Maddox Rod Quick Reference Guide
The Maddox Rod Quick Reference Guide is a 2-page bedside reference for detecting and measuring latent ocular misalignments (phorias) using Maddox Rod testing. Designed to complement the cover/alternate cover test when subtle misalignments are suspected but not readily apparent. Content Includes: Purpose & Clinical Utility: Explains how the Maddox Rod dissociates binocular viewing to reveal latent phorias versus manifest tropias Equipment & Setup: Red Maddox Rod, penlight, testing distances (6m for distance, 33-40 cm for near) Testing Procedures: Step-by-step instructions for both vertical and horizontal deviation assessment with cylinder orientation guidance Interpretation Tables: Dual-framework interpretation for "Where is the LINE?" vs. "Where is the LIGHT?" questioning approaches Skew Deviation Differentiation: Seated vs. supine comparison method (≥50% decrease in supine suggests utriculocular pathway dysfunction vs. CN IV palsy) Clinical Red Flags: New-onset vertical deviation, comitant vs. noncomitant patterns, and referral indications Documentation Examples: Standard charting formats for various findings Memory Aids: "R in sunRise" for right hyperphoria; "X in eXophoria" for horizontal deviations; cylinder orientation quick reference Clinical Pearl Highlights: Includes teaching notes on the dual interpretation framework and key finding criteria for differentiating skew deviation from trochlear nerve palsy. After purchase, you'll receive a link to create your 360NeuroGO account — that's where you'll access this resource. Please note: this resource is included in the Exam & Clinical Decision Support Bundle. ⬇️⬇️⬇️⬇️⬇️ 🌟 This resource is included with the VestibularSOAP Pro On-Demand Course. Enroll today and get this resource plus: Education Videos and Demo Videos: 📋 Subjective — Master the patient intake that creates trust and asks targeted questions to unlock diagnostic clarity 🔍 Objective — Learn which specific findings reveal underlying pathology and define your evaluation 🧩 Assessment — Develop pattern recognition that drives differential diagnosis and targeted care planning ⚡ Plan — Create treatment rationales that match patient presentations for customized therapy 💬 Live Q&A — Get your clinical reasoning questions answered in real time Resource Library: Health History Questionnaire for Vestibular Evaluation - Comprehensive 30-minute pre-visit intake capturing medical, medication, sleep, mental health, and symptom history TiTrATE Quick Reference - Timing, Triggers & Targeted Exams — evidence-based triage framework for acute and urgent vertigo presentations SO STONED Quick Reference - 8-dimension systematic symptom framework for comprehensive outpatient vestibular interviews (Wuyts et al.) Objective Clinical Vestibular Examination Template - Comprehensive, systematic bedside examination framework — seated → standing → dynamic → positional progression Age-Based Reference Norms Guide - Balance, oculomotor, and gait normative data with age-stratified values and fall risk indicators Maddox Rod Testing Guide - Bedside vertical deviation screening with step-by-step instructions and referral criteria Vestibular Diagnostics Reference Guide - Links bedside examination findings to laboratory diagnostics (vHIT, VNG, VEMP, rotary chair) Dizziness Differential Algorithm (DDA) v12 - Real-time clinical flowchart — from symptom presentation to working diagnosis Medications Quick Reference Guide - Consolidated two-section guide: Acute Vertigo & Nausea Management + Ototoxic Medication Screening Vestibular Illness Scripts (8 Disorders) - Pattern recognition frameworks: enabling conditions, pathophysiology, and clinical consequences for the 8 most common vestibular diagnoses Assessment Sentences Library - Pre-written, evidence-based clinical statements with medical necessity language — ready to adapt for any vestibular presentation List of Vestibular Diagnoses with ICD-10 Codes - Comprehensive, current coding reference organized for quick clinical lookup Therapy Goals Library (25 SMART Goals) - Evidence-based goals across 5 categories with MCIDs, fall risk indicators, and functional outcome language 5 continuing education hours - On-demand educational modules you can watch anytime to explain the clinical why behind every assessment component Step-by-step demo videos - See exactly how to perform each assessment Treatment progressions - Step-by-step treatment progressions to help decrease the cognitive load of developing rehab activities Downloadable templates ready for your practice - A vestibular evaluation resource with 64 targeted questions. Template assessment sentences and goal writing. Treatment progressions based on findings in your assessment. Print them. Use them tomorrow. And Lifetime Access! What You'll Walk Away With: ✓ A step-by-step evaluation template you can use immediately in your practice ✓ Confidence in the order and execution of vestibular tests ✓ Documentation that balances conciseness and thoroughness ✓ A vocabulary guide: terms to use and terms to avoid ✓ A systematic approach that works in any clinical setting Click here to learn more
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