Vestibular Midterm Misc Flashcards
Name the test
Oldest and most commonly used
Romberg
Name the test
Used to evalute balance but can also be used to evalute loss of motor coordination
Romberg
Name the test
Test of body proproception (somatosensory) - requires healthy function of the dorsal columns & spinal tract
romberg
Name the test
Also used to meaure degree of functional disequillibrium caused by central vertigo, peripheral vertigo & head trauma
Romberg
Romberg Procedure
- Patient removes shoes
- Stand feet together
- arms down & close to body
- first w/eyes open
- Again w/eyes closed
- incrased sway leading to fall = positive romberg
What does a positive romberg suggest?
- Positive romberg suggests that loss of coordination is sensory in nature and due to loss of propioception.
- Negative romber w/ataxic suggests ataxia is cerebellar
What does it mean if you have a neagtive romberg but your patinet is ataxic?
- If patient is ataxic and romberg is negative this suggests ataxia is cerebellar
Romberg
Patients with acute peripheral vestibualr lesion do what?
Pateints with acute periperheal vestibular lesions usually move towards the side of the problem.
Pateints with —- usually move towards the side of the problem.
Pateints with acute periperheal vestibular lesions usually move towards the side of the problem.
True or false
Chronic Vestibular damage produces deficits in romberg test?
FALSE
chronic vestibular damage does not produce deficits in romberg - it is not sensitive to unilateral or non-acute deficits
What is the purpose of the Fukuda Stepping test
Purpose: evaluate labyrinthine function via vestibulospinal reflexes
What are the contra-indications for the fukuda stepping test
Patient must be able to maintain balance during eyes- closed romberg testing.
fukuda stepping test procedure
- Patient stands with eyes closed hands out stright in front of them
- march in place for 50 steps
- Do not bias patients with auditory /other stimuli
