COURSE DESCRIPTION:
Symptoms of “dizziness” are the number 3 reason individuals over the age of 65 seek medical attention. It becomes the number 1 reason for seeking care in individuals over the age of 70. Medical or surgical management is often not indicated or helpful, but many of these individuals do benefit from vestibular rehabilitation techniques. In addition, 50% of the individuals over the age of 65 with dizziness will develop a form of vertigo that can be alleviated with one simple therapy treatment. These individuals with vertigo and dysequilibrium represent a large patient population for physical and occupational therapy. This course will focus on the assessment and treatment of patients with vertigo and disequilibrium from vestibular causes. Specific emphasis will be placed on the assessment and treatment of unilateral and bilateral vestibular hypofunction, benign paroxysmal positioning vertigo, central vestibular disorders, and multisensory dizziness. This information is applicable to a large patient population including geriatric patients as well as individuals with CNS lesions such as multiple sclerosis, CVA, and head injury.
LEARNING OBJECTIVES:
- Identify the normal anatomy and physiology of the vestibular system
- Identify the impact of a vestibular lesion on normal function
- Identify the eye movements which are indicative of peripheral vestibular hypofunction including direction fixed horizontal nystagmus, head shaking induced nystagmus, abnormal head thrust test
- Identify the eye movements which are indicative of central vestibular disorders including direction changing nystagmus, vertical nystagmus, impaired VOR cancellation, saccadic pursuit, hypometric, hypermetric, or slowed saccades
- Identify the eye movements which are indicative of posterior, anterior and horizontal canal BPPV (canalithiasis and cupulolithiasis)
- Differentiate between unilateral vestibular hypofunction, bilateral vestibular hypofunction, BPPV, Meniere’s disease, motion provoked dizziness based, and non-vestibular causes of dizziness based on the patient’s presenting history and symptoms.
- Differentiate between unilateral vestibular hypofunction, bilateral vestibular hypofunction, BPPV, Meniere’s disease, motion provoked dizziness, central vestibular disorders and non-vestibular causes of dizziness based on the patient’s clinical examination
Also available Vestibular Rehabilitation: Advanced – ON-DEMAND to serve as days 3 and 4 of this course. We hope you will take your skills to the next level with this engaging series taught by international expert Richard Clendaniel.
The course will focus on the assessment and treatment of patients with vertigo and dysequilibrium from unusual vestibular causes. The course is designed for clinicians (PT & OT) with prior vestibular rehabilitation course work and clinical experience. Material covered will include advanced techniques for treating anterior and horizontal canal BPPV, central causes of dizziness (including concussion), identification and treatment of cervicogenic dizziness, chronic subjective dizziness, migraine and other unusual vestibular disorders. This series is one course with 7 short video sessions. Each videos session is 1.5-2 hours.
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SCHEDULE:
4 hours: Introduction, Demographics, Anatomy & Physiology:
- Impact of lesions on normal function and common pathologies
1.5 hours History & Clinical Exam:
- Lecture – Signs and Symptoms of Vestibular Disorders-Clinical Exam and Interpretation
- Identification of normal & abnormal eye movements (video cases)
- Oculomotor Exam
- Direction of nystagmus during testing
3.5 hours Treatment: From Assessment to Treatment:
- Treatment rationale
- Potential and Time Course for Recovery
- Treatment Strategies
- Patients with incomplete lesions
- Patients with complete lesions
- Patients with motion provoked dizziness
2 hours Treatment Strategies (cont.):
- Treatment considerations for central vestibular disorders
- BPPV: pathophysiology & treatment (all canals)
- Case Studies & Summary
30 minutes for Post Test
Richard Clendaniel, PT, PhD, FAPTA is an assistant professor in the Department of Orthopedic Surgery, Doctor of Physical Therapy Division, and in the Department of Head & Neck Surgery and Communication Sciences at the Duke University School of Medicine. He received his MS in Physical Therapy and Ph.D. in Behavioral Neuroscience from the University of Alabama at Birmingham and completed a post-doctoral fellowship in neuro-otology with Susan Herdman, PhD, PT. He previously served as director of the Vestibular Rehabilitation program at Johns Hopkins University School of Medicine, Department of Otolaryngology - Head and Neck Surgery. He is on the medical advisory board for the Vestibular Disorders Association (VEDA) and on the board of directors for the American Balance Society. Dr. Clendaniel maintains an active practice treating patients with vestibular disorders and dizziness. His research is in the assessment of the vestibular system and the plasticity of the vestibular system following injury.
