Physical Medicine Rehabilitation

Vestibular function: evaluation and treatment by Alan L. Desmond

By Alan L. Desmond

Multiple etiologies and a scarcity of scientific facts either give a contribution to the demanding situations of diagnosing and treating dizziness and stability problems. those health-related proceedings are universal one of the quickest growing to be age team (75+). this article presents a dynamic advent to stability issues and is the 1st of its type to discover the medical, clinical, and monetary calls for of the sector. Key gains: -Covers the complete variety of exam strategies to extend your scope of remedies -Provides an outline of the entire scientific basics: anatomy, body structure, checking out, and interpretation -Basic layout designed for newcomers and scholars; it's ideal as a direction booklet -Offers an target evaluation of the reason and cost-effectiveness of beginning a vestibular laboratory -Unique assurance of the company elements, resembling useful apparatus, the place to shop for it, and the way to construct a winning and ecocnomic perform The reason and impression of vestibular and stability problems expand right into a huge variety of specialities, making right remedy extra correct and important than ever. hugely educational and thorough, this booklet deals a whole review of the sector and is a realistic hands-on consultant for newbies, in addition to an invaluable reference for audiologists, otolaryngologists, actual therapists, and neurologists.

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Vestibular function: evaluation and treatment

A number of etiologies and an absence of medical proof either give a contribution to the demanding situations of diagnosing and treating dizziness and stability problems. those health-related lawsuits are universal one of the quickest growing to be age team (75+). this article offers a dynamic creation to stability problems and is the 1st of its variety to discover the medical, medical, and financial calls for of the sector.

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New York: Oxford University Press. , & Munjack, D. (1994). Autorotation test abnormalities of the horizontal and vertical vestibulo-ocular reflex in panic disorder. Arch Otolaryngol Head Neck Surg , 110 , 259 Á/269. , Harris, M. , Baloh, R. , & Fisher, L. M. (1996). Quantitative evaluation of dizziness characteristics and impact on quality of life. Am J Otol , 17 (4), 95 Á/102. Jacob, R. G. (1988). Panic disorder and the vestibular system. Psychiatr Clin North Am, 11 (2), 361 Á/374. Jacob, R. G.

Mangelsdorff, A. D. (1990). The prevalence of symptoms in medical outpatients and the adequacy of therapy. Arch Intern Med, 150 , 1685 Á/1689. , & Einstadter, D. (2000). How common are various causes of dizziness? South Med J , 93 (2), 160 Á/167. , & Herbers, J. (1994). One-year outcome for patients with a chief complaint of dizziness. J Gen Intern Med , 9 , 684 Á/689. , et al. (1992). Causes of persistent dizziness: a prospective study of 100 patients in ambulatory care. Ann Intern Med , 17 (11), 898 Á/904.

A gradual decline in visual acuity is noted as visual images move across the retina at increasing speeds. No significant decrease is noted when images move across the retina at speeds of two to three degrees per second, but at four to five degrees per second and above, gaze stability and visual acuity are compromised (Demer, Honrubia, & Baloh, 1994; Leigh & Zee, 1991). Gaze stability may be defined as the ability to maintain foveal vision during head movements. When retinal slip occurs and visual acuity is compromised, a sensory conflict between perceived visual, vestibular, and somatosensory information can occur.

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