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Recent Advances in Treatment and Diagnosis of Horizontal Canal BPPV

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

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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 [email protected]. 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 received her PhD in motor development/motor learning from the University of Pittsburgh, her professional physical therapy education from Temple University in Philadelphia, and her DPT from MGH Institute of the Health Professions. Currently, she is a professor in physical therapy in the School of Health and Rehabilitation Sciences and treats clinically for…

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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.

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