SFST Checklist

Question 1

HGN

Answer 1

Horizontal Gaze Nystagmus

Question 2

Administering HGN/ VGN test

Answer 2

12-15” from face
Horizontal Plane
Slightly above eye level (eye brows)
- 2x passes equal tracking
- 2x passes lack of smooth pursuit
- 2x passes Distinct and sustain nystagmus at maximum deviation
- 2x passes onset of Nystagmus prior to 45 degrees
- 2x passes for vertical gaze nystagmus (VGN)
= 10 total passes
(4/6 CLUES NEEDED FOR IMPAIRMENT)

Question 3

Walk and Turn Test (WAT) clues

Answer 3

• Starts too soon (instructions)
• Loses balance (instructions)
• Arms for balance (6:”)
• Misses heel to toe (1/2”)
• Offline (2”)
• Wrong number of steps
• Improper turn
• Stops walking
  = 2/8 clues needed for impairment

Question 4

How many clues are needed for impairment during HGN/VGN?

Answer 4

4 out of 6

Question 5

How many clues are needed for impairment for Walk and Turn test?

Answer 5

2 out of 8 needed

Question 6

How many clues are needed for impairment for One Leg Stand test (OLS)?

Answer 6

2 out of 4 needed

Question 7

What are the clues during One Leg Stand (OLS) test?

Answer 7

• Puts foot down
• Uses arms for balance (6”)
• Sways while balancing
• Hops
  = 4 total clues

Question 8

Final Four (instructions) for Walk and Turn Test

Answer 8

• Watch your feet
• Count out loud
• Arms to side
• Don’t stop