Therapeutic Approaches with Gyrostim

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Questions and Answers

What does the acronym 'A1' in the custom protocol nomenclature represent?

Angle of 1 degree

Altitude of 1 meter

Acceleration of 1 second (correct)

Amplitude of 1 unit

Which aspect should NOT be monitored between repetitions of the protocol?

Heart rate (HR)

Sweatiness of palms

Duration of the exercise (correct)

Pupil dilation

For patients with ventral striatal gating issues, what benefit does the basic protocol provide?

Combination of head-eye integration and multiple VOR cancellations (correct)

Enhanced coordination without head-eye integration

Increased visual acuity only

Reduction of head movement exclusively

What is the recommended starting speed for non-inverted protocols for anxious patients?

2 RPM Signup and view all the answers

What should practitioners primarily consider before and after conducting spins with the patients?

Patient's well-being and signs of fatigue Signup and view all the answers

Which of the following is NOT a focus of the basic protocol?

Blindfold exercises Signup and view all the answers

What is the main purpose of yaw exercises?

To enhance gaze stability and address ocular impersistence Signup and view all the answers

Which position should the eyes be in during pitch exercises?

Eyes fixated on a target directly in front with head still Signup and view all the answers

What type of stimulation does 'velocity storage' involve?

Constant velocity spinning without acceleration Signup and view all the answers

Which statement correctly describes the purpose of VOR exercises?

To increase gain in vestibular-ocular reflex testing Signup and view all the answers

When performing velocity storage stimulation, what should patients initially focus on?

A dot in their chair for gentle stimulation Signup and view all the answers

What is recommended to do if a patient can tolerate stimulation during exercises?

Try without fixation for advanced practice Signup and view all the answers

How should yaw exercises be utilized in relation to other training sets?

As a warm-up or light stimulation in between sets Signup and view all the answers

What does the anterior canal vertical system allow in relation to paired eye movements?

It coordinates the direction of paired eye movements Signup and view all the answers

What is one of the initial steps to turn on the Gyrostim machine?

Turn on the switch on the bottom left of the Gyrostim Signup and view all the answers

Which adjustment is necessary for the patient's feet when getting them ready for the Gyrostim?

Feet should be together and against the back rest Signup and view all the answers

What is the purpose of the OPK stimulation in therapy with Gyrostim?

To stimulate the eye muscles Signup and view all the answers

Which step is essential for shutting down the Gyrostim after a session?

Set up the Gyrostim as though ready to run Signup and view all the answers

When preparing to use the Gyrostim program, which action should be taken first?

Select an existing patient from the database Signup and view all the answers

Which adjustment is NOT required when getting a patient into the Gyrostim?

Counting the weight of the patient Signup and view all the answers

What is the correct sequence of actions immediately after turning on the Gyrostim?

Calibrate the system and adjust the chair Signup and view all the answers

Which of the following is NOT part of the patient's harnessing process?

Putting the head strap on Signup and view all the answers

Study Notes

Gyrostim Overview

Gyrostim is a therapy that focuses on stimulation to build metabolic capacity and exercise tissue through integration.
Personalize therapy goals according to patient tolerance and desired outcomes.
Consider the type of stimulation needed: OPK changes, facilitation of eye muscle response, and whether to prioritize slow or fast phases.

Turning On Gyrostim

Activate the power switch and start the computer; press the green button on the control panel.
Launch Gyrostim software and select "Calibrate" to center the chair.

Patient Setup

Ensure all straps are loosened and positioned for easy access; use steps to assist patient entry.
Fit the 5-point harness, lap belt, and feet belt snugly while adjusting shoulder strap height.
Position foot rest for optimal knee alignment and secure feet against backrest; close the chamber door before operation.

Turning Off Gyrostim

Navigate to the main tab to shut down the program and computer; prepare the device for the next session.
Ensure all safety harnesses are correctly positioned and steps are lowered before switching off the Gyrostim.

Using the Program

Create or select patient profiles within the "Subject Information" tab.
For new profiles, input patient details: last name, first name, gender, birthdate, dominant hand.
Access standard protocols via "RUN Gyrostim" or custom settings with "RUN Custom."

Nomenclature in Custom Protocols

Follow specific naming conventions for proper protocol application (e.g., VS LA 5 RPM A1 D1 R1).
- "Velocity Storage" indicates the focus on a canal with specified RPM, acceleration/deceleration, and rotation levels.

Key Guidelines for Use

Monitor patient well-being throughout the session; assess heart rate, sweating, pupil response, and fatigue levels.
Utilize breaks for neural priming; encourage complex movements and targeted eye exercises during therapy.
Sessions typically last 10-20 minutes, so timely scheduling is crucial.

Basic Protocol Application

Designed for patients exhibiting ventral striatal gating issues, including various neurological and psychological conditions.
Enhances head-eye integration and proper vestibulo-ocular reflex (VOR) functionality.
General goals: Provide visual/vestibular stimulation, enhance reaction times, and boost cognitive abilities.

Sinusoidal and Velocity Storage Protocols

Sinusoidal movements focus on isolating visual/vestibular inputs while minimizing cervical spine interference.
Velocity Storage emphasizes constant velocity rotations to stimulate paired eye movements beneficial for rehabilitation.
- Position patients with eyes fixed on a target during both processes; enhance tolerance gradually.

VOR Application

VOR includes acceleration and deceleration without maintaining constant speed, targeting specific eye movement issues.
Position patients similarly to other protocols, encouraging their eyes to stay fixed on targets and eventually progressing without fixation.

Additional Tips

Adjust therapy based on patient comfort and progress; always start slow and decrease fixation as tolerated.
Engage patients by incorporating cognitive tasks (e.g., verbal challenges) to foster excitement and participation.

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Description

This quiz explores the therapeutic applications of Gyrostim in building metabolic capacity and tissue stimulation. It focuses on understanding patient needs, therapy goals, and the nature of stimulation required for optimal responses. Test your knowledge on how to effectively integrate Gyrostim in therapeutic settings.