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Vestibular Rehabilitation Techniques Flashcards

7 cards from real CVT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. Which technique involves moving the patient from sitting to side-lying and is used to treat posterior semicircular canal BPPV?

    Answer: Semont maneuver

    The Semont (liberatory) maneuver moves the patient rapidly from sitting to side-lying to dislodge debris from the posterior semicircular canal.

  2. During gaze stabilization exercises, a patient tracks a target while moving the head. What is the primary goal of this VOR x1 exercise?

    Answer: Enhance VOR gain to maintain stable gaze during head movement

    VOR x1 exercises aim to increase VOR gain so the eyes move equally and opposite to head movement, stabilizing the visual image.

  3. A patient with bilateral vestibular hypofunction is BEST served by which rehabilitation approach?

    Answer: Substitution and habituation strategies using visual and somatosensory cues

    Bilateral vestibular hypofunction cannot be restored via repositioning; therapy focuses on substitution with alternative sensory systems and habituation.

  4. Which outcome measure assesses dynamic balance by requiring patients to walk while turning their head horizontally?

    Answer: Dynamic Gait Index (DGI)

    The Dynamic Gait Index includes a task of walking with horizontal head turns, directly challenging vestibulo-spinal reflexes during locomotion.

  5. What is the primary mechanism behind habituation exercises for vestibular disorders?

    Answer: Repeated exposure to provocative movements to reduce CNS sensitivity to the stimulus

    Habituation relies on neuroplasticity: repeated exposure to a provocative stimulus gradually reduces the symptomatic response over time.

  6. In the Lempert (BBQ) roll maneuver, the patient rolls through which sequence of positions to treat horizontal canal BPPV?

    Answer: Supine → affected side → prone → unaffected side → sitting

    The Lempert roll uses sequential 90° rolls from supine through affected side, prone, and unaffected side to move canalith debris out of the horizontal canal.

  7. Which sensory condition on the Sensory Organization Test (SOT) isolates somatosensory input by removing visual and accurate vestibular cues?

    Answer: Condition 3

    SOT Condition 3 removes vision (eyes closed) and sways the support surface, leaving somatosensory as the primary reliable input for balance.