92 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 4 Vestibular and Balance History Form • Borang ini boleh dijadikan panduan semasa mengambil sejarah pesakit. Audiologis boleh menambah soalan lain yang berkaitan sekiranya perlu bagi mendapatkan lebih informasi dari pesakit. VESTIBULAR AND BALANCE HISTORY FORM 1. Please describe your symptoms 2. Onset of symptoms 3. Onset nature of symptoms Gradually? Suddenly? 4. Severity of symptoms More frequent? More severe? Improved? 5. Check all that apply to your dizzy spells Preceded by flu/cold Spinning sensation Falling on one side. Which side?_____________ Trouble walking in the dark No symptoms between attack Nausea Vomiting Perspiration, shortness of breath, or feeling of panic Lightheadedness or swimming sensation Better if sit or lie still Fullness/pressure/ringing in the ears Stress Menstrual period Hormonal changes Overwork or exertion Headaches Loud noise Diet 6. Imbalance when walking? If yes, which side?_____________________________ 7. Does your dizziness come in attacks? If yes, How often?_____________________________ How long do they last? Seconds Minutes Hours Days When was the last? _______________________
93 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN 8. Dizziness worsens with? Standing Walking Walking in the dark Transferring to standing from sitting or supine position Pitching head up/down Yaw to left or right Lying supine in bed Changing position in bed Stress/fatigue Optokinetic sensitivity Any high gain acceleration in nonspecific directions 9. Other sensation include: Blacking out or fainting when dizzy Dizzy or unsteady constantly Severe or recurrent headaches Double or blurry vision Numbness in the face or extremities Weakness/clumsiness in arms, legs Slurred or difficult speech Tingling around mouth Spots before eyes Dizzy when stand up quickly Weakness/faintness after eating Difficulty in swallowing 10. My current symptoms also include Difficulty hearing Right/Left Ringing Right/Left Fullness Right/Left Pain Right/Left Discharge Right/Left Hearing changing Right/Left Exposure to loud noise Right/Left History of ear infection Right/Left Change in hearing when dizzy How?_________________________________ Previous ear surgery Right/Left When/what? ___________________________ 11. Check all that apply to your medical history Back or neck injury Back or neck pain Seasickness or car sickness Motion intolerance Sensitivity to light and/ or sound 12. What tests have been done previously for your dizziness? (audiogram, MRI, CT, bloodwork, angiogram, etc.)? …………………………….…….. Audiologist
94 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 5 Borang Penilaian Vestibular dan Keseimbangan Borang Penilaian Vestibular dan Keseimbangan NAMA: …………………………………………. TARIKH:……………………… NO. PENDAFTARAN:………………………
95 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN
96 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN
97 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 6 Borang Audiogram
98 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 7 Kontraindikasi menjalankan ujian kalorik (air/udara) KONTRAINDIKASI MENJALANKAN UJIAN KALORIK (AIR/UDARA) • Pesakit yang mempunyai sejarah penyakit tekanan darah tinggi yang tidak terkawal / akut • Pesakit yang mempunyai sejarah penyakit jantung (arrhythmias terutamanya masalah bradycardia atau Stokes Adams attack; acute or de-compensated phase) contohnya sekiranya pesakit mengalami ketidakstabilan angina , myocardial infarction (dalam masa 3-6 bulan) atau pesakit yang disyaki mengalami masalah jantung. • Pesakit yang mengalami Psychotic/neurotic disorders (acute or de-compensated phase) • Pesakit yang mengalami Epilepsi (acute or de-compensated phase) • Pesakit yang telah menjalani pembedahan mata ( dalam masa 3 bulan terkini) • Pesakit yang telah menjalani pembedahan telinga (dalam masa 3 bulan terkini) Senarai di bawah adalah kontraindikasi tahap dua yang perlu diambilkira sebelum menjalankan ujian kalorik: • Masalah serumen berlebihan • Otitis eksterna • Middle ear fluid/effusion • Hypermobile atau atrophic tympanic membrane - perlu langkah berhati-hati untuk masalah hypermobility yang teruk • Tympanic membrane perforation ( boleh gantikan dengan stimulus udara) • Pesakit yang mengalami masalah mastoid cavities boleh menjalani ujian kalorik dengan menggunakan stimulus udara, walaubagaimanapun interpretasi ujian perlu dijalankan dengan lebih teliti. (British Society of Audiology, 2010)
