Vestibular Rehabilitation Therapy

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Vestibular Rehabilitation Therapy

Question 1:

T/F: BPPV is the most common vestibular condition.

A) True

B) False

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Vestibular Rehabilitation Therapy

Question 2:

Which statement about the vestibular apparatus is true?

A) The semicircular canals and the otolith detect angular acceleration

B) The semicircular canals and the otolith detect linear acceleration.

C) The semi-circular canals detect angular acceleration and the otolith detects linear acceleration.

D) The semicircular canals detect linear acceleration and the otolith detects angular acceleration.

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Vestibular Rehabilitation Therapy

Question 3:

T/F: There are two semicircular canals and three parts of the otolith

A) True

B) False (There are THREE semicircular canals and TWO parts of the otolith (utricle and saccule).

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Vestibular Rehabilitation Therapy

Question 4:

The following systems all contribute to balance:

A) Vestibular system

B) Visual system

C) Somatosensory system

D) All of the above

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Vestibular Rehabilitation Therapy

Question 5:

Awareness of the body in space through joint position sense and joint motion sense is called:

A) Proprioception

B) Nociception

C) Thermoception

D) Interoception

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Vestibular Rehabilitation Therapy

Question 6:

Brief and intense episodes of abnormal spinning sensation triggered by specific changes in head position relative to gravity best describes which vestibular condition:

A) Vestibular Neuritis

B) BPPV (Benign Positional Paroxysmal Vertigo)

C) Cervicogenic Dizziness

D) Labyrinthitis

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Vestibular Rehabilitation Therapy

Question 7:

T/F: BPPV is caused by calcium crystals coming loose in the inner ear and stimulating nerve endings, which send false information to the brain about rotational movement of the body.

A) True

B) False

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Vestibular Rehabilitation Therapy

Question 8:

The following best describe which condition: Combination of imbalance, unsteadiness, disorientation, neck pain, limited cervical range of motion, and possibly headache, which arise from the cervical spine. Vertigo is common but not always present, and is elicited by a consistent position or movement of the neck regardless of gravity.

A) Vestibular Neuritis

B) BPPV (Benign Positional Paroxysmal Vertigo)

C) Cervicogenic Dizziness

D) Labyrinthitis

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Vestibular Rehabilitation Therapy

Question 9:

The following symptoms are not serious and can be ignored: Double vision, slurred speech, difficulty swallowing, numbness, tingling and weakness, and loss of consciousness.

A) True

B) False (These are all symptoms of neurological condition that require immediate referral to primary care physician or emergency department).

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Vestibular Rehabilitation Therapy

Question 10:

Vertigo is defined as:

A) Lightheadedness

B) Disequilibrium

C) False sense of spinning

D) Leaning to one side

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Vestibular Rehabilitation Therapy

Question 11:

Vestibular conditions may produce the following symptoms except:

A) Motion disturbance that is rotational, linear or non-directional.

B) Difficulty processing changes in motion of the self or something external in the environment.

C) Peripheral vestibular dysfunction is associated with ‘depersonalization’ and ‘derealization’ (DPDR).

D) Lightheadedness when standing up from a seated position.

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Vestibular Rehabilitation Therapy

Question 12:

The canal most commonly involved in BPPV is:

A) Posterior

B) Anterior

C) Horizontal

D) All three canals

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Vestibular Rehabilitation Therapy

Question 13:

The Dix-Hallpike Test, Roll Test, Epley Maneuver and BBQ Roll are used to test and treat the follow condition:

A) Vestibular Neuritis

B) BPPV (Benign Positional Paroxysmal Vertigo)

C) Cervicogenic Dizziness

D) Labyrinthitis

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Vestibular Rehabilitation Therapy

Question 14:

T/F: Meclizine, a vestibular suppressant medicine often prescribed for acute vertigo, inhibits response to vestibular rehabilitation when used long-term.

A) True

B) False

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Vestibular Rehabilitation Therapy

Question 15:

The ultimate goal of vestibular rehabilitation is to restore the best possible balance in signals from the left and right inner ear to create a synchronized impression about movement through the following processes:

A) Adaptation

B) Habituation

C) Substitution

D) All of the above

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Vestibular Rehabilitation Therapy

Question 16:

The following statement about vestibular rehabilitation is NOT true:

A) Substitution is the process of using visual and somatosensory input to substitute for weak vestibular function.

B) Habituation is the process of decreasing the body’s response to stimulation.

C) Adaptation is as way to strengthen the entire vestibular system by restoring normal function of the Vestibulo-Ocular Reflex (VOR).

