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Vestibular (pre - module) - Coggle Diagram
Vestibular (pre - module)
Red Hat (feelings)
High intensity and/or sudden onset vestibular symptoms can be distressing for patients
Treatment techniques can be stressful for patients
My skills and knowledge in this area require further development
Yellow Hat (benefits)
Targeted vestibular assessment provides opportunity for
Prescription of targeted treatment
Delivery of appropriate repositioning techniques
Identification and onward referral of red flag presentations
Improving my own skills in this area benefits consumers locally, as limited specialist vestibular services are available
Number of great resources available to refresh skills and techniques
QLD Health statewide assessment and learning packages
Youtube videos of techniques
White Hat (Facts)
Vestibular presentations typically involve dizziness as key characteristic of presentation
There are a number of different vestibular conditions that commonly present
These each have their own differentiating characteristics
Behaviour of symptoms
Response to movement/positioin
Population groups
BPPV, vestibuar neuritis, vestibular migraine
Management is relevant to the underlying pathophysiology
BPPV - repositioing techniques
Vestibular neuritis, gaze stability, balance exercises
Vestibular migraine - migraine diary, balance exercises
There are limited options for treatment locally, due to small number of physiotherapist and varying levels of skills & experience in this clinical area
Blue Hat (Overview)
Vestibular symptoms are common causes of presentations for Physiotherapy
Cause can be due to peripheral mechanisms or central mechanisms
There are a number of red flags to be aware of
Concerning central presentations such as stroke can present with vestibular sympotoms
Common vestibular conditions treated by Physiotherapy
BPPV
Vestibular Neuritis
Vestibularr migraines
Physiotherapy treatment can provide good clinical outcomes for vestibular patients
Black Hat (difficulties)
Can be hard to differentiate between different symptoms and determine cause
Assessment techniques can be stressful for patients and aggravate symptoms
Patients can be referred after recieving/while on vestibular suppressant medications which can make assessment challenging
Assessment and treatment techniques require practice and hands on expertise
Can be difficult to maintain in rural environment with small numbers of presentations
Green Hat (creativity)
There is an opportunity for me to increase my own skills and knowledge to address gaps in vestibular physiotherapy in my locality
Exercise selection can be creative process, working with patients to adapt to high level functional demands