99 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 8 Senarai semak penilaian Audiologi vestibular dan keseimbangan SENARAI SEMAK PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Tindakan Tanda Catatan 1. Pesakit dirujuk oleh Pakar/Pegawai Perubatan ORL 2. Sahkan maklumat pesakit; a) Nama pesakit b) Nombor kad pengenalan c) Nombor rujukan d) Jenis kes (baharu/ulangan) 3. Pemeriksaan Audiologi asas; a) Pemeriksaan otoskopi b) Ujian timpanometer c) Ujian reflek akustik (tidak bagi kes hyperakusis d) Ujian pendengaran (Audiometri Nada Tulen/ Play audiometry) 4. Pemeriksaan audiologi lanjutan (bagi kes-kes tertentu) i)Auditory Brainstem Responses (site of lesion) 5. Pengambilan sejarah pesakit; a) Latarbelakang sejarah kesihatan b) Ciri-ciri dizziness/vertigo/keseimbangan (onset/kekerapan/jangkamasa) atau simptom-simptom lain yang dihadapi c) Keputusan ujian dari profesional berkaitan 6. Penilaian vestibular dan keseimbangan yang bersesuaian. 7. Menerangkan keputusan ujian dan pengurusan yang diperlukan oleh pesakit (cadangan rujukan untuk rehabilitasi vestibular dari Pakar ORL)
100 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 9 Borang Pengumpulan Data Kualiti POS Penilaian Audiologi Vestibular dan Keseimbangan BORANG PENGUMPULAN DATA KUALITI POS PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN KAWALAN DAN PENAMBAHBAIKAN KUALITI POS Skop: POS PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Nama Hospital: Bulan / Tahun: Indicator Pematuhan kepada Prosedur Operasi Standard (POS) Standard 100 % Numerator (N) Bilangan rekod pesakit dengan masalah vestibular dan keseimbangan yang dinilai 100% mematuhi prosedur yang ditetapkan dalam POS Denominator (D) Bilangan rekod pesakit dengan masalah vestibular dan keseimbangan yang dinilai Bulan / Tahun Numerator (N) Denominator (D) Pencapaian (%) Disediakan oleh : Ketua Unit :
101 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 10 Dizziness Handicap Inventory (DHI) versi Bahasa Melayu DIZZINESS HANDICAP INVENTORY (DHI) VERSI BAHASA MELAYU
102 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN
103 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN
104 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 11 Malay Version Vertigo Symptom Scale (MVVSS) MALAY VERSION VERTIGO SYMPTOM SCALE (MVVSS) (oleh Zainun et al. 2012)
105 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Lampiran 12 Vertigo Handicap Questionnaire (VHQ) versi Bahasa Melayu VERTIGO HANDICAP QUESTIONNAIRE (VHQ) VERSI BAHASA MELAYU
106 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN
107 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN
108 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN 11. SENARAI SINGKATAN ABR Auditory Brainstem Responses AC Air Conduction AR Asymmetrical Ratio BC Bone Conduction BOT-2 Bruininks Oserestky Test of Motor Proficiency Second Edition BSKB Bahagian Sains Kesihatan Bersekutu BPPV Benign Positional Paroxysmal Vertigo CL Cool left cm centimetre CP Canal paresis CR Cool right cVEMP Cervical Vestibular Evoked Myogenic Potentials dB Decibels dBHL Decibels Hearing Level dB SPL Decibels Sound Pressure Level DP Directional Preponderance EAM External acoustic meatus EEG electroencephalogram EMG Electromyography FI Fixation Index Hz Hertz IAA Interaural Attenuation ILD Inter Latency Differences IPL Inter Peak Latency KKM Kementerian Kesihatan Malaysia kOhms/kΩ Kilo Ohms LARP Left Anterior Right Posterior LE Left Ear mCTSIB Modified Clinical Test of Sensory Interaction on Balance ms milisaat msec miliseconds NTE Non Test Ear ORL Otorinolaringologi oVEMP Ocular Vestibular Evoked Myogenic Potential PCTSIB Pediatric Clinical Test of Sensory Interaction on Balance POS Prosedur Operasi Standard RALP Right Anterior Left Posterior RE Right Ear SD Standard Deviation SHA Sinusoidal Harmonic Acceleration SPV Slow Phase Velocity SVINT Skull Vibration-Induced Nystagmus Test
