INTRODUCTION TO VESTIBULAR REHABILITATION
Epidemiology of dizziness and falling
Role of the vestibular system and its contribution to daily activity
ANATOMY & PHYSIOLOGY OF THE VESTIBULAR SYSTEM
Vestibular complex
Peripheral and central components
Balance systems
Proprioceptive, visual, and vestibular
Motor control and strategies
PATHOPHYSIOLOGY & CLINICAL PRESENTATION OF VESTIBULAR DISORDERS
Unilateral/bilateral vestibular loss
Benign paroxysmal positional vertigo (BPPV)
Perilymphatic fistula
Superior semicircular canal dehiscence
Meniere’s disease and migraines
Concussion
Transient ischemic attack (TIA)/cerebrovascular accident (CVA)
Cervical vertigo
Orthostatic hypotension
DIAGNOSTIC TESTS & EVALUATION PROCEDURES
Differentiate central vs. peripheral vestibular pathology
Oculomotor exam
Spontaneous and gaze-holding nystagmus
Smooth pursuit and saccades
Visual acuity
VOR cancellation
Vertical and horizontal nystagmus
Torsional nystagmus
Positional testing
Roll test
Vestibular function testing
ENG and VNG
Cervical and ocular VEMPs
Subjective visual vertical
Caloric and rotary chair testing
Balance testing
Berg and DGI
TUG (standard, manual, cognitive)
Gait assessment
TREATMENT PROGRESSION LAB
Gaze stabilization
X1 and X2 viewing
Vestibular adaptation and habituation
Canalith repositioning techniques
Anterior, posterior, and horizontal canals
Apiani and Cassani maneuvers
Liberatory and Brandt-Daroff maneuvers
Cervical exercises
Static and dynamic balance exercises
Functional retraining
Self-treatment and HEP
CASE STUDIES
Mr. Carpino was very knowledgeable about the subject of vestibular rehabilitation. The course was very informative and I can't wait to go back to work and apply some of the tests and treatments on my patients who are displaying a vertigo/balance problem.
Carolyn Ingersoll, Occupational Therapist
Wichita, KS
I've been to a few vestibular courses over the past three years and am still taking new ideas away from this seminar."
Anna Colleen Foxworthy, Physical Therapist
Olathe, KS
Chris did a great job. He is an effective instructor and his passion for the topic shows. I really like that he took everyone back to the anatomy first.
Leslie Watson, Physical Therapist
Kansas City, MO