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Vestibular jeopardy
| Question | Answer |
|---|---|
| This outcome measure is in the Activity limitation ICF domain; >13s indicates balance dysfunction Note: used to determine functional lower extremity strength and ability to perform transitional movements. | What is 5XSTS? |
| This outcome measure is in the Activity limitation ICF domain and is a measure of gait speed. | What is the 10mWT? For extra points tell me the cutoff score for household ambulator <.4 m/s; limited community ambulator: .4-.8m/s; community ambulator >.8m/s |
| For this particular outcome measure, The scores range from 0-100 (higher scores imply greater confidence) Cutoffs vary based on population but <67% is the common cutoff for fall risk | What is the Activity-Specific Balance Confidence Scale? |
| For this particular outcome measure, The score range is 0-56; <45 suggests fall risk in those with vestibular dysfunction. | What is the Berg Balance Scale? |
| The cutoff score for this test in predicting the likelihood of falling is 16/28. It aims to target and identify 6 different balance control systems so that specific rehab approaches can be designed for different balance deficits. | What is the Mini BESTtest? For extra points, can you tell me the 6 balance control systems targeted? 1. Anticipatory 2. Reactive postural control 3. Sensory orientation 4. Dynamic Gait 5. Mechanical constraints 6. Limits of stability |
| For this test, you average the time or each condition and record that average value; higher times indicate better stability; There are 6 conditions-full test and 4 on the modified test; full:conditions 5 and 6-vestibular; mod:condition 4-vestibular | What is the Clinical Test of Sensory Interaction and Balance and modified version? |
| For this test, Scoring is 0-100 with lower=less handicap; For Vestibular pathologies: Mild perception of handicap:0-30; moderate perception of handicap: 31-60; Severe perception of handicap: >/=61 | What is the Dizziness Handicap Inventory? |
| This test assesses individual's ability to modify balance while walking in the presence of external demands. the score range is 0-24 with higher scores indicating better functional ambulation; </=19 indicates fall risk; | What is the Dynamic Gait Index? |
| This test assesses postural stability during walking and assesses an individuals ability to perform multiple motor tasks while walking. cutoff scores are 0-30 with higher scores indicating greater functional ambulation, <23 indicates fall risk ; core set | What is the functional gait assessment? |
| This is a clinical outcome measure and assessment tool for ascertaining dynamic balance in ONE simple task. <15cm indicates falls risk; there are also various modifications including a seated version | What is the Functional Reach Test? |
| This is a questionnaire-assess FOF in community dwelling older adults. 0-10; higher =>confidence; <5 predictive of falls and longer hospital stay; confidence in performing 14 indoor&10 outdoor tasks rated from 0-10. Final score:average rating | What is the Modified Falls Efficacy Scale? |
| This test test demonstrates the effects of posterior column disease. It removes the visual and vestibular components that contribute to maintaining balance, and can thus identify specifically a proprioception-related neurologic disease. | What is the Romberg test? |
| This is an additional test to assess the static balance of clients in a sensory integration taxing condition. | What is the sharpened romberg test? |
| This is a test of dynamic balance and coodination that clinically assessed the participant's ability to step over objects forward, sideways, and backwards. | What is the Four Square Step Test? |
| This OM tests gait and balance abilities in the elderly and those with vestibular impairments. cutoffs are 0-32 with higher score indicating greater independence; | What is the Tinetti Performance Oriented Mobility Assessment? |
| For this test: 13.5s indicates risk for falls. There are also manual and cognitive dual task tests. >/=14.5s indicates fall risk for TUG manual or difference of 4.5s or greater between TUG manual and TUG >/=15s indicates fall risk for TUG cognitive | What is the Timed Up and Go? |
| This is a test of aerobic capacity and endurance. It is also one of the core set of neurologic outcome measures. | What is the 6 minute walk test? |
