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Once the Vestibular system is identified as a contributor to the patiuents imbalance, a video nystamography would be in order.  VNG utilizes infrared cameras to record, measure and analyze involuntary and rapid eye movement under various conditions (Nystagmus and Saccade). These tests can identify both the static and dynamic functions of the vestibular system.  With understanding of the type of nystagmus and speed of a saccade, the therapist can tailor a therapy plan for the patient.