Term
| Name the first publishers of vestibular rehabilitation |
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Definition
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Term
The type of therapy first described:
-Published their description of a ___ exercise program designed to decrease dizziness in persons with vestibular dysfunction from head injuries
-Effective following ___-___ and with ___ peripheral vestibular hypofunction |
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Definition
| group; post-concussion; unilateral |
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Term
Cawthorne-Cooksey vestibular rehabilitation program:
-Suggested learning exercise program ___ to surgery
-Suggested exercise programs were both ___ and ___
-Not typically done in groups because of difficulty organizing groups with ___ complaints |
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Definition
| prior; physical; psychological; similar |
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Term
| What are the 4 stages of exercises in the Cawthorne-Cooksey exercises? |
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Definition
| In bed or sitting, sitting, standing, and moving about |
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Term
| What kind of movements do you do in the "in bed or sitting" stage? |
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Definition
Eye movements (oculomotor type tasks)
Head movements (up/down; side to side) |
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Term
| What kind of movements do you do in the "sitting" stage? |
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Definition
-Eye and head movements as above
-Shrug and circle shoulders
-Bending forward to pick up object
-Bending side to side to pick up objects |
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Term
| What kind of movements do you do in the "standing" stage? |
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Definition
-Same eye and head movements as sitting
-Change from sitting to standing position with eyes open, repeat with eyes closed
-Throw a ball from hand to hand above eye level
-Throw a ball from hand to hand under knees
-Change from sitting to standing turning around in between |
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Term
| What kind of movements do you do in the "moving about" stage? |
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Definition
-Walk across room with eyes open
-Walk up and down slope - eyes open
-Walk up and down stairs - eyes open
-Throw and catch a ball
-Any game involving stooping, stretching, aiming |
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Term
| What population(s) would not benefit from vestibular rehabilitation? |
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Definition
| patients with unstable vestibular disorders are not good candidates for rehabilitation |
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Term
| List the diagnoses that would likely benefit from vestibular rehabilitation |
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Definition
| central and peripheral postural vertigo, the "irritable labyrinth" with motion intollerance, labyrinthitis, temporal bone fracture, traumatic vertigo, destructive labrynthectomy, Wallenberg's syndrome; also head injuries, drug intoxication, and psychogenic dizziness |
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Term
| Drugs used to mask symptoms ___ or ___ recovery process |
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Definition
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Term
Brandt-Daroff exercises:
-Perform __ times a day for at least 10 repetitions while hospitalized for up to 14 days
-___% positive response rate for resolution of patient's BPPV
-Similar to ___ except that it's not one fluid motion |
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Definition
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Term
-Norre and DeWeerdt suggested habituation therapy might help to ___ ___ and remediate symptoms in persons with vestibular disorders
-Patients asked to move into provoking positions to ___ intensity of response
-Came up with ___ programs specific to each patient
-Change the body's ___ to the dizziness |
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Definition
| provoke dizziness; decrease; individualized; reaction |
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Term
Norre and DeWeerdt Success Rates:
-34 positions were tested and number of provocative positions decreased by over ___% within a 2 month period
-___% of patients were symptom free and ___% reported at least partial improvement |
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Definition
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Term
Horak, et al, 1992 study and findings:
-Attempted to determine if ___ to suppress dizziness, a general ___ ___, or a ___ ___ program would be more effective in decreasing symptoms and enhancing postural control in persons with chronic vestibular hypofunction
-Patients treated ___ times per week for 6 weeks
-Improvements in dizziness reported in all groups, the only group that demonstrated changes in balance was the ___ ___ group |
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Definition
| medication; conditioning program; vestibular rehabilitation; 2; vestibular rehab |
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Term
Gaze Stabilization Exercies:
-Focus on an object at eye height, move head from side to side ___ ___ on letter, as you are able to focus more
easily, increase speed; practice for up to ___ minute three to five times per day |
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Definition
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Term
| State the success rate of resolving BPPV regardless of repositioning maneuver |
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Definition
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Term
| State the current recommendations for performing repositioning within the diagnosing appointment |
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Definition
| Reposition twice within diagnosing appointment |
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Term
| List 4 repositioning maneuvers for posterior canal BPPV |
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Definition
| Semont, Epley, Modified Epley, and Gans Repositioning Maneuver |
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Term
| List 3 repositioning maneuvers for horizontal canal BPPV |
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Definition
| BBQ roll, gufoni, and appiani |
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Term
| Describe prolonged positioning and indicate when it might be useful |
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Definition
| Lie on unaffected side for 12 hours for at least 3 days. May be useful for patients with restricted motion or when other treatments are not successful |
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