The negative predictive value of this test is not 100%. Some patients with a history of BPPV will not have a positive test result. The estimated sensitivity is 79%, along with an estimated specificity of 75%. The test may need to be performed more than once, as it is not always easy to demonstrate observable nystagmus that is typical of BPPV. Also, the test results can be affected by the speed with which the maneuver is conducted and the plane of the occiput. There are several disadvantages proposed by Cohen for the classic maneuver. Patients may be too tense, for fear of producing vertigo symptoms, which can prevent the necessary brisk passive movements for the test. A subject must have adequate cervical spine range of motion to allow neck extension, as well as trunk and hip range of motion to lie supine. From the previous point, the use of this maneuver can be limited by musculoskeletal and obesity issues in a subject.
Dix–Hallpike test
Tensilon test
Goldberg test
Thomas test
Kastle–Meyer test
Schick test
Tinetti test
Cover test