Vestibular Disorders CAT Flashcards
When do vestibular disorders occur?
When there is disruption of the sensory info processed by the inner ear and brain w/ respect to the body’s control of balance and eye movements
Diagnoses included w/ vestibular disorders
- Meniere’s disease
- Benign paroxysmal positional vertigo (BPPV)
- Labyrinthitis
- Ototoxicity
- Acoustic neuroma
Classification of vestibular disorders
- Peripheral vestibular disorders
- Central vestibular disorders
Peripheral vestibular disorders
Dysfunction of the auditory or vestibular structures of the inner ear
Central vestibular disorders
Dysfunction of the nervous system in processing spatial and balance info
Are peripheral or central vestibular disorders more common?
Peripheral
Contributing factors for vestibular disorders
- ear infection
- Whiplash
- Head injury
- 50+
- Idiopathic
Clinical presentation for vestibular disorders
- Symptoms may be intermittent or persistent
- Single attack or repeatedly
- Symptoms may diminish or resolve w/o intervention
Typical symptoms for vestibular disorders
- Vertigo
- Dizziness
- Nausea
- Altered balance
- Auditory changes
- Difficulties w/ cognition, memory, or coordination
- Less common: migraines, muscle aches, motion sickness, photosensitivity, auditory sensitivity, and fatigue
Testing for vestibular disorders
- Not much imaging, maybe MRI for diff dx
- Testing of vestibuloocular reflex
- Balance reactions
Medical management of vestibular disorders
Depending on symptoms
- Pharm (symptom management)
- nutrition
- Psychological counseling
- surgical
Why are long-term suppression of symptoms discouraged w/ vestibular disorders?
Pts must experience symptoms to develop compensatory strategies
PT management of vestibular disorders
- Habituation to symptoms
- Retrain balance reactions, proprioception, and vestibuloocular reflex
