Restoring Synergy - Management of Complex Vestibular Dysfunction

Why take this course?

This two-day advanced course is designed for physical therapists and occupational therapists, who have prior experience in vestibular rehabilitation and are seeking to refine their clinical evaluation and treatment skills beyond the basics. Therapists who are comfortable with their fundamental skills will find this course helpful at adding more treatment options to successfully treat the complex dizzy patient. Patient diagnoses discussed will include cervicogenic dizziness, atypical BPPV, Persistent Postural-Perceptual Dizziness (PPPD), Vestiublar migraine, Acoustic schwannoma, superior canal dehiscence and concussion. Focus will be placed on case study applications with careful analysis of history, diagnostic clinical findings and classification of dysfunctions to allow optimal customized treatment protocols. Clinical skills to be taught will include fistula screening, cervicogenic screening, BPPV treatments beyond the posterior canal (anterior/ horizontal canals), acoustic neuroma management including exposure to facial rehabilitation techniques, migraine screening and treatments, and identification/management of PPPD. All testing and treatment protocols presented will be evidence-based and clinically relevant to more effectively manage the dizzy patient. Lectures will intersperse the refining of clinical testing protocols with specific intervention strategies for a wide range of diagnoses. Instruction will be provided via lecture, video, lab, detailed demonstrations, small group discussion and case studies. Each participant will receive a comprehensive manual that will include sample documentation.

Course Objectives

• Perform canalith repositioning maneuvers to treat canalathiasis and cuplulothiasis for all semicircular canals.
• Recognize positional vertigo that has central etiology.
• Identify psychological problems that can affect the management of vestibular problems and learn how to modify treatment interventions, plans and goals.
• Recognize the role of Migraine as both primary (causing of distinct vertigious episodes) and secondary (traditional migraines leading to more persistent motion intolerance)contributor to dizziness and it’s impact on rehabilitation.
• Identify appropriate patients for rehabilitation and appropriate referrals to other medical practitioners.
• Perform a comprehensive oculomotor exam and interpret findings for clinical management of vestibular dysfunction.
• Develop improved management skills for patients with stable peripheral vestibular hypofunction including basic facial rehabilitation, expected outcomes, and treatment progressions.
• Identify the clinical presentation of patients with superior canal dehiscence (fistula) and current management strategies.

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Instructed by: Laura Morris, PT, NCS

Course Dates

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