January 11, 2025
EM365: Tinnitus Dizziness and Vestibular Rehabilitation
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Alan Sealy
Day 1 objectives
On completion, the participants should be able to:
- Understand what we mean by dizziness and vertigo and how we balance
- Understand the scale of the problems associated with dizziness and recognise the need for vestibular assessment, particularly in the elderly.
- Recognise the common peripheral vestibular disorders and differentiate these from central nervous system pathology
- Incorporate a basic vestibular examination into their usual neuro-musculo-skeletal assessments.
- Plan appropriate rehab programmes based upon individual assessment and clinical reasoning.
- Diagnose and treat common variant positional vertigo (BPPV)
- Utilize the most appropriate outcome measures
Day 2 objectives
On completion, the participants will have:
- Developed their understanding of the pro-active, multi-factorial nature of the balance system,
- Reviewed the central nervous system pathways involved in central and peripheral vestibular disorders
- Reviewed up to date ideas behind more challenging forms of compensated vertigo (vestibular migraine, visual vertigo, cervical vertigo, phobic postural vertigo, PPPD)
- In practice, learnt to diagnose and treat atypical positional vertigo (BPPV), canaliathis and cupuloliathis variants, in the posterior, lateral and anterior semi-circular canals
- Planned appropriate rehab programmes based upon individual assessment and clinical reasoning.
- Learnt to integrate vestibular treatment & cervical manual therapy within a neuro-musculo-skeletal assessment, to optimally treat cervical dizziness.
- Practiced & progressed treatment interventions to the dysfunctional side, incorporating gaze, cervical manual therapy and functional exercises.
In collaboration with:
Intended for
Payments
- Deposit €220.00 within 7 days from the registration
- Balance €220.00 by date January 3, 2025
Calendar
language
Place: EduMed Srl - Via della Badia, 18 - Brescia 25127
SCHEDULE
Day 1
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1 |
0900-1015 |
Introductions – course aims What is vertigo? Background / scale of problem
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Anatomy & physiology of peripheral vestibular system |
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Coffee |
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2 |
1030-1230 |
Common Vestibular pathologies
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Vestibular Assessment
(history, P/E, functional balance testing, opthalmology, vestibular tests, posturography, VNS)
Nystagmus Video examples
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Lunch |
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3 |
1300-1445 |
Summary of am
Practical vestibular Assessment (1) - Cranial nerve testing - Tilts & ocular muscle tests - Saccades & Smooth-Pursuits - Dynamic Visual Accuity - ‘Head Thrust’ Impulse test - ‘Head shake’ test
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Practical Vestibular Assessment (2)
Dix-Hallpike positional test; Epley particle repositioning manoeuvre Semont manoeuvre
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Coffee |
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4 |
1500-1615 |
Vestibular rehabilitation exercise programmes
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Problem solving / Clinical reasoning approach using case studies
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5 |
1615-1630 |
Summary (10 mins)
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Day 2
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1 |
0900-1030 |
Balance & multisensory interraction
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Central Vestibular Neurological pathways
Neurology of eye movements.
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Coffee |
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2 |
1045-1245 |
Practical vestibular Assessment – beyond the basics Central vestibular disorders Making sense of the tests - Assessment of central & peripheral vestibular disorders
Practical diagnosis from Nystagmus video examples
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Cervical vertigo
Cervical / ischaemic / BPPV / vestibular differentiation |
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Lunch |
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3 |
1330-1515 |
Atypical BPPV
Practical Vestibular Assessment (2) BPPV - positional tests (Dix-Hallpike, lateral, anterior canals); - particle repositioning manoeuvres (Epley, Semont, BBQ) |
Advanced Vestibular Rehabilitation
‘Compensated’Vertigo
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Coffee |
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4 |
1530-1615 |
Stimulating the dysfunctional side practical
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Case study discusions
Clinical reasoning & problem solving |
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5 |
1615-1700 |
Summary & Review of aims
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