Archives

Once-Daily Incremental Vestibular-Ocular Reflex Adaptation Training in Patients With Chronic Peripheral Vestibular Hypofunction: A 1-Week Randomized Controlled Study (2021)

January 17, 2022 by Megan Berg.
Researchers recruited 24 individuals who were diagnosed by a neurologist with vestibular hypofunction. The subjects were between 18 and 85 years old, had stable hypofunction for greater than 6 months, and had multiple assessments via the head impulse test. Subjects did not have BPPV, Meniere’s disease, migraines, seizures, motion sickness, or significant cervical range of […]
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Agreement Between Physical Therapists in Diagnosing Benign Paroxysmal Positional Vertigo (2021)

January 17, 2022 by Megan Berg.
Benign paroxysmal positional vertigo (BPPV) is a common vestibular problem. In fact 2.4% of all people will have BPPV at some point in their lives. The condition is associated with dizziness that occurs with position changes. The pathology is specifically associated with the semicircular canals or the cupula of the vestibular organ. The canals involved […]
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Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline (2016)

January 17, 2022 by Megan Berg.
The Clinical Practice Guideline (CPG) is a systematic review of 5 databases. 135 articles were identified as relevant and were included in the CPG. Articles included Meta analyses, systematic reviews, Randomized controlled trials, cohort studies, case control series. Action statements are provided and were classified as either strong or moderate evidence. Vestibular rehabilitation should be […]
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Modifications of the Epley (Canalith Repositioning) Maneuver for Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) (2012)

January 17, 2022 by Megan Berg.
The study design included two researchers who independently selected studies with a third to resolve any disagreement about study inclusion. Articles were selected from multiple databases and evaluated with standardized forms to determine risk of bias. The systematic review includes 11 trials with 855 participants. Nine of the trials included post-Epley postural restriction and two […]
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Vestibular Hypofunction

January 10, 2022 by Megan Berg.
This handout describes vestibular hypofunction and provides some insight about what to expect and what to do next.
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Vestibular Neuritis

January 10, 2022 by Megan Berg.
Do you have a patient with vestibular neuritis? This document will help explain the diagnosis and detail what to expect. The document is helpful for patients, caregivers, and clinicians.
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Teaching Safe Balance Strategies

January 9, 2022 by Megan Berg.
This handout describes safe balance strategies that therapists can use to educate and train clients to improve safety with daily activities and prevent falls.
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Orthostatic Hypotension

January 1, 2022 by Megan Berg.
This handout provides patients with information on orthostatic hypotension and encourages them to speak with their OT and physician for education on conservative management. 
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Navigating Stairs With an Assistive Device

December 30, 2021 by Megan Berg.
Do you have a patient needing to discharge home with a walker or crutches? Does that same patient have to navigate stairs or a curb cut? This document outlines the safe ascending and descending navigation of steps
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