Tests for Vestibular Flashcards

1
Q

positive weber test

A

sound lateralizes positive for ipsilateal conductive loss
contralateral sensorineural loss

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2
Q

positive rinne test

A

helps further confirm conductive loss

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3
Q

1st degree of alexanders law

A

only present when gaze directed towards fast phase

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4
Q

2nd degree of alexanders law

A

present in primary gaze and when directed towards fast phase

strongest in fast phase

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5
Q

3rd degree alexanders law

A

present in all gazes

strongest in fast phase

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6
Q

optokinetic nystagmus

A

involuntary nystagmus
works synergistically with VOR
normal function should cause nystagmus

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7
Q

VOR testing

A

passively moving pt through horizontal canals at 30 deg below horizontal while maintaining gaze at nose

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8
Q

abnormal findings of VOR testing

A

corrective saccade
nystagmus

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9
Q

head thrust / head impulse test abnormal response

A

corrective saccade and/or post-thrust nystagmus

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10
Q

when is sensitivity at max with the head thrust/head impulse test

A

unpredictable head thrusts
fq >2Hz and velocity of >180 deg/sec
maintaining head positioning 30 deg below neutral

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11
Q

head shake test steps

A

fixation removed (close eyes)
120 bpm head shaking horizontal for 20s
keep eyes closed, therapist passively opens one eye and assess nystagmus

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12
Q

abnormal result for head shake test

A

> 3 beats of nystagmus considered significant for unilateral vestibular dysfunction
horizontal nystagmus beating away from involved ear

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13
Q

if you see vertical nystagmus following head shake test, what does that mean

A

central vestibular pathology

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14
Q

dynamic visual acuity is what

A

functional challenge to VOR

obtain baseline
2 cycles/sec
horizontal and vertical fields

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15
Q

what is the DVA better able to identify

A

dysfunction in subacute and chronic vestibular disorder

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16
Q

DVA results

A

> 3 line degradation is significant

17
Q

what does skew deviation assess for

A

vertical dysconjugate gaze

18
Q

what is skew deviation predictor for

A

central vestibular path

19
Q

skew deviation abnormal response

A

deviation of one eye while it is being covered, followed by correction after uncovering it

20
Q

VOR evaluates what

A

cerebellar control

21
Q

abnormal results of VOR cancellation

A

ipsi corrective saccades

22
Q

what are the three tests involved in HINTS

A

head impulse test
nystagmus observation
test of skew

23
Q

what is the HINTS test used for

A

acute vestibular symptoms

24
Q

what does INFARCT stand for

A

for CNS Dx:

impulse
negative

fast phase
alternates

repositions with
cover
test

25
the clinical test of sensory organization and balance is what
assess sensory contributions to postural control involves observation of pt's attempt to maintain balance
26
CTSIB 6 conditions
firm, eyes open (E, S, V) firm, eyes closed (S, V) firm, visual conflict (S, V) foam, eyes open (E, V) foam, eyes closed (V) foam, visual conflict (V)
27
gans sensory organization performance test
modified romberg CTSIB fakuda step test
28
fakuda step test
50 steps eyes closed moves 0.5m or 30 deg = uncompensated peripheral vestibular dysfunction
29
mini BESTest
observing anticipatory and reactive control, sensory organization and dynamic gait
30
MCID of minibest
4
31
BESS test
initially concussions and return to play - vestibular dysfunction 6 conditons, eyes closed for all, 20 seconds measuring # of errors - max 10
32
BESS test MCID
3
33
computerized posturography: sensory organization testing
manipulate diff balance inputs to see how much person relies on identifies malingering pt's
34
computerized posturography: sensory organization testing levels
fixed support: normal vision, absent vision, sway vision sway reference support: normal vision, absent vision, sway vision