109 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN SCM Sternocleidomastoid sec Seconds SMRP Sistem Maklumat Rawatan Pelanggan SVH Subjektif Visual Horizontal SVV Subjektif Visual Vertikal UW Unilateral Weakness vHIT Video Head Impulse Test VOR Vestibular Ocular Reflex VNG Videonistagmografi WL Warm left WR Warm right µs microseconds µV microvolt °/s Degree/seconds °C Celcius
110 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN 12. SENARAI RUJUKAN Abdullah, N. A., Abdul Wahat, N. H., Curthoys, I. S., Abdullah, A. S. M. A., & Alias, H. A. M. I. D. A. H. (2017). The feasibility of testing otoliths and semicircular canals function using VEMPs and vHIT in Malaysian children. Jurnal Sains Kesihatan Malaysia, 15(2), 179-190. Ahmad Aidil Arafat Dzulkarnain, Ainnoor Shafinas Buyong & Nur Hafizah Sulaiman (2014) Intra-subject variability in the auditory brainstem response using a vertical montage recording, Speech, Language and Hearing, 17:3, 160-167 Ahmed, M. 2014. Standardization of rotatory chair velocity step and sinusoidal harmonic acceleration tests in an adult population. Advanced Arab Academy of Audio-Vestibulogy Journal 1(2): 80. doi:10.4103/2314-8667.149016 Ahmad, S. A., Abdul Wahat, N. H., Zakaria, M. N., Wiener-Vacher, S. R. & Abdullah, N. A. 2020. cVEMPs and oVEMPs normative data in Malaysian preschool and primary school-aged children. International Journal of Pediatric Otorhinolaryngology 135: 110132. doi:10.1016/j.ijporl.2020.110132 Akin, F. W., Murnane, O. D., Pearson, A., Byrd, S. & Kelly, J. K. 2011. Normative data for the subjective visual vertical test during centrifugation. Journal of the American Academy of Audiology 22(7): 460–468. doi:10.3766/jaaa.22.7.6 American Speech-Language-Hearing Association (2015). Type, Degree, and Configuration of Hearing Loss. American Speech-Language-Hearing Association. (2005). Guidelines for Manual Pure-Tone Threshold Audiometry [Guidelines]. Available from www.asha.org/policy. Audiology, B. S. of. 2015. Recommended procedure vestibular assessment — eye movement recordings. British Society of Audiology 38(November): 1–43. Retrieved from www.thebsa.org Bhattacharyya, N., Baugh, R. F., Orvidas, L., Barrs, D., Bronston, L. J., Cass, S., Chalian, A. A., et al. 2008. Clinical practice guideline: Benign paroxysmal positional vertigo. Otolaryngology - Head and Neck Surgery 139(5 SUPPL. 4). doi:10.1016/j.otohns.2008.08.022 British Society of Audiology (2013). Recommended Procedure: Taking an Aural Impression. British Society of Audiology (2016). Recommended Procedure: Ear Examination. British Society of Audiology (2018). Recommended Procedure: Pure-Tone Air-Conduction and Bone-Conduction Threshold Audiometry with and without Masking. British Society of Audiology (2018). Recommended Procedure: Tympanometry. British Society of Audiology (2019) Recommended Procedure Cochlear Microphonic Testing [Online]. Available from: https://www.thebsa.org.uk/resources/. British Society of Audiology. 2008. © British Society of Audiology (BSA). Guidelines On, T H E Acoustics, O F Sound, Field Audiometry, Clinical Audiological Applications (February). Bruininks, R. H. & Bruininks, B. D. 2005. Bruininks-Oseretsky Test of Motor Proficiency. AGS Publishing. Campbell, K. C. M., & Abbas, P. J. (1987). The Effect of Stimulus Repetition Rate on the Auditory Brainstem Response in Tumor and Nontumor Patients. Journal of Speech Language and Hearing Research, 30(4), 494.
