Integrated Practice Flashcards
What are the symptoms associated with BPPV?
Symptoms last less than 1 min followed by nausea and vomiting Nystagmus No hearing changes Present with position changes Feel spinning, rocking or floor dropping
What is the cause of BPPV?
Otoconia gets loose and ends up in one of the semicircular canals; which leads to mismatch between external and internal sensory information
What test is used to diagnose Posterior Canal BPPV?
Dix-Hallpike Maneuver
What test is used to diagnose Lateral SCC BPPV?
Supine roll test
What is the most common t SCC to be affected by BPPV?
The posterior SCC
Name 3 signs and symptoms of Vestibular neuritis
Sudden/insidious onset Constant intense vertigo No hearing changes Loss of balance for 1-3 days Gradually improves over 3 weeks
Name 3 signs and symptoms of Meniere’s disease
Unilateral pressure
Unilateral tinnitus
unilateral hearing loss
Vertigo lasting longer than 20 minutes
Name a type of exercise you would prescribe for vestibular neuronitis
Gaze stabilization
Static and dynamic balance retraining
Motion desensitization
Treatment for secondary deficits
What type of vestibular issue mimic’s Meniere’s but has no hearing loss associated with it?
Vestibular migraine
Name 3 red flags for dizziness assessments
Numbness Tingling Weakness Slurred speech CN dysfunction UMN signs LOC Rigidity Memory loss Vertical nystagmus
True or False. Visual tracking is abnormal in peripheral BPPV.
False
What score is indicative of an increased risk of falling on the Dynamic Gait index?
<20/24
What is a treatment for Geotropic lateral SCC BPPV
Log roll manoeuvre
What is a treatment for Apogeotropic lateral SCC BPPV?
Brandt-Daroff exercises
Log roll manoeuvre
Provide the parameters for a gaze stability exercise that promotes adaptation
F - 2xday
I - slow to begin
Time - 1 min if tolerated
Type - Stand or sitting, with a still object 3 feet away
Provide 4 movements to improve habituation in a patient with vestibular symptoms
Sitting to supine Supine to left roll Supine to right roll supine to sitting Do these 2-3 sets per day Rest between exercises Do for 2 months
Provide two balance tests for people with vestibular dysfunction
Fukuda Rhomberg Berg TUG mCTSIB
What are the 4 muscles that extend at the CV junction?
Obliques Capitis Superior
Obliques Capitis Inferior
Rectus Capitis Posterior major and minor
Name the 4 muscles that flex at the CV junction
Rectus capitis anterior and lateralis
Longus capitis and colli
How many degrees of freedom at C0/C1?
two:
Flexion and sidebending with conjuct rotation
What is the home exercise program that should be given to people with TMJ issues?
Rocabado 6x6
- Clucking
- Diaphragmatic breathing while maintaining tongue position
- Mouth opening with tongue on roof of mouth
- Neck flexion (15 degrees)
- Chin tuck and hold
- Posterior Shoulder roll
At what CD4 count is HIV considered AIDS?
< 200 or presence of AIDS defining illness (cyo-megalo-virus, wasting syndrome, & enchephalopathy)
What are 3 common impairments with HIV?
Fatigue Balance Muscle atrophy risk of falls/fractures Neuropathy increased risk of RA and osteonecrosis weight loss higher risk of CV disease Cognitive impairments
What are the parameters for aerobic exercise for a patient with asymptomatic HIV
F - 5 days a week
I - 80% VO2R
Time - 30 minutes
Type - e.g. cycling
What are the parameters for resistance exercise for a patient with symptomatic HV
F - 2 sets of 10-12 reps; 3 days per week
I - 50% 1 RM
T - 30 minutes
Type - weight lifting
What are the aerobic exercise parameters for someone with AIDS
F - 3 days per week
I - 30% VO2R
T - 20 minutes
Type - walking
What does the PERFECT acronym stand for?
Performance Endurance Repeated contractions Fast contractions Elevated Co-contraction Time (of involuntary contraction with cough)
What is the knack technique?
When you contract PFM prior to exertion
What is stress incontinence?
loss of urine on physical exertion due to decreased sphincter control
What is urge incontinence?
Involuntary loss of urine associated with strong desire to void due to bladder muscle instability/ contraction abnormality
What is the general treatment given to strengthen the PFMs
3 sets of 8 reps in 4 positions for 5 months
Then during maintenance phase do it for 2 sets of 12 reps
What are 4 benefits of exercise during pregnancy?
General overall health benefits Weight control Shorten labour Reduce need of obsteric intervention Reduction in gestational diabetes
True or false. It is good to start an exercise program early in pregnancy.
False
What are the three functions of the PFMs?
Sphincteric
Supportive
Sexual
Which congenital lesion is highly associated with spastic diplegic CP
Periventricular Leukomalacia
What are the STOP signs for infants in the NICU?
Apnea, hiccuping, cyanosis, dropping O2 sat, BP increases
What is the therapeutic position that infants in the NICU are put in?
Simulated physiological flexion
Which side is torticollis usually seen on with R plagiocephaly?
the L side
What are the two types of Spina bifida?
Spina Bifida Occulta and Aperta
What are 3 treatments that you should provide infants with Spina Bifida?
ROM to prevent contractures
Optimal positioning to use muscles
Facilitation of pre-ambulatory skills (roll/transition to sit/ 4 point)
Prescribe adaptive equipment
What are the three types of brachial plexus injuries and the parts of the arm they affect?
Erb’s palsy = Upper arm
Klumpke’s Palsy = Lower arm
Erb-Klumpke Palsy = whole arm
What is the treatment for Brachial plexus injuries?
Education: pin sleeve
Promote ROM
Facilitate AROM
Reduce neglect of involved arm
What are the positions that a person with an amputation would need to adopt to prevent contractures in the lower limb?
Extension in bed
Adducted in bed
Extended in sitting (TTA)
What three complications associated with pediatric oncology?
Necrosis (hip)
Fatigue
Chemo - induced neuropathy
