The belly-tendon recording montage with the subject sitting yields significantly larger oVEMP amplitudes and shorter N1 latencies than do traditional bipolar infraorbital recordings.

Activating the sternocleidomastoid muscle with the patient in a semirecumbent position, with head turned away from the stimulated ear and head elevated (i.e., an optimal activation technique) was sufficient to produce the highest amplitude cVEMPs with an acceptable amount of variability in subjects of all ages. Group data suggested that the use of visual targets and amplitude normalization routines did not reduce significantly the variability in cVEMP interaural amplitude asymmetry measures. However, in isolated cases amplitude normalization converted an "abnormal" cVEMP into a "normal" cVEMP although the reverse occurred as well, suggesting that these techniques may be beneficial for a subset of patients receiving a less than perfectly administered test procedure.

The Virtual system is a more reliable measure of static SVV than the bucket test. Therefore, the Virtual system could be utilized as a screening device for utricular dysfunction in busy clinical settings.

Early results suggest that DSP may be useful in the creation of differential diagnoses for dizzy patients that can be evaluated and managed locally. This has the potential to reduce the burden on primary care providers and reduce delays in the diagnosis of common dizziness and vertigo disorders.