You are now tuning in to the MPTE Clinical Files to mock MPTE-based questions told and solved

week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT

PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching

Program. And if you would like a free cheat sheet that goes along with this specific

question, tune in to the end of this episode. And I'm going to give you more information on how to

get that. All right. So for our next MPT clinical file, we have our patient, Jen. And Jen presents

to physical therapy with a referral to evaluate and treat bilateral vestibular hypofunction.

The patient's chief complaint is frequent falls and feelings of unsteadiness.

The best intervention to treat this condition is, so we have A, perform the Epley's maneuver

bilaterally, B, gay stabilization training, C, repeatedly placed

the patient in a symptom provoking position, and D is to perform the clinical test of sensory

interaction on balance, also known as the CTSIB. All right, so let's go up to the top here. Jim presents physical

therapy, has this referral to evaluate and treat bilateral vestibular hypofunction. All right.

So this is one of those vestibular pathologies where you got to slow up a little bit. We've got to

have an understanding of what this is before we continue to go down the

question. So bilateral vestibular hypofunction, also known as like a vestibular loss or a loss

of the vestibular system. So what we're really having is the fact that the vestibular

system bilaterally is not sending good signals to the brain

about where the head is in space.

All right?

And that could be due to a bunch of different factors or a bunch of different pathologies that could cause bilateral vestibular hypofunction.

One of the major ones is if somebody's taking like an antibiotic like gentomycin, they're doing that over a period of time, that can cause bilateral vestibular hypofunction.

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