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31 Cards in this Set
- Front
- Back
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examines integrity of VOR
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Head thrust test
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(+) test for Head thrust test
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eyes will move off target/ corrective saccades
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Test for unilateral peripheral vestibular lesion
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Head shaking induced nystagmus test
(+) nystagmus |
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How is the seated hallpike dix performed?
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pt sits on edge of table. PT turn head 45 degrees and quickly brings pt down to side opposite of the head turn. The ear going down on the table is the side being tested.
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tests for vestibular hypofunction -labyrinth
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Fakuda step test
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(+) Fakuda step test
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deviation greater than 1 m and rotation more than 45 degrees (a lot of traveling)
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Test for BPPV
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Hall pike dix and seated hall pike dix.
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When would you use the alternative seated hall pike dix?
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person with weak hamstrings
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Steps for head shaking nystagmus?
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flex the pt's head 30 degrees
have them close eyes oscillate head 20 times (2 hz) Have pt open their eyes and look at your nose. look for nystagmus |
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Instructions for fakuda step test
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have pt close their eyes, hold their arms out and have them take 50-100 steps (high knees), and observe postural sway
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What test is described? Pt starts off in long sitting w/ no back support and the PT turns pt's head horiz 45 degrees toward side being tested. PT quickly brings them supine and extends neck 30 degrees. Observe for nyst and vertigo
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Hall pike dix
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test for visual acuity- vestibular hypofunction
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Dynamic visual acuity test
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(+) for Dynamic visual acuity test
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more than a 3 line difference
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VBI symptoms
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nystagmus, vertigo, syncope, dipl
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Steps for alternate VBI test?
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pt is seated and leans forward, extends the neck and rotates head 45 degrees.
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used for the treatment of bilateral vestibular hypofunction -gaze stability, disequilibrium and gait ataxia.
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Saccades and Imaginary Targets
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several numbers or letters written on poster or board in diff order, have pt move eyes to find the numbers or letters in correct order.
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Saccades
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How would you progress saccades?
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busy background, checker board, or picnic table
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Have pt extend arm 90 degrees with thumb up. Have pt close eyes but still focus on thumb. Tell pt to turn the head quickly but still be looking at thumb. Have them open their eyes to see if they are still on thumb.
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Imaginary targets
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reposition of crystals back into the vestibule
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Canalinth Repositioning maneuver
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Canalinth Repositioning maneuver is used to treat?
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BPPV
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post treatment for canalinth repositioning
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soft collar, no vertical movements, sleep upright, and avoid sleeping on involved side for 5 days
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these exercises decrease dizziness and may mobilize loose otoconia.
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Brandt daroff exercises
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Edge of bed, turn head 45 degrees to one side, go toward s.lying (opp of head turn), then return back to sitting and do other side
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brandt daroff
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Clinical test for sensory integration; assessing standing balance under 6 different sensory conditions
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Foam and Dome Test
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6 conditions for the foam and dome test
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condition 1: eyes open/stable surface
2: eyes closed/stable surface 3: Dome/stable surface 4:eyes open/foam 5:eyes closed/foam 6: dome/fome |
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loss of half of visual environment , pt is usually aware of this deficit
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Homonymous hemianopsia
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inability to register and integrate stimuli and perceptions from one side of the body, not due to sensory loss.
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Unilateral neglect
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test for unilateral neglect
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BIT
Observation of ADLs |
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Compensatory approach examples for treatment of unilateral neglect
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red ribbon on newspaper, demo from unaffected side, use of mirror
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inability to visually distinguish a figure from the background in which it is embedded.
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figure ground discrimination
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