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Vestibular Rehab for Nondizzy Patients: Summary
Vestibular Rehab for Nondizzy Patients
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6 Contact Hours
Author Nick Cronan, DPT
Nick Cronan, DPT, is a physical therapist with more than 15 years of experience treating neurologic and vestibular patients in an outpatient setting as well as in acute and inpatient rehab settings. He is certified as a vestibular specialist by APTA and Emery University and has been a clinical instructor since 2007, presenting multiple courses on benign paroxysmal positional vertigo (BPPV) and vestibular training.
LEARNING OUTCOMES • Distinguish more extensive knowledge of the anatomy and neuropathways of the peripheral and central vestibular systems. • Analyze how the vestibular system works in conjunction with the somatosensory and visual systems and concurrent postural reactions. • Analyze how to determine vestibular abnormalities in patients with functional and occupational limitations across multiple systems and diagnoses.
• Differentiate common diagnoses when the vestibular system is compromised. • Assess functional and occupational limitations due to vestibular impairments in order to develop an appropriate plan of care. • Predict the presence of BPPV and establish appropriate treatment interventions. • Assess vestibular retraining in conjunction with other functional impairments and determine how to progress these interventions.
SELF-ASSESSMENT QUESTIONS
1.
Which of the following is not considered a main sensory system that helps with balance? a. Visual system b. Vestibular system c. Somatosensory system d. Olfactory system By the age of 75, the vestibular system can commonly decline by as much as
3.
Which reflex is most helpful in determining a central cause of dizziness instead of a vestibular (peripheral) cause of dizziness? a. VOR reflex b. Saccadic eye movements c. Vestibulospinal reflex d. VOR cancellation Which of the following is true about nystagmus with regards to a vestibular problem? a. The quick phase moves toward the more active side b. The quick phase moves toward the less active side c. There is no pattern regarding the direction of nystagmus
2.
4.
a. 10% b. 20% c. 40% d. 60%
ANSWERS: 1: d 2: c 3: b 4: a
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