Term
| Diff between somatosensory and proprioceptive input |
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Definition
| proprio = gravity-dependent |
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Term
| Vestibular nuclei process input from these systems (3) |
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Definition
visual
vestibular
somatosensory |
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Term
| Acute vs chronic UVL: resting nystagmus |
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Definition
Acute: nystagmus at rest with fixation
Chronic: nystagmus at rest without fixation only |
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Term
| Acute UVL: Direction of nystagmus |
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Definition
|
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Term
|
Definition
| direction of gaze affects rate of nystagmus |
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Term
| Alexander's Law: gaze toward fast phase |
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Definition
|
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Term
| Alexander's Law: gaze away from fast phase |
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Definition
|
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Term
| Vestibular tests, with fixation (11) |
|
Definition
resting nystagmus
ocular ROM
vergence
gaze holding nystagmus
smooth pursuit
saccades
VOR cancellation
slow VOR
head thrust (rapid VOR)
cover-uncover/skew eye
pressure sensitivity (tragal pressure, valsalva) |
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Term
| Vestibular tests, without fixation (3) |
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Definition
resting nystagmus
gaze holding nystagmus
head shaking (20 reps) |
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Term
Vestibular tests: Smooth pursuit
tests for... |
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Definition
|
|
Term
Vestibular tests: Saccades
tests for... |
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Definition
|
|
Term
Vestibular tests: VOR cancellation
tests for... |
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Definition
| CNS/cerebellar override of VOR |
|
|
Term
Vestibular tests: slow VOR
tests... |
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Definition
| UVL, cerebellar modulation |
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Term
Vestibular tests: Head thrust/rapid VOR
tests... |
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Definition
|
|
Term
Vestibular tests: Head shaking
tests... |
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Definition
|
|
Term
Vestibular tests: Head thrust/rapid VOR
Positive = |
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Definition
| "catch up" saccades with thrust toward involved ear |
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Term
| Pertinent question for vertical nystagmus |
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Definition
| "Do you have congenital eye movement dysfunction?" |
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|
Term
Vestibular tests: Cover-Uncover, Skew Eye Deviation
tests... |
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Definition
|
|
Term
| Vestibular tests: Cover-Uncover POSITIVE |
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Definition
| mismatch in eye position following uncover of single eye |
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Term
| Verbal cue to simulate blocked fixation |
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Definition
|
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Term
| Resting nystagmus with fixation blocked indicates... |
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Definition
|
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Term
| Vestibular tests with fixation blocked (6,7) |
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Definition
resting nystagmus
gaze holding nystagmus
headshaking test
pressure sensitivity tests (tragal pressure, valsalva)
Hallpike Dix
Roll test |
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Term
| Acute UVL findings (5) (+1) |
|
Definition
(+) spontaneous nystagmus in room light
(+) resting nystagmus with fixation blocked
(+) head thrust toward side of lesion
(+) headshaking without fixation (toward strong ear)
(+) DVA
no hearing changes with neuritis/loss with labyrinthitis |
