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.
Read the first 7 Vestibular Rehabilitation Techniques flashcards as text
Which maneuver is indicated for ANTERIOR semicircular canal BPPV?
Answer: Deep head-hanging (Yacovino) maneuver
The Yacovino (deep head-hanging) maneuver is used for anterior canal BPPV, bringing the head past the horizontal to move debris out of the anterior canal.
When using the Dizziness Handicap Inventory (DHI) in CVT practice, what does a score reduction of ≥18 points indicate?
Answer: Minimal detectable change representing a clinically meaningful improvement
A DHI score change of ≥18 points exceeds the minimal detectable change (MDC), indicating a real and clinically significant improvement beyond measurement error.
Which exercise is MOST appropriate to improve postural stability in a patient who over-relies on vision for balance (visual dependence)?
Answer: Standing on foam with eyes closed to reduce visual and somatosensory input
Removing vision while standing on foam forces the patient to use vestibular inputs and reduces maladaptive reliance on visual cues for postural control.
A CVT is treating a patient post-acoustic neuroma resection. Which rehabilitation goal is MOST realistic in the long term?
Answer: Central compensation allowing near-normal dynamic balance and gaze stability
After nerve resection the peripheral deficit is permanent, but robust central compensation can restore functional gaze stability and balance in most patients.
Which grading system is commonly used to document nystagmus intensity in the clinical setting?
Answer: Alexander's Law classification
Alexander's Law describes how nystagmus intensity increases when gaze is directed toward the fast phase, and its classification is used to grade nystagmus severity clinically.
What is the recommended position for the head during the Epley maneuver after the patient is returned to the upright position at the end of the procedure?
Answer: Head in neutral, slightly chin-tucked position
After completing the Epley maneuver, the head is returned to neutral with a slight chin tuck to prevent debris from re-entering the canal.
Which is the MOST important safety consideration before beginning vestibular rehabilitation exercises in an elderly patient?
Answer: Assessing fall risk and ensuring a safe exercise environment with appropriate guarding
Elderly vestibular patients are at high fall risk; thorough fall risk assessment and implementation of safe guarding strategies must precede exercise prescription.