Neuro I- Cervicogenic Dizziness

Question 1

When determining if a patient has cervicogenic dizziness you should?

Answer 1

You should rule out vestibular and CNS involvement first

Question 2

Cervicogenic dizziness is a non-specific sensation of _ _ in _ and _ originating from abnormal afferent activity from the neck to the VNC. Rarely results in _ _, symptoms are generally _ _ than vestibular/ CNS pathology.

Answer 2

Is a non-specific sensation of ALTERED ORIENTATION in SPACE and DISEQUILIBRIUM origin acting from abnormal afferent activity from the neck to the VNC.

Rarely results in TRUE VERTIGO, symptoms are generally LESS SEVERE than vestibular/ CNS pathology

Question 3

How is CGD diagnosed: pt has history of _ _ _ or _, dizziness increases with increased _ _ and/ or _, and elimination of _ _ of dizziness.

Answer 3

Pt has history of CERVICAL SPINE INJURY or PATHOLOGY, dizziness increases with increased NECK PAIN and/ or TENSION, and elimination of COMPETING CAUSES of dizziness.

Question 4

Manual traction in seated or supine position that causes _ _ with traction and _ _ with compression is often performed in PE, but there is limited evidence/ only clinical opinion.

Answer 4

Manual traction in seated or supine that causes SYMPTOM RELIEF with traction and INCREASED DIZZINESS with compression.

Question 5

Of the 3 possible tests which one is the most supported by research? Describe. Positive result?

Answer 5

Neck torsion smooth pursuit test is the most researched

Smooth pursuit test with body rotated to each side

Positive result= saccades with body rotated

Question 6

Which of the 3 tests looks at proprioceptive input? Describe pt position, test and positive result. (Know what is in caps)

Answer 6

JOINT POSITION ERROR TEST

Pt is seated 3 FEET from target at eye level, laser mounted on head, closes eyes rotates head and then tries to return to original spot with eyes closed. Repeated with head turn to L/R and Up/ Down.

Positive result: GREATER THAN 3 INCHES from center of target

Question 7

What modality and parameters are indicated for treatment of CGD? What is recommended by David Draper?

Answer 7

Ice

David Draper, cryotherapy researcher, crushed ice better than gel, needs to be on for at least 25 minutes to overwhelm body’s temperature regulation system

Question 8

What 4 interventions for CGD work on increasing ROM?

Answer 8

South Jersey ST

• STM (strain/ counterstrain aka-positional release technique)
• Joint Mobilization
• stretching
• traction (manual)

Question 9

_ _ _ training is similar to adaptation exercises. Pt is sitting 3-10 feet from a _ _, actively rotates head for - _ with _ in focus. Performed - reps, - _ a day.

Answer 9

CERVICAL OCULAR REFLEX training is similar to. . .

Pt sits 3-10 feet from a STATIONARY TARGET, actively rotates head for 15-60 SECONDS with TARGET in focus.

Performed 1-3 reps, 1-3 TIMES a day

Question 10

_ _ _ uses, glasses that are blacked out with the exception of a pinhole or foveal glasses, fixates on target for several seconds, memorized head/ neck position, closes eyes, rotates head away and tries to return to spot, and opens eyes to check position.

Answer 10

CERVICAL PROPRIOCEPTION TRAINING uses . . .