D) Desensitization occurs by completely avoiding the movements and activities that cause symptoms

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Vestibular Rehabilitation Therapy

Question 17:

Examples of vestibular rehabilitation exercises include:

A) Gaze stabilization

B) Head turns and nods

C) Near and far targets

D) All of the above

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Vestibular Rehabilitation Therapy

Question 18:

It typically takes about ______ weeks of daily vestibular rehabilitation therapy (VRT) to start noticing improvement.

A) One week

B) Three weeks

C) Six weeks

D) Ten weeks

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Vestibular Rehabilitation Therapy

Question 19:

Vestibular Rehabilitation stimulates the vestibular system and provokes symptoms temporarily during the exercises. All of the following statements are accurate and help to explain this to clients except:

A) This is a normal and expected part of the recovery process.

B) Exercises must be performed as prescribed, even if daily function decreases due to increased symptoms.

C) Although it feels uncomfortable, it is not a sign of a worsening condition.

D) Symptoms should be manageable and tolerable, not overwhelming.

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Vestibular Rehabilitation Therapy

Question 20:

T/F Before providing manual therapy, it is important to complete a basic cervical spine assessment, which includes posture, neck range of motion, joint mobility and palpation, soft tissue palpation.

A) True

B) False

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Vestibular Rehabilitation Therapy

Question 21:

Manual therapy is the primary intervention for the following vestibular condition:

A) Vestibular Neuritis

B) BPPV (Benign Positional Paroxysmal Vertigo)

C) Cervicogenic

D) Dizziness Labyrinthitis

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Vestibular Rehabilitation Therapy

Question 22:

Manual therapy addresses the following except:

A) Loose calcium crystals in the semicircular canals

B) Myofascial tightness in suboccipital muscles

C) Joint dysfunction in the vertebra of the cervical spine

D) Muscular tension in the entire cervical spine region due to compensatory rigid posture

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Vestibular Rehabilitation Therapy

Question 23:

T/F Manual therapy in the cervical spine is most effective and best tolerated when performed with deep pressure.

A) True

B) False (Gentle manual techniques with light pressure is most effective and best tolerated due to guarding and anxiety that is common with vestibular conditions).

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Vestibular Rehabilitation Therapy

Question 24:

Myofascial release and trigger point release for cervicogenic dizziness should be performed on the following soft tissues:

A) Suboccipitals and SCM

B) Upper trapezius and levator scapulae

C) Pectorals

D) All of above might be indicated depending on client presentation

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Vestibular Rehabilitation Therapy

Question 25:

The following statement applies when providing manual therapy:

A) Breathwork and guidance for intentional release improve results.

B) Treatment should focus on only one area or one muscle.

C) For best results, the client should report moderate to severe pain.

D) It is important to perform the techniques exactly the same with every client.

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Vestibular Rehabilitation Therapy

Question 26:

Reasons for choosing to perform manual therapy in the cervical spine with the client in a seated position include all of the following except:

A) Better grounding effects in a vertical position

B) Better results when the client reports most symptoms while sitting and standing

C) Better results when the client reports most symptoms at night

D) More functional position for daily life

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Vestibular Rehabilitation Therapy

Question 27:

The joint mobilization technique demonstrated in the videos focused on which direction of motion in the cervical spine at the atlanto-occipital joint (OA joint, C0-C1):

A) Distraction/Flexion

B) Extension

C) Rotation

D) Lateral flexion

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Vestibular Rehabilitation Therapy

Question 28:

The joint mobilization technique demonstrated in the videos focused on which direction of motion in the cervical
spine from C1-C7:

A) Distraction/Flexion

B) Extension

C) Rotation

D) Lateral flexion

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Vestibular Rehabilitation Therapy

Question 29:

T/F The specific techniques demonstrated in the videos are the only manual therapy techniques effective in
treating vestibular conditions

A) True

B) False (Acupressure, reflexology, effleurage and petrissage for relaxation, and other techniques that are deemed to be appropriate and helpful).

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Vestibular Rehabilitation Therapy

Question 30:

The following statement regarding treatment for vestibular conditions is true:

A) Treatment should only include conventional, western medicine interventions

B) People with vestibular conditions would not benefit from fitness and balance programs such as Pilates, tai chi or Qi gong.

C) Adjunctive natural therapy might be helpful, including mental health, nutrition and acupuncture.

D) Compassion, reassurance and encouragement are not important when working with individuals who are experiencing vestibular dysfunction.

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