Please enable JavaScript.
Coggle requires JavaScript to display documents.
Vestibular Rehabilitation (Vestibular Assessment (Eye Movements (saccades,…
Vestibular Rehabilitation
BPPV
assessment
hall pike dix
standard vestibular assessment
symptoms
very brief and acute episodes of vertigo
often very positional. Patient will describe specific events
can occur as a result of a trivial or severe knock to the head
treatment
epley manouvre
often takes just 1 - 2 treatments
brandt darhoff exercises for habituation
Semont technique if elderly
Vestibular Assessment
Neurological
standard neurological assessment
power
tone
sensation
reflexes
DDK
proprioception
Vestibular
Standard balance assessment
Hymalgi head thrust
Eye Movements
saccades
smooth pursuit
VOR suppression
Skew Deviation
Neck Movements
Must check for VBI
Labrynthitis/Neuritis
virus related
benign however sypmtoms very severe
symptoms occur in standing. Can be relatively constant/easily provoked
takes a long time to rehabilitate. Many months.
Vestibular Migraine
Very small percentage of the population
Central component
Benign
Red flags
Any of the 5 D's
unprovoked dizziness/dizziness at rest
dysarthria
dysphagia
diploplia
dysphagia
Vestibular Anatomy
Attachment to the brain
cerebellum as the mediating region.
Adjusts and corrects for errors
8th cranial nerve. Combines with auditory nerve and goes to the brain stem/pons region
upward projections and downwards projections
VOR
VSR
3 x SCCs accounting for all planes of motions
Uttricle and Saccule accounting for acceleration in different planes
Hairs of different sizes with Calcium carbonate crystals on top sit in gel at the end of each SCC