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Colleen Sleik PT, DPT, OCS, NCS began her path into the specialist care of vestibular rehabilitation patients after examining a patient for whom she felt unprepared to aid. She required additional information. Recognizing and treating BPPV is a simple process.
However, management becomes significantly more complicated for individuals who are experiencing anything other than BPPV or who have numerous diseases affecting their overall appearance. To comprehend how the systems work as a whole, advanced study is necessary. This training was designed with these difficult patients in mind.
The tape starts with BPPV evaluation and treatment approaches, followed by a lab component to practice technique, hand posture, and patient-specific changes. You will improve your ability to detect BPPV and then recognize presentations that do not follow the BPPV pattern. Functional assessments and treatment progressions will also cover further assessment and treatment of non-BPPV illnesses.
Participants will leave with a better grasp of dizzy patient evaluation, treatment strategies, patient-specific changes, and differential diagnosis abilities. Take your talents to the next level by identifying the areas where treatment may intervene to achieve the desired functional gains for patients, as well as the tactics for correctly progressing patients through each of those areas.
Perform vestibular patient evaluation approaches with suitable methodology and patient-specific adaptations.
Analyze vestibular examination findings to obtain a treatment diagnosis.
Recognize important subjective reports to improve your evaluation and differential diagnostic abilities.
Examine results that aid in the distinction of central, peripheral, and cervicogenic dizziness.
To enhance functional outcomes, develop a treatment plan based on evaluation findings.
Choose appropriate vestibular rehabilitation therapy approaches from evidence-based guidelines.
Assess prognosis using precise diagnostic techniques.
Create suitable goals for patients based on their comprehensive medical history and any presenting circumstances that may influence rehab outcomes.
DIFFERENTIAL DIAGNOSIS ASSESSMENT TECHNIQUES
Position changes for patients with restricted movement or in locations with limited space, such as home health or acute care
Large group clinical decision-making activity to use assessment procedures and analyze results
Recognize evaluation results that reflect diagnoses of central, peripheral, and cervicogenic dizziness.
Based on the patient’s history, onset, symptoms, and evaluation, make a treatment diagnosis.
PERIPHERAL AND CENTRAL ORIGIN MEDICAL DIAGNOSES AND PROGNOSIS
Benign Paroxysmal Vertigo due to position
Vestibular neuropathy and labyrinitis
Endolymphatic hydrops, Meniere’s disease, and acoustic neuroma
Vertigo in the center: CVA, multiple sclerosis, and migraine-related
Vertigo caused by the cervix
The symptoms of post-concussion
Sensory integration and multifaceted balance impairment
EXAM LABORATORY
Clearing the cervical spine with mVAT and the Sharp-Purser test
Occulomotor examination includes smooth pursuit, saccades, vergence, and visual acuity.
Vestibular examination: Head-Shaking, Head-Turning Roll Test, Hallpike-Dix, and Nystagmus
Horizontal, vertical, and torsional nystagmus assessment
quotient of motion sensitivity
Balance evaluation: mCTSIB, Dynamic Gait Index, Gait Analysis
DEVELOPING A PATIENT-SPECIFIC TREATMENT PLAN FOR VESTIBULAR REHABILITATION
Canalith repositioning maneuvers include the Epley maneuver, the BBQ roll / fast BBQ roll, Cassani, Appiani, and the Brandt-Daroff move. Exercises
Basics and improvements in gaze stabilization
The evolution of balance
Balanced sensory integration Functional Assessment Tools Based on Evidence
The Academy of Neurologic Physical Therapy’s guidelines for vestibular EDGE
Each of the four therapy areas for vestibular rehabilitation should be directed.
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