vestibular Flashcards
where can vestibular causes of dizziness come from
centrally or peripherally
most important tool in vestibular and balance assessment
HISTORY is PRIMARY assessment tool
Dix Hallpike test
diagnostic for nystagmus
brief (less than 30s) and rotary
accompanied with vertigo
what are you looking for on dix hallpike
torsional nystagmus
is positive PC -BPPV in DEPENDENT EAR
precautions / contraindication for Dix hallpike
vertebro basilar ischaemia / insufficiency
VBI assessment questions
5D
3N (nausea , nystagmus, numbness)
Take them down
negative dix hallpiek test
this means non BPPV cause of dizzienss
dizziness without nystagmus
dizziness worse getting to of test position
BPPV
benign paroxysmal positional vertigo
how to assess BBPV
history and dix hallpike
primary systems Of BPPV
short duration vertigo w specific movements
treatment of BPPV
for crystals modified epley but they might have other balance, falls and education
will epley work no matter what
not if there is error in technique
BPPV prognosis
excellent, 75-90% in one treatment, 90-95% with two treatment
complications of BPPV
can be in horizontal canal if you do EPLEY wrong
VOR is deficient with ___ and ____ patients
unilateral and bilateral vestibular loss
patients with VOR present with ___ __ __ __
dizziness im balnce oscillopsia and +- nausea
systems of chronic UVL
dizziness oscillpsia imbalnce motion interolerance sensitiy
what makes UVL worst
repetitive head movements
how to treat UVL
resolve the conflict to get ride of symptoms
do you do cookery cathrone exericses
not recommended
exercises for UVL
adaptation exercises (gaze stability)
balance / gait exercises
walking programme
gentamicin
can cause dizziness
can cause BVL
example of aminoglycosde antibiotics
gentamicin
objective gait assessment in vestibular
walking with eyes open and closed
walking with head turns
a good composite test for vestibular dysfunction is
dynamic gait index
BVL treatment
gaze stability (adoption) exercies balance and gait retraining
red flags on clinical tests
direction changing nystgmus
inconsistency in test results
objective tests for vestibular and balance
vestibular, visual , proprioceptive
balance and gait
funcional tests
most common vestibular signs
vertigo
dizziness
oscillopsia
important questions in vestibular history
vertigo diziness oscippolio motion intolerance falls light head nausea 5D 3N onset meds
whats a central test for vestibular
eye exams
mostly which canal has BPPV
posterior
whats dix hall pike test
post / ant
contraindincdations dix hallpike
VBI
instability (cervical, occipital, fracture, RA), whiplash
latent onset from dix hallpike `
1-30 s, occasionally up to 60s
transient nystagmus from dix hallpike
1-30s
no>60s
negative test dix hallpike
dizziness without nystagmus
dizziness worse getting out of test option than in position
UVL is a __ dyfunction
peripheral
peripheral tests
dix
head thrust
dynamic visual acuity
balance and gait
UVl most common exercis
Adaptaion
balance /gait
walking
functional tasks
example of UVL patient
after acoustic neuroma removal
menieres disease
cluster of pathologies
do not assume they benefit from VR
acute UVL
spontaneous nystagmus, reduced VOT, vertigo, dizziness, osciolpia, imbalance vomtitimg
chronic UVL
dizziness, oscilopsia, imanace, motion intolerence
repetion hurts
difference UVL and BVL
BVL no dizziness or verticgo from drugs (gent)
treatment UVL BLV
similar
cervicogenic dizziness
diagnosis of exclusion
treatment of cervicogenic
management vestibular dysfunction
management of proprioceptive
