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Vestibular Rehabilitation: Vestibular Disorders

presented by Jeff Walter

Accreditation Check:

This evidence-based course will train clinicians in the recognition and management options of vestibular system disorders. The material will be presented in a lecture format with video case studies. The course is intended to enhance the clinician’s ability to determine the appropriateness of vestibular rehabilitation and identify indications for further medical/diagnostic consultation.

Meet Your Instructor

  • Jeff Walter, PT, DPT, NCS

    Jeff Walter, PT, DPT, NCS, is the Director of the Otolaryngology Vestibular and Balance Center, at Geisinger Medical Center in Danville, PA. His clinical practice focused on vestibular diagnostic testing and vestibular rehabilitation. He is an adjunct faculty member at Misericordia University, Department of Physical Therapy and a graduate of the University of Wisconsin, with a Bachelors of Science in Physical Therapy (1996). Jeff Walter attained competency certification in “Vestibular Rehabilitation” and “Vestibular Function Test Interpretation"" and has a Doctorate in Physical Therapy (2009) from the University of Scranton. Since 1999, Jeff has lectured at professional conferences, universities, and continuing education courses for audiologists, physicians, and therapists involved in managing patients with dizziness and imbalance. He developed a teaching website (www.vestibularseminars.com,) designed to provide information to assist clinicians in the management of dizziness and imbalance.

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Chapters & Learning Objectives

  1. Introduction/Anatomy and Physiology

    1. Introduction/Anatomy and Physiology

    Become familiar with various sources of information regarding vestibular disorders. Identify common terminology utilized to describe vestibular related symptoms. Distinguish the structure and function of semicircular canal function from otolithic organs. Identify age related changes in otoconia. Recognize proper orientation of the vestibular organ, including semicircular canals, within the skull. Identify the vascular supply and neural innervations of the vestibular organ. Recognize central nervous system related eye movements.

  2. BPPV

    2. BPPV

    Recognize and discuss risk factors of BPPV. Describe the following BPPV subtypes: Canalithiasis, Cupulolithiasis. Recognize typical characteristics of BPPV. Identify patterns of nystagmus commonly related to BPPV. Recognize head positioning tests utilized to diagnose BPPV: Dix-Hallpike, Sidelying Test, Roll Test. Identify management options for BPPV.

  3. Unilateral Vestibular Disorders (Fixed)

    3. Unilateral Vestibular Disorders (Fixed)

    Identify characteristics and management options for: Vestibular Neuritis, Anterior Vestibular Artery Ischemia, Labyrinthitis. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options for fixed unilateral vestibular disorders.

  4. Unilateral Vestibular Disorders (Unstable)

    4. Unilateral Vestibular Disorders (Unstable)

    Identify characteristics and management options for: Meniere’s Disease, Vestibular Schwannoma, Superior Canal Dehiscence. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options for unstable unilateral vestibular disorders.

  5. Bilateral Vestibular Disorders

    5. Bilateral Vestibular Disorders

    Identify common etiology factors of bilateral vestibular disorders. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options.

  6. Central Vestibular Disorders

    6. Central Vestibular Disorders

    Identify characteristics of: Posterior circulation TIA / CVA, Cerebellar Degeneration, Arnold Chiari Malformation, Multiple Sclerosis, Head Injury. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options.