|
|
Term
|
Definition
(+) Resting nystagmus? (typically not after weeks)
(+) Nystagmus with fixation blocked
(+) head thrust toward side of lesion
(+) headshaking without fixation
? (+) DVA |
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Term
| B vestib loss findings (5) (+1) |
|
Definition
(+) gait/postural abnormalities
(-) dizziness
(+) head thrust B
(-) headshaking
(+) balance testing
? hearing loss (ototoxicity) |
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Term
|
Definition
| (+) Hallpike Dix/Roll test |
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Term
| Perilymphatic fistula findings (3) |
|
Definition
(+) dizziness with lifting, bearing down, loud noises, head down position
(+) pressure sensitivity tests (Tragal pressure, Valsalva maneuver)
(+) Tulio phenomenon: vertigo related to sound |
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Term
|
Definition
|
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Term
| Meniere's Disease findings (6) |
|
Definition
symptom "attacks"
tinnitus
ear fullness/pressure
hearing loss (lasting hours-days)
severe vertigo
clinical exam is unequivocal |
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|
Term
| Meniere's Disease treatment: lifestyle changes (3) |
|
Definition
decrease sodium
decrease caffeine
decrease stress |
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Term
| CNS dysfunction findings: () |
|
Definition
resting nystagmus in straight planes (vs torsional), or direction changing
Lateropulsion, postural impairments
Skew Eye deviation
Oculomotor abnormalities (smooth pursuit, saccades, VOR, VOR cancellation)
CNS symptoms (discoordination, weakness, etc) |
|
|
Term
Positive or Negative >>
Acute UVL: spontaneous nystagmus in room light |
|
Definition
|
|
Term
Positive or Negative >>
Acute UVL: resting nystagmus with fixation blocked |
|
Definition
|
|
Term
Positive or Negative >>
Acute UVL: head thrust |
|
Definition
|
|
Term
Positive or Negative >>
Acute UVL: head shaking |
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Definition
| (+) toward strong ear (without fixation) |
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|
Term
Positive or Negative >>
Acute UVL: hearing changes |
|
Definition
(-) neuritis
(+) labyrinthitis |
|
|
Term
Positive or Negative >>
Acute UVL: DVA |
|
Definition
|
|
Term
Positive or Negative >>
Chronic UVL: resting nystagmus with fixation |
|
Definition
|
|
Term
Positive or Negative >>
Chronic UVL: nystagmus without fixation |
|
Definition
|
|
Term
Positive or Negative >>
Chronic UVL: head thrust |
|
Definition
|
|
Term
Positive or Negative >>
Chronic UVL: head shaking |
|
Definition
|
|
Term
Positive or Negative >>
Chronic UVL: DVA |
|
Definition
|
|
Term
Positive or Negative >>
BVL: gait and postural abnormalities |
|
Definition
|
|
Term
Positive or Negative >>
BVL: dizziness |
|
Definition
|
|
Term
Positive or Negative >>
BVL: head thrust |
|
Definition
|
|
Term
Positive or Negative >>
BVL: head shaking |
|
Definition
|
|
Term
Positive or Negative >>
BVL: balance testing |
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Definition
|
|
Term
Positive or Negative >>
BVL: hearing loss |
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Definition
| ?? (positive with ototoxicity) |
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|
Term
Positive or Negative >>
BPPV: Hallpike Dix |
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Definition
|
|
Term
Positive or Negative >>
BPPV: Roll |
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Definition
|
|
Term
| Ageotropic nystagmus indicates... |
|
Definition
| horizontal canal cupulolithiasis |
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|
Term
| Geotropic nystagmus indicates... |
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Definition
| horizontal canal canalithiasis |
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|
Term
Positive or Negative >>
Perilymphatic fistula: Valsalva |
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Definition
|
|
Term
Positive or Negative >>
Perilymphatic fistula: Tragal pressure |
|
Definition
|
|
Term
Positive or Negative >>
Perilymphatic fistula: Tulio phenomenon |
|
Definition
|
|
Term
Positive or Negative >>
Perilymphatic fistula: Head thrust |
|
Definition
|
|
Term
Positive or Negative >>
Perilymphatic fistula: resting nystagmus with/without fixation |
|
Definition