111 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Chan, F. M., Galatioto, J., Amato, M. & Kim, A. H. 2016. Normative data for rotational chair stratified by age. Laryngoscope 126(2): 460–463. doi:10.1002/lary.25497 Children, F., Crowe, T. K., Deitz, J. C. & Siegner, C. B. 2016. Physical & Occupational Therapy In Pediatrics Postrotatory Nystagmus Response of Normal 2638(April). doi:10.1080/J006v04n02 Dawn Nelson, M., Mann, L., Nicholson, C. & Lehman, M. 2019. Static positional nystagmus in the healthy vestibular system. Journal of the American Academy of Audiology 30(10): 883– 895. doi:10.3766/jaaa.18024 Dean, M. S., & Martin, F. N. (2000). Insert earphone depth and the occlusion effect. American Journal of Audiology, 9(2), 1-4. https://doi.org/10.1044/1059-0889(2000/011). Dumas, G., Perrin, P., Ouedraogo, E. & Schmerber, S. 2016. How to perform the skull vibration induced nystagmus test (SVINT). European annals of otorhinolaryngology, head and neck diseases 133(5): 343–348. doi:10.1016/J.ANORL.2016.04.002 Elpern, B.S., & Naunton, R.F. (1963). The Stability of the Occlusion Effect. Archives of Otolaryngology-head & Neck Surgery, 77, 44-52. Fukuda, T. 1959. The stepping test. Acta oto-laryngologica 50: 95–108. Gimmon, Y. & Schubert, M. C. 2019. Vestibular testing-rotary chair and dynamic visual acuity tests. Advances in Oto-Rhino-Laryngology 82: 39–46. doi:10.1159/000490270 Gumus, N. M., Gumus, M., Unsal, S., Yuksel, M., & Gunduz, M. (2016). Examination of insert ear interaural attenuation (IA) values in audiological evaluations. Clinical and Investigative Medicine, 39(6), S82-S85. https://doi.org/10.25011/cim.v39i6.27507 Hall, J. W. (2007). New handbook of auditory evoked responses. Pearson. Hall, J. W. (2015). Handbook of Auditory Evoked Responses. Pearson Education. İLA, K., SÖYLEMEZ, E. & YILMAZ, N. 2019. Oculomotor Test Changes in Patients with Peripheral Vestibular Dysfunction. Akdeniz Medical Journal (September). doi:10.17954/amj.2019.1851 Isaradisaikul, S., Navacharoen, N., Hanprasertpong, C. & Kangsanarak, J. 2012. Cervical Vestibular-Evoked Myogenic Potentials: Norms and Protocols. International Journal of Otolaryngology 2012: 1–7. doi:10.1155/2012/913515 Isaradisaikul, S., Strong, D. A., Moushey, J. M., Gabbard, S. A., Ackley, S. R. & Jenkins, H. A. 2008. Reliability of vestibular evoked myogenic potentials in healthy subjects. Otology and Neurotology 29(4): 542–544. doi:10.1097/MAO.0b013e31816c7c25 Jeon, E.-J., Lee, D.-H., Park, J. M., Oh, J.-H. & Seo, J.-H. 2019. The efficacy of a modified Dix-Hallpike test with a pillow under shoulders. Journal of Vestibular Research 29: 197–203. doi:10.3233/VES-190666 Jerger J. (1970). Clinical Experience With Impedance Audiometry. Archives of Otolaryngology (Chicago, Ill. : 1960), 92(4), 311–324. Jerger S & Jerger J (1977). Diagnostic Value of Cross vs. Uncrossed Acoustic Reflexes: Eight Nerve and Brain Stem Disorders. Arch Otolaryngol, 103: 445-53. Khan, F. K., Balraj, A., & Lepcha, A. (2014). Normative data for vestibular evoked myogenic potential in different age groups among a heterogeneous Indian population. Indian Journal of Otolaryngology and Head & Neck Surgery, 66(2), 149-154.