| This is a test of the limits of stability of individuals in 4 directions. It measures reach, thereby shifting the COG to the limits of the BOS with the feet stationary. | What is the multidirectional reach test? |
| This pathology s/s include: episodic, vertigo lasting 30s-2min and is triggered by change in head position. It is indicated by nystagmus either torsional, geotropic or ageotropic depending on SCC implicated. | What is BPPV? |
| This pathology s/s include vertigo induced by head movement, spontaneous rotatory nystagmus beating toward the GOOD ear, postural imbalance, nausea, lasting 48-72 hrs, it has a viral etiology and primarily affects the superior vestibular nn (ASCC, HSCC). | What is vestibular neuritis? |
| This pathology s/s include hearing loss, fullness in the ears, tinnitus, rotational vertigo, postural imbalance, nystagmus, N/V with duration 30 min -72 hrs. | What is Meniere's disease? |
| This pathology s/s include vertigo preceded by straining or a loud pop, hearing loss precipitated by head or barotrauma or mastoid/stapes sx, or penetrating injury to the tempanic membrane. | What is a perilymphatic fistula? |
| This pathology s/s is a differential with PF, and includes oscillopsia, vertigo, nystagmus, ocular tilt rxn, postural imbalance induced by auditory stimuli, and triggered by sneezing, straining, blowing nose | What is superior canal dehiscence? |
| This pathology can be induced by ototoxicity from meds like gentamicin, autoimmune disorders, meningitis, B acoustic neuromas, sequential vestibular neuritis, and in many cases is idiopathic. | What is Bilateral Vestibular Hypofunction? |
| This pathology is characterized by spontaneous nystagmus (horizontal), beating away from the side of the lesion, suppressed with fixation, skew deviation ipsilateral to the lesion, conjugate ocular torsion, roll head tilt, and VOR impairment. | What is Unilateral Vestibular Hypofunction? |
| This pathology would have a positive roll test with resulting vertigo and nystagmus. | What is horizontal canal BPPV? |
| This peripheral vestibular component perceives linear acceleration in the vertical plane. | What is the saccule? |
| This peripheral vestibular component perceives linear acceleration in the horizontal plane? | What is the utricle? |
| This pathology is characterized by neck pain, headache, nausea, vomiting, ear pain, balance issues, and problems concentrating. | What is cervicogenic dizziness? |
| This reflex Creates eye movement for vision during movement and creates gaze stability while contributing to overall equilibrium. | What is the VOR? Vestibular-0cular reflex |
| This reflex Creates compensatory movements for postural stability throughout the body which is important for preventing falls and is Controlled by mainly the lateral vestibular nucleus (with some medial vestibular nucleus). | What is the VSR? Vestibulospinal reflex |
| This reflex Creates head and neck postural stability-The medial and inferior vestibular nuclei project their fibers via the medial vestibulospinal tract. This tract terminates within the cervical spinal cord, adjusting the posture of the head and neck. | What is the Vestibulocolic reflex? |
| This test is the gold standard for diagnosis of bilateral vestibular hypofunction. | What is Rotational chair testing? |
| This category of medication when stopped often results in dizziness. Celexa and Prozac to name a few. | What are anti-depressants? |
| This test is the gold standard for identification of peripheral unilateral vestibular hypofunction. | What is Caloric testing (electronystagmography or infrared video nystagmography)? |
| This term is often used to describe dizziness by visual instability with head movement where objects appear to be moving when they are stationary . | What is oscillopsia? |
| This is the cardinal sign of vestibular impairment. | What is nystagmus? |
| During the head thrust or head impulse test, your patient's eyes are dragged off the target when the head turned right followed by eye movements back to the target. There was no retinal slippage when tested to the left. This indicates what? | What is abnormal VOR function-hypofunction unilateral R |
| The Romberg, tandem gait, and Fukuda stepping tests all give us information about what reflex? | What is the Vestibulospinal reflex? |
Created by:
metz
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