VR Assessment for Vertigo and Balance Impairments
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Questions and Answers

What is the gold standard testing for the vestibular system?

  • Caloric testing (correct)
  • Rotatory chair testing
  • Dynamic posturography using force plates
  • Assessing muscle activity in response to stimuli
  • Which technology is used in the assessment of vertigo issues?

  • X-ray machines
  • Frenzel optical goggles (correct)
  • Ultrasound devices
  • MRI scans
  • What does the modified clinical test of sensory integration and balance help understand?

  • How the individual uses their vestibular system only
  • How the individual uses their somatosensory system only
  • How the individual uses their vision only
  • How the individual uses their vision, somatosensory system, and vestibular system (correct)
  • What type of questions are essential in the subjective assessment of vertigo?

    <p>Questions regarding presence or absence of auditory symptoms</p> Signup and view all the answers

    Which type of vertigo origin involves understanding how the individual uses their vision, somatosensory system, and vestibular system?

    <p>Central/non-vestibular origin</p> Signup and view all the answers

    What is gathered in the assessment of vertigo to facilitate clinical reasoning during differential diagnosis?

    <p>Preceding illness or trauma and other symptoms</p> Signup and view all the answers

    What is a key component to include in the subjective assessment of vertigo?

    <p>Assessment of vertigo triggers</p> Signup and view all the answers

    Which outcome measure is recommended for assessing balance confidence in individuals with vertigo?

    <p>Activities-Specific Balance Confidence Scale (ABC scale)</p> Signup and view all the answers

    What is the purpose of assessing for red flags in patients with vertigo?

    <p>To identify potential CNS involvement</p> Signup and view all the answers

    What is the significance of direction-changing nystagmus and skew eye deviation in a patient with vertigo?

    <p>They require immediate neurological assessment</p> Signup and view all the answers

    Which test should be used to assess the Vestibulo-Ocular Reflex (VOR) system in individuals with vertigo?

    <p>Head Impulse Test</p> Signup and view all the answers

    Why is it important to perform HINTS + examination in individuals with acute, unrelenting vertigo?

    <p>To identify potential vertebral basilar artery stroke</p> Signup and view all the answers

    Which type of vertigo is characterized by a 3-5 second delay due to otoconia movement in the canal?

    <p>Cupulolithiasis</p> Signup and view all the answers

    Which assessment involves rotating the patient's head 45 degrees and then moving them into a supine position to check for nystagmus?

    <p>Dix Hallpike test</p> Signup and view all the answers

    In which condition do positional changes worsen symptoms and there is no delay in symptom alleviation upon resting?

    <p>Cupulolithiasis</p> Signup and view all the answers

    Which type of vertigo is more common in elderly or young individuals with TBI?

    <p>Cupulolithiasis</p> Signup and view all the answers

    What can happen during head extension and rotation over the edge of a bed in relation to the vertebral artery?

    <p>Close off one side of the vertebral artery</p> Signup and view all the answers

    What characteristic differentiates cupulolithiasis from BPPV in terms of nystagmus?

    <p>Fatigable nystagmus in cupulolithiasis vs. non-fatigable in BPPV</p> Signup and view all the answers

    What is the most common type of vertigo in adults?

    <p>Benign Paroxysmal Positional Vertigo (BPPV)</p> Signup and view all the answers

    Where are otoconia located for signaling acceleration in linear movement?

    <p>Saccules and utricles</p> Signup and view all the answers

    What happens to otoconia in BPPV?

    <p>They escape and run into the semicircular canals</p> Signup and view all the answers

    Which type of BPPV involves displacement of otoconia in the canals?

    <p>Canalithiasis</p> Signup and view all the answers

    What occurs during canalithiasis vertigo?

    <p>Severe vertigo when moving in the plane of the semicircular canal</p> Signup and view all the answers

    What is used for videonystagmography during BPPV assessment?

    <p>Goggles with built-in camera</p> Signup and view all the answers

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