Neuro

Question 1

A peripheral vestibular condition characterized by the sensation of vertigo (room spinning) nystagmus, N/V, when head is in certain positions

Answer 1

BPPV

Question 2

Patient’s head moved in sequence to move debris (otoconia) out of involved semi-circular canal into vestibule. Head toward affected side
3-5 times, 3 times/day

Answer 2

Epley

Question 3

The patient’s head is rotated 45 degrees while sitting EO. Lie down on one side quicklyhold then rotate head opposite direction lay down on opposite side. 5-10 times 3/day

Answer 3

Brandt-Daroff

Question 4

Patient’s head is rotated 45 degrees while sitting EOB

Answer 4

Semont for Cupulolithiasis repositioning

Question 5

A pathology affecting ice side of the vestibular system causes a loss of signaling or diminished to the brain. N/V, vertigo, nystagmus, disequilibrium, postural instability

Answer 5

Unilateral vestibular hypofunction

Question 6

The goal of this exercise is to reduce the patient’s symptoms through neural adaptation. Repeatedly provoking the undesired response. Move into and out of mild dizziness

Answer 6

Habituation

Question 7

Gaze stability training (VOR)

Answer 7

VOR x1: move head horizontal/vertical maintain focus on obj

VOR x2: move head and target in opposite direction maintain gaze on target

Question 8

Pathology affecting both sides of the vestibular system. Disequilibrium, gait ataxia.
VERTIGO AND NYSTAGMUS ARE NOT EXPECTED!

Answer 8

Bilateral vestibular hypofunction

Question 9

Treatment for Bilateral hypofunction

Answer 9

NO HABITUATION
VOR x1,x2
Postural stability training: vision and somatosensory to compensate for vestibular system, standing on foam EO/EC, tandem NBOS