112 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Killion, M.C., Wilber, L. A., & Gudmundsen, G.I. (1985) Insert earphones for more Interaural attenuation. Hearing Instruments, 36, 34-36. Lightfoot, G. R. (1992). ABR Screening for acoustic neuromata: The role of rate-induced latency shift measurements. British Journal of Audiology, 26(4), 217–227. Lih AC, Zakaria MN, Mohamad RA, Nor Rashid MF. Effects of ethnicity and gender on the middle ear function in Asian adults. Indian J Otol 2017;23:94-7. McGarvie, L. A., MacDougall, H. G., Halmagyi, G. M., Burgess, A. M., Weber, K. P. & Curthoys, I. S. 2015. The video head impulse test (vHIT) of semicircular canal function - age-dependent normative values of VOR gain in healthy subjects. Frontiers in Neurology 6(JUL): 1–11. doi:10.3389/fneur.2015.00154 Musiek, F.E., McCormick C.A., & Hurley, R.M. (1996). Hit and False-Alarm Rates of Selected ABR Indices in Differentiating Cochlear Disorders From Acoustic Tumors. American Journal of Audiology, 5, 90-97. Nolan, M., & Lyon, D. J. (1981). Transcranial attenuation in bone conduction audiometry. The Journal of Laryngology & Otology, 95(6), 597-608. https://doi.org/10.1017/S0022215100091155. Oyarzún Díaz, P., Rivera Retamal, S., Jiménez Cofré, S. & Segura Pujol, H. 2020. Normative values of vestibulo-ocular reflex gain obtained through Video Head Impulse Test: an integrative literature review. Revista CEFAC 22(6): 1–9. doi:10.1590/1982-0216/20202264320 Perez-Fernandez, N. & Eza-Nuñez, P. 2015. Normal Gain of VOR with Refixation Saccades in Patients with Unilateral Vestibulopathy. The journal of international advanced otology 11(2): 133–137. doi:10.5152/iao.2015.1087 Peters, B. T., Mulavara, A. P., Cohen, H. S., Sangi-Haghpeykar, H. & Bloomberg, J. J. 2012. Dynamic visual acuity testing for screening patients with vestibular impairments. Journal of Vestibular Research: Equilibrium and Orientation 22(2–3): 145–151. doi:10.3233/VES-2012- 0440 Piker, E. G., Jacobson, G. P., McCaslin, D. L. & Hood, L. J. 2011. Normal characteristics of the ocular vestibular evoked myogenic potential. Journal of the American Academy of Audiology 22(4): 222–230. doi:10.3766/jaaa.22.4.5 Radomskij, P., Raglan, E., & Veness, J. (2009). Setting up a paediatric vestibular testing laboratory. Audiological Medicine, 7(3), 154-167. Rosengren, S. M., Colebatch, J. G., Young, A. S., Govender, S. & Welgampola, M. S. 2019. Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications. Clinical Neurophysiology Practice 4: 47–68. doi:10.1016/j.cnp.2019.01.005 Sayed, S. Z. & Wahat, N. H. A. 2022. Effects of Age on Cervical Vestibular Evoked Myogenic Potentials and Ocular Vestibular Evoked Myogenic Potentials Using 750 Hz Tone Burst Stimuli among Healthy Adults. Malaysian Journal of Medical Sciences 29(4): 53–64. doi:10.21315/mjms2022.29.4.6 Schubert, M. C., Tusa, R. J., Grine, L. E. & Herdman, S. J. 2004. Optimizing the Sensitivity of the Head Thrust Test for Identifying Vestibular Hypofunction. Physical Therapy 84(2): 151– 158. doi:10.1093/ptj/84.2.151
