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Volume 8 Journal of Novel Physiotherapies Physiotherapy Meet 2018
November 12-13, 2018
November 12-13, 2018 Dubai, UAE
6th World Congress on
Physiotherapy and Rehabilitation
Examination protocol in a dizzy patient
Sandeep Sharma
Rehabilitation Society of Physical Therapists, India
Apractical easy to do examination protocol while approaching a patient of vertigo to clarify – Type of Dizziness. Dizziness is a
term to describe a number of different sensations, especially uncertainty of a position or motion. Dizziness is derived from
"Dysig" meaning stupid. Dizziness is categorized into 5 types: Vertigo, disequilibrium, lightheadedness, floating (psychogenic)
and motion sickness and is illusion of motion or spinning sensation. Vertigo is of two types: Subjective in which person feels the
motion and Objective in which surroundings revolve and patient sees the motion. Imbalance is wobbling on your feet-loss of
balance without abnormal sensation. Patient usually complains of feeling of unsteadiness/imbalance when standing/walking/
turning –increased by uneven ground or turning. Fainting (Blackouts/ Presyncope ) Usually due to cardiovascular e.g Postural
Hypotension , Metabolic e.g. Hypoglycemia .Light headedness – Vague symptoms due to psychological cause, multisensory
deficit etc. Motion Sickness – This is a mismatch between the visual and vestibular system. Commonly occurs with cars, boats
and aero planes etc. When a patient approaches to vertigo clinic, for assessment First and foremost is to understand what
patient means by dizziness-whether it is true vertigo or dizziness, type of Vertigo-- Central or Peripheral, then start ruling out
the causes of dizziness and vertigo with special emphasis on examination of Vestibulo-occular and Vestibulospinal reflexes –
their relevance and their usefulness.
Biography
Sandeep Sharma has completed his MS in ENT from Baba Farid University of Health Sciences in India. He is the President of Institute of Vestibular Rehabilitation.
Sandeep Sharma, J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C3-029