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Recent Advances in Treatment and Diagnosis of Horizontal Canal BPPV

presented by Susan Whitney

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Disclosure Statement:

Financial— Susan Whitney is a speaker for Interacoustics and for the APTA, as well as a Director on the APTA Board of Directors. Susan Whitney receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact support@medbridgeed.com. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
The learner will be provided with an overview of the latest advances in the diagnosis and treatment of horizontal canal BPPV. The course is appropriate for physical and occupational therapists who treat persons with dizziness. Generally, dizziness occurs across the life span, although BPPV is rarely seen in children until at least six years of age. Horizontal canal BPPV is seen in anywhere from 5-10% of the total cases of BPPV. Persons experience intense vertigo and often nausea with HC-BPPV. The latest theories and treatment strategies of canalithiasis and cupulolithiasis will be discussed, with differential diagnosis emphasized. Theories about canal jam and the newest treatment strategies will be described in detail with case examples provided.

Meet Your Instructor

Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Susan L. Whitney, DPT, PhD, NCS, ATC, FAPTA received her PhD in motor development/motor learning from the University of Pittsburgh, her professional physical therapy education from Temple University in Philadelphia, PA, and her DPT from MGH Institute of the Health Sciences. Currently, she is a professor in physical therapy in the School of Health and…

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Chapters & Learning Objectives

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1. Horizontal Canal BPPV: What’s New?

HC- BPPV is the second most common type of BPPV, and it can be geotrophic or apogeotropic. The learner will gain an understanding of how to identify the type of HC-BPPV that they are viewing and information about new advances in HC-BPPV interventions. Apogeotrophic horizontal canal BPPV will be described, with new diagnostic tests that may help you to better identify the side of the disorder. In addition, new treatment techniques will be described to try to convert the apogeotrophic to geotrophic nystagmus to better resolve their BPPV.

2. Horizontal Canal BPPV: Recognizing Light Cupula Plus What Might Help You Identify the Side of the Disorder

The typical characteristics of light cupula will be defined and described. In addition, practical tips for how to optimally identify the side of the HC-BPPV will be illustrated. Finally, a discussion about how to handle canal conversion will be provided.

3. Using the New American Academy of Otolaryngology Head and Neck Surgeries BPPV guidelines to Optimally Treat the Person Presenting with Horizontal Canal BPPV

The new BPPV guidelines related to HC-BPPV will be explored, with discussion provided on how to best utilize the knowledge in your clinical practice. Ideas about best management will be described with Dr. Homberg with a summary of the guidelines provided by Dr. Whitney.

More Courses in this Series

Recent Advances in Treatment and Diagnosis of Posterior Canal BPPV

Presented by Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Recent Advances in Treatment and Diagnosis of Posterior Canal BPPV

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Course one provides learners with an overview of the latest advances in the diagnosis and treatment of posterior canal BPPV. This course is pertinent to physical therapists and occupational therapists across any setting that treat persons with balance and vestibular disorders. Children can also develop BPPV, although it is most seen associated with either migraine or head trauma after the age of six. Morphology of the otoconia will be described in humans. In addition, an overview will be provided of the evidence and “clinical pearls” related to the treatment of persons with posterior canal BPPV. The learner will be exposed to the emerging evidence related to BPPV plus the recent clinical practice guideline recommendations for posterior canal BPPV.

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New Advances in Vestibular Rehabilitation

Presented by Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

New Advances in Vestibular Rehabilitation

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course will describe the latest advances in vestibular rehabilitation from around the globe, and will provide the learner with ideas about why their patients do not get better. The course is designed for physical and occupational therapists who treat persons with balance and/or vestibular disorders. Treatment ideas might also be helpful for persons who are physical therapist assistants and COTAs. The information shared in this course is appropriate in any clinical setting as persons with dizziness and balance disorders are seen across settings. Examples of virtual reality devices, infrared googles, and novel treatment paradigms will be shared. In addition, new testing methods will be described that can help to optimize intervention. A discussion of the negative prognostic factors related to recovery will be provided with case examples to help clinicians’ better goal set and develop their treatment plan.

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