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Roadmap to Success with Vestibular Rehabilitation

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1.  Gaze stabilization will not improve without: Balance Manual therapy Optokinetic training Head movement

2.  According to clinical practice guidelines for vestibular hypofunction (Hall et al, 2016), the four components of a vestibular rehab program include: Gaze stabilization, habituation, balance and gait training, endurance Balance, strengthening, endurance and head movement Visual background, foam, arm movements, gaze stabilization Vision, vestibular, somatosensory, auditory

3.  The goal of habituation exercises is to: Provoke symptoms of dizziness, nausea and vomiting Reduce behavioral response to repeated exposure to a provocative stimulus Improve balance Improve endurance

4.  Vestibular hypofunction due to unilateral vestibular loss results in all of the following EXCEPT: VOR dysfunction Nystagmus Postural asymmetry Migraine

5.  Function of the vestibulo-ocular reflex for gaze stabilization is assessed with which test? Motion Sensitivity Quotient Dynamic Visual Acuity Dynamic Gait Index Functional Gait Assessment

6.  The theory behind cervicogenic dizziness is: Viral infection of the bony labyrinth Peripheral neuropathy Abnormal cervical afferent input that conflicts with visual and vestibular cues Loss of vision

7.  Dynamic recovery requires: Visual input, head and body movement Balance and cervical spine ROM Manual therapy and vestibular rehabilitation Auditory stimuli and visual stimuli

8.  Gaze stabilization for acute vestibular hypofunction should be performed: 3x/day totaling 12 minutes/day 3x/day, totaling 20 minutes/day 1x/day, totaling 30 minutes/day Every other day

9.  Which of the following can negatively impact rehab outcomes? Age Gender Anxiety Time from onset

10.  Clinical predictors of chronic vestibular hypofunction include all of the following EXCEPT: Anxiety Visual-vestibular conflict Visual dependence Autonomic arousal