust start frequency, end frequency, cycles per frequency, target amplitude, and turn break using sliders. Toggle compensate for drift on or off. Adjust body position using a slider. Toggle use 3D guidance on or off. And finally, the option to reset the settings to factory default.

There are data and graphs for eye position, gain, symmetry, and the difference between neutral and neck torsion gain.

For left and right cycles for frequencies 0.1, 0.2, 0.3, 0.4 and 0.5, the SPNTdiff is displayed per eye for each frequency.

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