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Dissertation
The Complexity and Interrelatedness of Vestibular Disorder Diagnoses: A Case Report
University of Iowa
Doctor of Physical Therapy (DPT) , University of Iowa
Summer 2020
Abstract
p> <strong>Background:</strong> Dizziness is a symptom of various vestibular disorders that can be treated with evidence-based physical therapy interventions. Different vestibular disorders are closely related and may demonstrate some overlap thus complicating the selection of the most effective course of treatment. The purpose of this case report is to highlight the evolving symptom presentation during rehabilitation of a patient with overlapping vestibular disorders. <strong>Case Description:</strong> A 67-year-old female presented to physical therapy referred by an otolaryngologist after experiencing symptoms of room spinning dizziness, losses of balance, and nausea. Examination throughout the course of her care revealed multiple vestibular disorders which required implementation of diagnosis-driven treatment to most effectively address the patient's symptoms and quality of life. <strong>Intervention:</strong> Canalith respositioning treatments, gaze stabilization training, static and dynamic postural stabilization balance training, manual cervical spine techniques, cervical spine strengthening and stabilization exercises, and multidisciplinary collaboration were used to manage this patient's evolving symptoms. <strong>Outcomes:</strong> Positional testing for benign paroxysmal positional vertigo (BPPV), Modified Clinical Test of Sensory Interaction on Balance (Modified CTSIB), and the Functional Gait Assessment were used to assess vestibular symptoms and balance. The Visual Analog Scale and cervical spine goniometric measurements were used to assess cervical spine pain and mobility. <strong>Discussion:</strong> This case is an example of nuance between multiple vestibular disorders and how their corresponding symptoms may occur more frequently than previously thought. It is important to consider the possibility of multiple vestibular diagnoses occurring simultaneously. Emphasis should be placed on more effective referral recommendations, improved recognition of red flags and more serious pathologies, as well as the possibility of multiple vestibular diagnoses to result in improved patient care, outcomes, and quality of life.</p>
Details
- Title: Subtitle
- The Complexity and Interrelatedness of Vestibular Disorder Diagnoses: A Case Report
- Creators
- Kathryn Sheehy - University of Iowa
- Contributors
- Laura Frey Law (Advisor)Michael Petrie (Advisor)
- Resource Type
- Dissertation
- Project Type
- Case Report
- Degree Awarded
- Doctor of Physical Therapy (DPT) , University of Iowa
- Degree in
- Physical Therapy & Rehabilitation Science
- Date degree season
- Summer 2020
- Publisher
- University of Iowa
- Number of pages
- 10 pages
- Copyright
- Copyright © 2020 Kathryn Sheehy
- Language
- English
- Academic Unit
- Doctor of Physical Therapy Case Reports
- Record Identifier
- 9984201417502771
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