Term
| If a pt has trouble reading, watching TV and using a computer, are you more likely to suspect a VOR or a VSR problem? Why? |
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Definition
| VOR, because the pt is not moving while doing these activities. |
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Term
| If a pt is having trouble shopping, walking in a crowded area, or going up/down ramps/stairs are you more likely to suspect VOR or VSR? |
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Definition
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Term
| What are the important questions to ask re: vertigo? (4) |
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Definition
| Is it spontaneous? Induced by motion? Induced by position changes? How long does it last? |
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Term
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Definition
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Term
| If a pt feels off balance (dysequalibrium) in the dark, outside and on uneven surfaces, what system do you suspect? |
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Definition
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Term
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Definition
| BEING a little off balance. |
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Term
| Why is it important to look at the pt's med list? |
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Definition
| Because some common drugs are associated w/ ENT abnormalities, and some pts may be using vestibular suppressants to decrease an abnormal response. You want to know so you can get the pts off those meds and you also need to test them properly which you can't do as long as they're taking meds. |
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Term
| Why are hearing problems important to know about the vestib exam? |
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Definition
| Because it can be caused by 8th cranial nerve damage, and that can lead to decre. vestib function. |
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Term
| You want to ask your pts if they have been in a car accident. Why? |
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Definition
| Because sometimes there's an undetected CHI that can lead to a later vestibular problem. |
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Term
| Tinetti's Confidence Index can be very useful for PT. Why? |
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Definition
| Because after Tx it can be re-administered to see if their confidence increases. |
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Term
| Tinetti's Confidence Index rates the pt's confidence in what area of life? |
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Definition
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Term
| What questionnaire provides a perception of disability due to dizziness? |
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Definition
| Dizziness Handicap Inventory |
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Term
| A score of 100 on the DHI means what? |
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Definition
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Term
| Why can BP be an important component of your vestib eval? |
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Definition
| B/C low BP can -> dizziness (orthostatic hypotension). |
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Term
| What are the two major components of the sensory examination? |
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Definition
| Proprioception and visual acuity. |
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Term
| Why would you want to administer a coordination test? |
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Definition
| Because decreased coordination is usually caused by cerebellar problems. If the problem is in the peripheral vestibular apparatus, coordination will NOT be affected. (differential Dx) |
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Term
| What are some coordination tests you could use? |
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Definition
| Finger to nose, rapid alternating movement, heel->shin looking and not looking. |
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Term
| What are the really important ROM/strength areas to look at? (2) and why? |
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Definition
| neck (if ROM is decreased can have balance problems) and ankles (v. important to maintaining small perturbations). |
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Term
| What are the components of the oculomotor exam? |
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Definition
| Ocular alignment, spontaneous nystagmus in room light, smooth puruits, saccades, VOR tests for gaze stability, VOR cancellation, Visual acuity. |
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Term
| If you find a skew deviation to the R, on which side is the lesion? |
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Definition
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