113 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Selters, W. A., & Brackmann, D. E. (1977). Acoustic Tumor Detection With Brain Stem Electric Response Audiometry. Archives of Otolaryngology - Head and Neck Surgery, 103(4), 181– 187. Shepard, N. T. & Jacobson, G. P. 2016. The caloric irrigation test. Handbook of Clinical Neurology 137: 119–131. doi:10.1016/B978-0-444-63437-5.00009-1 Sinno, S., Najem, F., Abouchacra, K. S., Perrin, P. & Dumas, G. 2020. Normative Values of Saccades and Smooth Pursuit in Children Aged 5 to 17 Years. Journal of the American Academy of Audiology 31(6): 384–392. doi:10.3766/jaaa.19049 Snyder, J. M. (1973). Interaural attenuation characteristics in audiometry. The Laryngoscope, 83(11), 1847-1855. https://doi.org/10.1002/lary.5540831117. Subjects, S. & Vemps, R. 2009. Recording and Assessing VEMPs Suitable Subjects for Recording VEMPs Methods of Recording VEMPs 25–33. Tanaka, H., Komatsuzaki, A.S., & Hentona, H. (1996). Usefulness of auditory brainstem responses at high stimulus rates in the diagnosis of acoustic neuroma. ORL J Otorhinolaryngol Related Specialities, 58, 224-8. Telian, S. A., Kileny, P. R., Niparko, J. K., Kemink, J. L., & Graham, M. D. (1989). Normal Auditory Brainstem Response in Patients with Acoustic Neuroma. The Laryngoscope, 99(1) Test, H. T. 2006. 두부충동 검사 8(1): 1–5. Wrisley, D. M. & Whitney, S. L. 2004. The Effect of Foot Position on the Modified Clinical Test of Sensory Interaction and Balance. Archives of Physical Medicine and Rehabilitation 85(2): 335–338. doi:10.1016/j.apmr.2003.03.005 Wuyts, F. & Boniver, R. 2008. Normative data in ENG and VNG, hlm. Vol. 4. Zakaria, M. N., Salim, R., Tahir, A., Zainun, Z. & Mohd Sakeri, N. S. 2019. The influences of age, gender and geometric pattern of visual image on the verticality perception: A subjective visual vertical (SVV) study among Malaysian adults. Clinical Otolaryngology 44(2): 166–171. doi:10.1111/coa.13255
114 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN JAWATANKUASA INDUK PEMBENTUKAN PROSEDUR OPERASI STANDARD BAHAGIAN SAINS KESIHATAN BERSEKUTU KEMENTERIAN KESIHATAN MALAYSIA Penasihat : PUAN FARINA BINTI ZULKERNAIN Pengarah Bahagian Sains Kesihatan Bersekutu Kementerian Kesihatan Malaysia Pengerusi : TUAN HAJI MUSTAFAH BIN MD NOR Timbalan Pengarah Kanan Bahagian Sains Kesihatan Bersekutu Kementerian Kesihatan Malaysia Timbalan Pengerusi : TUAN HAJI ROSLAN BIN ABDUL AZIZ Timbalan Pengarah Bahagian Sains Kesihatan Bersekutu Kementerian Kesihatan Malaysia Setiausaha 1 : ENCIK MUTHURAMAN A/L SELLATHURAI PATHAR Ketua Penolong Pengarah Kanan Bahagian Sains Kesihatan Bersekutu Kementerian Kesihatan Malaysia Setiausaha 2 : PUAN NORHIDAYAH BINTI MUSA Ketua Penolong Pengarah Bahagian Sains Kesihatan Bersekutu Kementerian Kesihatan Malaysia Fasilitator : PUAN NOOR ZAHIRAH BINTI HUSAIN Ketua Fasilitator Pegawai Optometri Hospital Kuala Lumpur : PUAN FARAH WAHIDA BINTI HASHIM Pegawai Optometri Hospital Selayang : PUAN SITI SURIANI BINTI CHE HUSSIN Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur : PUAN ROZILA BINTI SUMARDI Pegawai Pemulihan Perubatan (Pertuturan) Hospital Sungai Buloh
115 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN JAWATANKUASA KERJA PROSEDUR OPERASI STANDARD PERKHIDMATAN AUDIOLOGI Pengerusi : PUAN SITI SURIANI BINTI CHE HUSSIN Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur Ahli - ahli : PUAN NURUL AIN BINTI ABDULLAH Pegawai Pemulihan Perubatan (Audiologi) Hospital Sungai Buloh PUAN MAS DIANA BINTI SAMSUDIN Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur DR. NURUL HUDA BINTI BANI Pegawai Pemulihan Perubatan (Audiologi) Hospital Rehabilitasi Cheras PUAN YUZAIDA BINTI MD YUSOFF Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultanah Bahiyah, Alor Setar PUAN SITI AMINAH BINTI KAMALUDIN Pegawai Pemulihan Perubatan (Audiologi) Hospital Queen Elizabeth, Kota Kinabalu PUAN NUR SARINA BINTI ABD RAHMAN Pegawai Pemulihan Perubatan (Audiologi) Hospital Selayang PUAN NOR FADILLAH BINTI NORDIN Pegawai Pemulihan Perubatan (Audiologi) Hospital Rehabilitasi Cheras PUAN WAN SUHAILAH WAN HUSSAIN Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultanah Nur Zahirah, Kuala Terengganu PUAN ROSHILA BUJANG Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur
