8:30 AM 5:00 PM. Morning Session 8:30 AM 12:00 PM (Break 10:00 10:15 PM)
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1 Vestibular Assessment & Management Certificatin Wrkshp Curse Directr: Richard E. Gans, Ph.D. Faculty: James Eimer, PT, Brittany Fauble, M.S., Sara Jagger, Au.D., Hannah McLed, Au.D., Spencer Reeder, Au.D., Kim Rutherfrd, PT, DSc, COMT, Jseph Sakumura, Au.D., Steven Spinks, PT, DPT, OCS, COMT, FAAOMPT Day 1 Welcme and Intrductins Statement f need and demgraphics Histrical perspective Review f the thery f human equilibrium: Integratin f vestibular, visin and smatsensry mdalities and central prcessing Anatmy and physilgy f peripheral and central vestibular mechanism Vestibul-Ocular Reflex (VOR) Nystagmus- definitin and descriptin Crrective Saccades Vestibul-Cllic Reflex (VCR) Vestibul-Spinal Reflex (VSR) A & P (cntinued) Cervic-Ocular Reflex (COR) Cervic-Cllic Reflex (CCR) Cervic-Spinal Reflex (CSR) Central Vestibular Mechanism anatmy and physilgy Central Vestibular Cmpensatin Benign Parxysmal Psitining Vertig (BPPV) Pathphysilgy f BPPV Imprtance f Vertebral Artery Screening Test (VAST) 1
2 Benign Parxysmal Psitining Vertig (BPPV) Demnstratin f Canalith Repsitining Maneuvers (CRM) Psterir/Anterir Canal Hrizntal Canal Manual Practice f CRMs Mdified Canalith Repsitining Maneuvers (CRM Epley/Herdman style) Semnt Liberatry Maneuver (SLM) Gans Repsitining Maneuver (GRM) Day 2 BPPV Treatment (cntinued) Treatment Cnsideratins Pst CRM Restrictins AIB Prtcl fr PC-BPPV Treatment Cmplicatins f BPPV Treatment Hrizntal Canal Manual Practice Appiani/Casani Hrizntal Hybrid Maneuver Pathphysilgy f cmmn vestibular and balance disrders Migraine Psychiatric Otlgic Disrders Trauma Txicity Neurlgic Rheumatlgy/Autimmune Cervical Other 2
3 Day 2 Disrders (cntinued) Evaluatin & Assessment Prtcls Clinical Pathways Imprtant Definitins Stabilized vs. Nn-stabilized Cmpensated vs. Nn-Cmpensated Gal Examples Plan f Care Billing Initial Evaluatin: Step 1 - Interview Case Histry Medical Histry Selecting Tests and Integrating Results Outcme Measures - Clinimetrics Evaluatin & Assessment Prtcls Pstural Stability Vestibular Spinal Reflex (VSR) Evaluatin: Bedside examinatin r using technlgy Gans SOP Cmputerized Dynamic Psturgraphy Vestibul Ocular Reflex (VOR) Evaluatin: Hands n practice and interpretatin Gaze Evked Nystagmus Halmagyi Head Thrust Vide Head Impulse Test (vhit) Dynamic Visual Acuity using Snellen chart and AIB CDVAT Optkinetic Test (bedside) Mtin Sensitivity Index Hands n practice 3
4 Day 3 Evaluatin & Assessment Prtcls Cervical Definitin f Cervicgenic Dizziness Incidence & Prevalence Cervical Dizziness Test Rehabilitatin Specialists Objective Examinatin Upper Cervical Instability (UCI) Sharp-Purser Test Alar Ligament Stress Test Transverse Ligament Test Cervical Range f Mtin Cervicgenic Dizziness Tests Cervical Prpriceptin Testing Jint Psitin Sense Treatment fr Cervicgenic Dizziness Diagnstic Specialists Evaluatin & Assessment Prtcls Active and Passive Head Rtatin Tests Rtary Chair Vestibular Autrtatin Testing (VAT) Evaluatin & Assessment Prtcls VideNystagmgraphy (VNG) Prtcls Interpretatin Rehabilitatin Specialists Evaluatin & Assessment Tests Active and Passive Head Rtatin VideNystagmgraphy (VNG) Cervical Vestibular Evked Mygenic Ptentials (cvemp) Diagnstic Specialists Evaluatin & Assessment Prtcls VideNystagmgraphy (VNG) (cntinued) Evaluatin & Assessment Prtcls Cervical Vestibular Evked Mygenic Ptentials (cvemp) Prtcls Interpretatin 4
5 Day 4 Evaluatin & Assessment Prtcls (cntinued) Cncussin Definitin f cncussin Mst cmmn symptms experienced pst cncussin Pst Cncussin Symptm Scale Structural and metablic changes pst cncussin Cncussin Labyrinthine cncussin Chrnic Traumatic Encephalpathy (CTE) Defense Autmated Neurbehaviral Assessment (DANA) Return t Activities Diagnsis Based Strategies: Vestibular Rehabilitatin Therapy Theries f Adaptatin, Habituatin, and Substitutin Identificatin f functinal impairment 5
6 Day 5 8:30 AM 1:15 PM Mrning Sessin 8:30 AM 1:15 PM (Break 10:00 10:15 PM) Evidence-based Clinical Pathways: Using VRT prtcls and creating patient-centered therapy Identificatin f functinal impairment by categries Oscillpsia Vestibular Recruitment Vestibular Visual Integratin- visin/surface dependence Measuring Outcmes VRT: Building a management strategy AIB Vestibular Cgnitive Integratin (AIB-VCI) Manual Practice Summary and Cnclusins Syllabus timeline is fr general purpses nly. Depending n interest f the class, depth f discussins, questins, demnstratins and any hands-n, timeline may be adjusted. All cntent, hwever, will be cvered. 6
8:30 AM 5:00 PM. Morning Session 8:30 AM 12:00 PM (Break 10:00 10:15 PM)
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