Peripheral Vestibular Hypofunction

PVH CPG: Vestibular rehab is beneficial for vestibular hypofunction that is acute/subacute/chronic or unilateral/bilateral.

• True

• False

PVH CPG: Saccades and smooth pursuit should be normal in PVH.

• True

• False

PVH CPG: Long term use of vestibular supplements will improve outcomes of PVH.

• True

• False

PVH CPG: Gaze stability exercises for ACUTE/SUBACUTE PVH should last AT LEAST

• 12min/day for 2-3 weeks

• 20min/day for 4-6 weeks

• 40minday for 5-7 weeks

Answer explanation

CHRONIC UNILATERAL PVH - 20min/day for 4-6 weeks

BILATERAL PVH - 20-40min/day for 5-7 weeks

PVH CPG: Balance training, both static & dynamic balance, for CHRONIC UNILATERAL PVH should be dosed for

• 20min/day for 4-6 weeks

• 20min/day for 6-9 weeks

• 10min/day for 4-6 weeks

• 30min/day for 6-9 weeks

Answer explanation

BILATERAL PVH - balance training for a minimum of 6-9 weeks

The most common cause of peripheral vestibular hypofunction (PVH) is

• trauma

• vestibular neuritis

• Meniere's disease

• stroke

• BPPV

Caloric irrigation is a process where water, either warm or cold, is blown into the ear to create nystagmus. A positive cold water test on a patient with PVH will have a ___ beating nystagmus to the affected ear.

• contralateral

• ipsilateral

• bilateral

Answer explanation

cold water = opposite beating nystagmus; cold water in R ear means L nystagmus

warm water = same side beating nystagmus; warm water in R ear means R nystagmus

Which pair will have the BEST rehab potential for UVH?

• 67 y/o female

• 22 y/o female

• 27 y/o male

• 70 y/o male

• age and gender do not matter

The primary approach of managing pt's w/ UVH is pharmacology-based.

• True

• False

Answer explanation

It is exercise-based

Gold stand for diagnosing UVH is

• ENG - electronystagmography

• VNG - video nystagmography

• caloric irrigation