|
|
Term
Positive or Negative >>
Perilymphatic fistula: head shaking |
|
Definition
|
|
Term
Positive or Negative >>
Meniere's Disease: symptom attacks |
|
Definition
|
|
Term
Positive or Negative >>
Meniere's Disease: tinnitus |
|
Definition
|
|
Term
Positive or Negative >>
Meniere's Disease: ear fullness/pressure |
|
Definition
|
|
Term
Positive or Negative >>
Meniere's Disease: hearing loss |
|
Definition
|
|
Term
Positive or Negative >>
Meniere's Disease: severe vertigo |
|
Definition
|
|
Term
Positive or Negative >>
CNS dysfunction: resting nystagmus |
|
Definition
| (+) in straight planes (vs torsional), direction changing |
|
|
Term
Positive or Negative >>
CNS dysfunction: lateropulsion, postural impairments |
|
Definition
|
|
Term
Positive or Negative >>
CNS dysfunction: skew eye deviation |
|
Definition
|
|
Term
Positive or Negative >>
CNS dysfunction: oculomotor abnormalities |
|
Definition
|
|
Term
Positive or Negative >>
CNS dysfunction: discoordination |
|
Definition
|
|
Term
|
Definition
| techniques to "adapt" the system to temporary or permanent change |
|
|
Term
|
Definition
| techniques that use another sensory system to assist the "limited" vestibular system |
|
|
Term
|
Definition
VOR x1, VOR x2
(3-4 x/day) |
|
|
Term
| Which diagnosis is not appropriate for VOR exercises? |
|
Definition
|
|
Term
|
Definition
two target exercises ("look first, move second")
imaginary target exercises
(2-3 x/day) |
|
|
Term
| HEP instructions for duration, frequency: |
|
Definition
speed such that 1 minute >> "yucky",
but resolves in 15 minutes |
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Term
|
Definition
| techniques that desensitize an individual to sensory input |
|
|
Term
|
Definition
Cawthorne Cooksey exercises
(6 x/day) |
|
|
Term
| Cawthorne Cooksey exercises: categories (5) |
|
Definition
eye exercises
head exercises
sitting
standing
moving about |
|
|
Term
| Cawthorne Cooksey exercises: frequency/duration |
|
Definition
15 minutes>>30 minutes,
2x/day |
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|
Term
| Cawthorne Cooksey exercises: patient population |
|
Definition
| loss of labyrinth, postural vertigo with positional nystagmus (habituation) |
|
|
Term
| Cawthorne Cooksey exercises: Eye exercises (3) |
|
Definition
looking up/down, slowly>>quickly, x20
looking left/right, slowly>>quickly, x20
pencil pushups x1 foot, x20 |
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|
Term
| Cawthorne Cooksey exercises: Head exercises (2) |
|
Definition
flexion/extension, slowly>>quickly, x20
rotation, slowly>>quickly, x20
(repeat with eyes closed) |
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|
Term
| Cawthorne Cooksey exercises: Sitting exercises (3) |
|
Definition
shrug shoulders x20
trunk rotation x20
flexion to pick up objects from floor x20 |
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|
Term
| Cawthorne Cooksey exercises: Standing exercises (4) |
|
Definition
sit-stand x20
sit-stand eyes closed, x20
ball toss above eye level
ball toss under one knee |
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|
Term
| Cawthorne Cooksey exercises: Moving exercises (4) |
|
Definition
walk across room eyes open>>closed, x10
walk up/down slope eyes open>>closed, x10
walk up/down steps eyes open>>closed, x10
games with stopping/turning |
|
|
Term
| Patient education following CRT (3) |
|
Definition
Quick spins possible
Repeat offender: 3-5 days sleeping at 45ยบ angle, not on affected side
First-timer: 1 night with 2 pillows, then PLOF |
|
|
Term
| Best treatment for cervicogenic dizziness? |
|
Definition
|
|
Term
| Exercises for vergence training (2) |
|
Definition
pencil pushups
Brock string |
|
|
Term
| Concussion symptom categories (4) |
|
Definition
physical
cognitive
emotional
sleep |
|
|
Term
| Concussion symptoms in PT scope: (4) |
|
Definition
BPPV
Cervicogenic dizziness
Balance disorders
Gaze instability/vergence disorders |
|
|
Term
| Concussion symptoms outside PT scope: (3) |
|
Definition
persistent headache
persistent sleep disorder
persistent mental health/mood disorder |
|
|
Term
| Example stepwise return to activity after concussion (6) (each step lasting 24 hours symptom free) |
|
Definition
1. No activity
2. Light aerobic activity
3. Sport-specific exercise
4. Noncontact training drills
5. Full-contact practice
6. Return to play |
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|
