Vestibular/Balance Testing/Treatment--Lab Flashcards

1
Q

Before doing any vestibular tests:

A

-screen neck ROM

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2
Q

Observation of Occular Mobility & Smooth Pursuit

A
  • CN lesion

- if saccadic=CNS lesion

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3
Q

Observation of Saccadic Eye Movement

A

->2 saccades=cerebellar lesion

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4
Q

Observation of Spontaneous Nystagmus

A
  • Resting Nystagmus=acute peripheral vestib lesion, brainstem/peripheral lesion
  • up beat/down beat=central lesion
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5
Q

Head Thrust Test

A
  • VOR, Horizontal Canal

- Peripheral (complete) or Central Problems

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6
Q

Head Shaking Test

A

-VOR, unilateral peripheral

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7
Q

Dynamic Visual Acuity Test

A

-VOR, Vestibular hypofunction

> 3 line difference

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8
Q

Dix-Hallpike

A

-ant/post canal BPPV

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9
Q

Unilateral Peripheral Hypofunction Treatment

A
  • X1
  • X2
  • Balance
  • Gait
  • Ther Ex
  • Edu
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10
Q

Bilateral Peripheral Hypofunction Treatment

A
  • X1
  • Horizontal Targets
  • Imaginary Targets
  • Potentiation of COR
  • Balance/Gait–compensatory (AD, furniture walking, gaze stab during walking)
  • Ther Ex
  • Education
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11
Q

Post/Ant Canal BPPV

A

-Epley Maneuver

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