Module 10: Vestibular Rehab (pre-mindmap)

Overview

Feelings

Facts

Difficulties

Opportunities/Benefits

Creativity

complex areas of anatomy

common cause of illness/loss of function

With scope as both inpatient and outpatient, PT well placed to assess, diagnose and treat- as well as identify more sinister causes of symptoms and refer on.

an area I have always been interested in, but not very confident.

although I have had exposure within the acute inpatient setting, at times inconsistently in order to really develop skills to the next level.

can be complex anatomy

Significant loss of function + meaningful engagement for many people (consider ICF framework)

Do not miss sinister / central signs and symptoms

common peripheral causes often mis-diagnosed by Medical staff, inappropriately referred to PT (e.g. cardiac cause to dizziness, lack of thorough subjective / objective). This does in turn promote the skills of a therapist in effective assessment, and the importance of PT in an MDT.

great opportunity to refresh anatomy- on attempting to draw/list this was very disappointed with knowledge of peripheral anatomy + function.

practice thorough subjective and objective assessments on all neuro patients (e.g. strokes, both acute and rehab) to further refine skills, esp. VOR.

I feel I lack confidence to transition findings to an indep. program for the patient, esp. with more complex symptoms- hopefully can expand this area.

Have previously struggled with the elderly patient with these peripheral symptoms- in skillfully modifying special tests due to reduced ROM, high VBI risk etc.