Archives

Strategies for Decreasing Visual Vertigo in Patients with Visual Motion Sensitivity, Post-Concussion Syndrome, PPPD, and More!

January 19, 2022 by Megan Berg.
Visual vertigo occurs when a patient feels off-balance, nauseous, or dizzy when viewing a visually busy environment. This can occur when a patient is driving or riding transportation, viewing a grocery store aisle, or even looking at a striped shirt worn by a co-worker. The causes of visual vertigo can vary, so in this course, […]
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Validity and Responsiveness of the Visual Vertigo Analogue Scale (2019)

January 17, 2022 by Megan Berg.
Visual vertigo is a symptom associated with a variety of conditions that causes feelings of dizziness that occur in dynamic visual environments. These environments can include busy streets, shopping malls, or watching action films. Specifically, those who have high reliance on their visual field can be more prone to having visual vertigo. Visual vertigo is […]
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Does Exercise Increase Vestibular and Ocular Motor Symptom Detection After Sport-Related Concussion? (2021)

January 17, 2022 by Megan Berg.
The Vestibular/Ocular Motor Screening (VOMS) is an outcome measure commonly used for individuals after concussion. The VOMS uses eye movement and body movement to detect symptoms related to dizziness, fogginess, headache, and nausea. Normally the test is performed at rest for a patient after concussion. The researchers in this article suggested that because many individuals […]
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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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