Vestibular rehabilitation - acpin

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Outcome measures Subjective: Dizziness Handicap Index (DHI) <strong>Vestibular</strong> Disorders of Daily Living Scale (VADL) (Cohen 2000) Vertigo Symptom Scale VSS (Yardley et al 1992) VAS (Visual Analogue Scales) Functional: Timed Get Up and Go Berg Balance Timed Ten Metre Walk Dynamic Gait Index VOR Dynamic Visual Acuity (DVA) Sensory Integration (mCTSIB) (Modified Clinical Test of Sensory Integration of Balance (Wrisley et al 2004, Whitney et al 2004)) Motion Sensitivity / Movement Triggers MST (Motion Sensitivity Test (Akin and Davenport 2003)
Physiotherapy Treatment Aim to Reduce dizziness Improve gaze stability Improve postural stability Improve functional abilities By encouraging compensation, whereby symptoms progressively lessen, by a variety of mechanisms Spontaneous Adaptation (neural plasticity) – enhancing VOR and VSR so less input is required Substitution, prediction and other cognitive strategies (Herdman 1994). Compensation through Habituation
Page 1 and 2: Anne Rodger ACPIN Conference an
Page 3 and 4: Dynamic systems framework postur
Page 5 and 6: Ves$bular system Website for this
Page 7 and 8: ? How much of a problem is
Page 9 and 10: MS - A central or peripheral
Page 12 and 13: What is Ves$bular Rehabilita$on
Page 14 and 15: Objec$ve assessment Visual: Ob
Page 18 and 19: Mechanisms of recovery Spontaneo
Page 20 and 21: Adapta$on exercises Aim to inc
Page 22 and 23: Subs$tu$on Con$nued Performance
Page 24 and 25: Habitua$on exercises Tailoring
Page 26 and 27: Summary Vestibular dysfunction
Page 28 and 29: References Bhattacharyya, N; Ba
Page 30 and 31: References 3 Karatas, M (2008)

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