knee-jerk reaction. Fig. an automatic or reflex reaction; an immediate reaction made without examining causes or facts. With one of his typical knee-jerk reactions, he said no immediately, citing some moral argument that no one understood. See also: reaction.
What did you see when the patients head was rolled to the opposite side? In horizontal canal BPPV, you should have seen a direction change. When the horizontal nystagmus is geotropic, the BPPV is suspected to be canalithiasis, occurring on the side with the more intense nystagmus.
The vertical axis is the amplitude of the wave while the horizontal axis can be either distance or time. In this picture you can see that the highest point on the graph of the wave is called the crest and the lowest point is called the trough.