116 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN PENGHARGAAN (AJK KERJA) • Pn Nur Izzalina Binti Mohd Aris Pegawai Pemulihan Perubatan (Audiologi) Hospital Pakar Sultanah Fatimah Muar • Pn Norashikin Binti Chahed Pegawai Pemulihan Perubatan (Audiologi) Hospital Ampang • Pn Marlia Mardiana Binti Mokhtar Pegawai Pemulihan Perubatan (Audiologi) Hospital Pakar Sultanah Fatimah Muar • Pn Norhayati Binti Sawal Hamid Pegawai Pemulihan Perubatan (Audiologi) Hospital Tuaku Azizah • Pn Tan I Dee Pegawai Pemulihan Perubatan (Audiologi) Hospital Pulau Pinang • Pn Zubaidah Binti Md Salleh Pegawai Pemulihan Perubatan (Audiologi) Hospital Putrajaya • Pn Aimee Bt Mohd Jamil Pegawai Pemulihan Perubatan (Audiologi) Hospital Selayang • Pn Siti Syazielah Binti Mak Ghiyah Pegawai Pemulihan Perubatan (Audiologi) Hospital Selayang • Pn Kamariah Binti Mohd Judi Pegawai Pemulihan Perubatan (Audiologi) Hospital Sungai Buloh • Pn Che Wan Noor Haliza Binti Che Wan Razali Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur • En Kamarul Akmal Bin Ishak Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultan Abdul Halim • Pn Siti Jamilah Binti Mohd Noor Pegawai Pemulihan Perubatan (Audiologi) Hospital Rehabilitasi Cheras • Pn Alia Nadiha Binti Alias Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultanah Bahiyyah • En Sulaiman Bin Hamzah Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Perempuan Zainab II • Pn Zarina Binti Zaharim Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultan Haji Ahmad Shah • En Ahmad Faiz Bin Md Salleh Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Permaisuri Bainun • Pn Wan Madihah Binti Wan Embong Pegawai Pemulihan Perubatan (Audiologi) Hospital Putrajaya • Pn Fathiah Binti Abdullah Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Perempuan Zainab II • Pn Siti Fatiha Binti Mohd Abas Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur • Pn Noor Rafidah Binti Kamaruddin Pegawai Pemulihan Perubatan (Audiologi) Hospital Sungai Buloh • Pn Nur Syuhada Binti Mohd Rosli Pegawai Pemulihan Perubatan (Audiologi) Hospital Shah Alam • Pn Ummi Najihah Binti Ramlan Pegawai Pemulihan Perubatan (Audiologi) Hospital Melaka • Pn Rafidah Hassan Binti Mydin Pegawai Pemulihan Perubatan (Audiologi) Hospital Tuanku Fauziah
117 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN PENGHARGAAN (PANEL PENYEMAK) • Pn Raja Faizatul Balqis Binti Raja Mudzafar Shah Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Permaisuri Bainun • Pn Farah Dalila Binti Mohamad Tahir Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Permaisuri Bainun • Pn Wan Maizatulaimi Binti Wan Mahmood Pegawai Pemulihan Perubatan (Audiologi) Hospital Wanita dan Kanak-kanak, Sabah • Pn Nurul Farhana Binti Badrul Ezan Pegawai Pemulihan Perubatan (Audiologi) Hospital Teluk Intan • Pn Rohaizatul Binti Mat Yaacob Pegawai Pemulihan Perubatan (Audiologi) Hospital Tuanku Ampuan Najihah • Pn Ummu Athiyah Binti Abdul Razak Pegawai Pemulihan Perubatan (Audiologi) Hospital Kuala Lumpur • En Shahrom Bin Ab Rahman Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Perempuan Zainab II • En Mohd Ridhuan Bin Che Abdullah Pegawai Pemulihan Perubatan (Audiologi) Hospital Tuanku Ja’afar • Pn Norhidayah Binti Mat Noor Pegawai Pemulihan Perubatan (Audiologi) Hospital Bukit Mertajam • Pn Norain Izzati Binti Mohd Daud Pegawai Pemulihan Perubatan (Audiologi) Hospital Taiping • En Suhaiful Syaril Bin Suhaimi Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultan Ismail Petra • Pn Norazrin Binti Norazman Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultan Ismail • Pn Aima Suhaily Binti Azhar Pegawai Pemulihan Perubatan (Audiologi) Hospital Pakar Sultanah Fatimah • Pn Fatin Syakirah Binti Harun Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultanah Nur Zahirah • Pn Nurul Nadia Farieda Binti Mohd Fazli Pegawai Pemulihan Perubatan (Audiologi) Hospital Duchess of Kent • En Mohamad Azmeer Bin Sadali Pegawai Pemulihan Perubatan (Audiologi) Hospital Sungai Buloh • Pn Nurul Diyana Binti Suhaimi Pegawai Pemulihan Perubatan (Audiologi) Hospital Tengku Ampuan Afzan • Pn Norsyakirah Binti Mohamed Noordin Pegawai Pemulihan Perubatan (Audiologi) Hospital Serdang • En Shaharul Farzul Bin Razali Pegawai Pemulihan Perubatan (Audiologi) Hospital Tengku Ampuan Rahimah • Pn Engku Salma Binti Engku Ubaidillah Pegawai Pemulihan Perubatan (Audiologi) Hospital Tuanku Fauziah
118 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN • En Mohd Ikhwan Muslimin Bin Mohd Zainudin Pegawai Pemulihan Perubatan (Audiologi) Hospital Sultan Abdul Halim • Pn Loi Liang Ping Pegawai Pemulihan Perubatan (Audiologi) Hospital Melaka • En Amirul Asraf Bin Md Saad Pegawai Pemulihan Perubatan (Audiologi) Hospital Raja Permaisuri Bainun
119 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN PENGHARGAAN (PANEL PENILAI) • Dr. Suhaimi Bin Yusuf Ketua Perkhidmatan ORL Negeri Pahang & Pakar ORL Hospital Tengku Ampuan Afzan • Prof. Dr. Ahmad Aidil Arafat Bin Dzulkarnain Dekan Kulliyah of Allied Health Science Universiti Islam Antarabangsa Malaysia (UIAM) • Dr. Saiful Adli Bin Jamaludin Timbalan Dekan Academic and Internationalisation Kulliyyah Sains Kesihatan Bersekutu Universiti Islam Antarabangsa Malaysia (UIAM) • Dr. Nashrah Binti Maamor Ketua Pusat Telinga, Pendengaran dan Pertuturan (Pusat HEARS) Fakulti Sains Kesihatan Universiti Kebangsaan Malaysia (UKM) • Dr. Shahrul Bin Hitam Ketua Jabatan & Pakar Perunding ORL Hospital Ampang • Dr. Wan Najibah Binti Wan Mohamad Pensyarah Universiti Program Audiologi Pusat Pengajian Sains Kesihatan Universiti Sains Malaysia (USM) • Dr. Philip Rajan A/L Devesahayam Ketua Jabatan dan Pakar Perunding ORL Hospital Raja Permaisuri Bainun • Prof. Madya Dr. Nor Haniza Binti Abdul Wahat Pensyarah Kanan Program Audiologi Pusat Kajian Rehabilitasi & Keperluan Khas Fakulti Sains Kesihatan Universiti Kebangsaan Malaysia (UKM)
120 PROSEDUR OPERASI STANDARD : PENILAIAN AUDIOLOGI VESTIBULAR DAN KESEIMBANGAN Sekalung Penghargaan “Sekalung penghargaan dan terima kasih diucapkan kepada setiap individu atau organisasi yang telah memberikan sumbangan secara langsung atau tidak langsung dalam menjayakan penghasilan Prosedur Operasi Standard ini”
KEMENTERIAN KESIHATAN MALAYSIA BAHAGIAN SAINS KESIHATAN BERSEKUTU ARAS 2, BLOK A, BANGUNAN UTAMA CHANCERY PLACE JALAN DIPLOMATIK 2, PRESINT DIPLOMATIK PRESINT 15, 62050 PUTRAJAYA Muat Turun Salinan Buku https://hq.moh.gov.my/allied health/ KEMENTERIAN KESIHATAN MALAYSIA BAHAGIAN SAINS KESIHATAN BERSEKUTU ARAS 2, BLOK A, BANGUNAN UTAMA CHANCERY PLACE JALAN DIPLOMATIK 2, PRESINT DIPLOMATIK PRESINT 15, 62050 PUTRAJAYA Muat Turun Salinan Buku https://hq.moh.gov.my/allied health/