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Applied Science Knowledge for Vestibular RehabilitationFamiliarity with symptoms of vestibular disorders: vertigo and oscillopsia, balance deficits, path integration impairments, autonomic signs, cognitive problems, psychosocial problems, hearing loss, and auditory/perceptual illusions on rare occasions Familiarity with principles of objective diagnostic tests: low-frequency sinusoidal tests of the vestibuloocular reflex, bithermal caloric tests, vestibular-evoked myogenic potentials, Dix-Hallpike and side-lying tests, and computerized dynamic posturography.

At the entry level, occupational therapists and occupational therapy assistants are familiar with the location of the vestibular labyrinth and know that the symptoms of vestibular disorders include vertigo, poor balance, and fear of falling. Washington Post Weekly Journal of Medicine, Science and Society, November 1990. These problems may result in fear of falling.

February 2004. Occupational therapy in vestibular rehabilitation. org. See Appendices 3–8 for specific examples of how vestibular impairments impact performance in occupation (AOTA, 2002). Therefore, rehabilitation of most individuals with vestibular impairments requires skills beyond entry-level competence. The occupational therapy practitioner who works in this specialty must be familiar with the evaluation skills in Appendix 9 and the intervention skills in Appendix 10.

The use of mime therapy as a rehabilitation method for patients with facial nerve paresis. She has years of clinical experience in various physical rehabilitation, education and administrative settings including the Medical College of Georgia and Emory University Clinic and Facial Nerve Center. We are grateful for the opportunity to have served your medical needs.

Post-Concussion Syndrome and Vestibular Involvement, Journal of the Medical Association of Atlanta, 89:6. In his 1946 paper, Cooksey indicated that purposeful activity should be incorporated into the daily exercise program for these patients. Clients who receive vestibular rehabilitation have specific medical conditions that can be demonstrated with objective diagnostic tests or otherwise medically determined.

Intervention may require specific techniques that focus directly on the vestibular impairment. Appendix 1. Patients with benign paroxysmal positional vertigo are best treated with passive maneuvers of the head that are thought to reposition otoconial particles that have become displaced from one compartment to another.