Financial Disclosure: Richard Clendaniel receives an honorarium from Education Resources, Inc. and royalties as a book editor for V̲e̲s̲t̲i̲b̲u̲l̲a̲r̲ ̲R̲e̲h̲a̲b̲i̲l̲i̲t̲a̲t̲i̲o̲n̲, 4th edition, Herdman & Clendaniel.
Non-Financial Disclosure: Richard Clendaniel has no relevant non-financial relationships to disclose.
Once you purchase an online course you will have access to the course materials. If you have purchased this course, please ensure you have logged in to your account in order to take the exam.
Once you purchase an online course, you will have the opportunity to take an exam to test your retention of the material. If you have purchased this course, please ensure you have logged in to your account in order to take the exam. The exam must be completed with a pass rate of 80% or more in order to receive your certificate of attendance.
This course meets the criteria for 11.5 contact hours (1.15 CEUs) Intermediate Level.
If your state is not listed below and you have three or more therapists interested in attending, please contact us at info@educationresourcesinc.com or call 800-487-6530 to speak with a team member. We will review whether approval can be obtained for your state.
To receive a certificate of completion all registered attendees are required to attend and participate fully in all applicable course activities (i.e., labs, discussions, group work, polls, post-tests with passing grade of 80% or greater etc.) and complete the evaluation form.
AOTA – American Occupational Therapy Association
AOTA - Education Resources Inc. is an AOTA Approved Provider of professional development. Course approval ID#03531. This Distance Learning-Independent course is offered at 11.5 contact hours 1.15 CEUs. (Intermediate level, OT Service Delivery & Foundational Knowledge). AOTA does not endorse specific course content, products, or clinical procedures.
NBCOT - This course can be used toward your NBCOT renewal requirements for 11.5 units.
FL OT - Approved provider of the FL Board of Occupational Therapy-CE Broker – 13.5 hrs. This course meets the approval of the TX Board of OT Examiners.
PT – Physical Therapy by State
MD PT - Approved by the Maryland Board of Physical Therapy Examiners.
MN PT - Approved by the Minnesota Board of Physical Therapy.
NJ PT - Approved by the New Jersey Board of Physical Therapy Examiners.
IL PT - Approved sponsor by the State of Illinois Department of Financial and Professional Regulation for Physical Therapy for 13.5 contact hours.
NY PT - Approved provider by the New York State Board of Physical Therapy for 13.5 contact hours (1.35 CEUs).
Education Resources, Inc. is an approved provider for Physical Therapy CEUs in the following states: CA, NM, OK, TX and the assignment do not imply endorsement of specific course content, products, or clinical procedures for these.
The following state boards of physical therapy accept other states’ approval: AK, AR, AZ, DC, DE, GA, HI, ID, IN, KS, KY, MA, MI, MO, MS, NC, OR, PA, RI, SC, UT, VA, VT, WI, WY. The following state boards of physical therapy either do not require course pre-approval or do not require CEUs for re-licensure: AL, CO, CT, IA, ME, MT, NE, ND, NH, SD, WA.
NDTA - 11.5 hours of this course qualify towards the discipline-specific hours for the 20-hour requirement for NDTA re-certification. They do NOT qualify towards the 8-hour NDTA Instructor requirement for re-certification.
Education Resources Inc. 266 Main St, Suite 12, Medfield, MA 02052 • 800-487-6530
