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Vestibular rehabilitation - Coggle Diagram
Vestibular rehabilitation
FACTS
Vestibular organ- inner ear made up of semicircular canals, cochlea
problems can arise from either dysfunction in the vestibular organ or the central nervous system
vestibular organ problems could be BPPV, infection or inflammation, accidents or birth defect
centra nervous system problem could arise at the vestibulo-occular nerve, cerebrum and cerebellum due to cerebro-vascular incident or birth defect
increasing incidence in eldery generation due to crystals loosening in semi-circular canals, hardening of the hairs, thickening of the fluid in the canals
increased incidence in elderly due to lack of physical activity and different positions- habituation
poly-pharmacy impact on vestibular system
weekend training for vestibular rehabiliation
BPPS- Hallpike Dix maneouvre with positioning as treatment
specialised vestibular rehab units with specific equipment for habituation training
nausea and dizziness on VAS scale
Outcome measures used are balance, coordination, step test, visual tracking ( with and without head movements), TUG
can be very dibilitating and warrent hospital admission
OVERVIEW
Vestibular rehabiliation deals with the symptoms management created by the dysfunction of the vestibular system itself or the central nervous systems.
symptoms could include dizzyness, incoordination, nausea, unbalanced, headaches, nystagmus
FEELINGS
I have done vestibular rehabiliation course 15 years ago so a little more confident at treating a client
knowledge could be outdated and based on clinical experience
would be good to learn more about as dizziness/nausea has high occurance in hospital. It would be great to be able to confidently assess if vestibular organ is the cause of this
OPPORTUNITIES
create of vestibular rehab program at community health centre as high prevalence
explore referral pathways for clients
Therapeutic riding an option as part of treatment plan in vestibular rehab ?
BENEFITS
Earlier discharge if successfull
improved client outcomes and reduce burden of disease
ongoing independent management of sympomts through education and planning
create a solid working relationship with treating GP`s
improve a client`s Quality of Life
DIFFICULTIES
poly-pharmacy can cause these symptoms
not always clear cut answers
physio seen as first point of call during admission if dizziness is present- high degree of effeciency required
rehabilitation in oupatient setting relies on physiotherapist knowledge /experience
knowing who to refer to / who has further experience in this field