Vestibular Rehabilitation: An Introduction to Assessment and Treatment

Indianapolis, IN

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IIn collaboration with the Rehabilitation Hospital of Indiana, the iKT is offering Vestibular Rehabilitation:An Introduction to Assessment and Treatment

  • Online Training: November 11 – Dec 6, 2019

  • In-Person Training: December 7 – 8, 2019, Rehabilitation Hospital of Indiana (map)

  • Mentoring (Optional): January 6, February 24, and March 16, 2020

    at 8 PM ET

  • Community of Practice Meeting (Optional, access for 1 year): 1st Monday of the month at 9 PM ET

Description

More than 17 years could pass before the evidence that is published today is used in the care of rehabilitation patients. Knowledge translation (KT) is a process to expedite the use of evidence in clinical practice and includes the generation of new knowledge and the clinical implementation of established evidence. Research suggests that use of KT processes, such as the Knowledge-to-Action Framework, may facilitate successful implementation efforts. Multi-component KT interventions that target barriers to evidence-based practices have a greater impact on clinical practice than education courses provided without additional interventions. Online mentoring sessions and an ongoing community of practice will provide implementation support for the year following the in-person training.

This comprehensive course will provide the physical therapist with the ability to proficiently examine, diagnose, and treat patients with various peripheral and central vestibular disorders. The anatomy and physiology of the vestibular system and its central connections will be reviewed and the signs and symptoms of common vestibular diagnoses will be discussed. On-line recorded lectures will be supplemented with case presentations as well as video analysis of patient eye movements. In-person lab practice will be provided so the practitioner has the ability to practice the various skills commonly used to examine, diagnose, and provide interventions for persons with vestibular disorders. The clinical practice guidelines for vestibular hypofunction and benign paroxysmal positional vertigo (BPPV) will be reviewed to enable the practitioner the ability to develop an individualized, evidence-based plan of care for their patients.

This program uses a variety of evidence-based KT strategies to maximize the use of vestibular assessment and treatment by the program learners. Learners will also be asked to complete an online survey on current knowledge, skills, barriers, and facilitators related to vestibular rehabilitation. Information obtained from the survey will guide the tailoring of information for each KT program cohort.

  • Online course on vestibular rehabilitation

  • In-person training on vestibular rehabilitation (2.0 days)

  • Three post-course online group mentoring sessions (3, 1-hour sessions)

  • Participation in an online community of practice for one year which will offer implementation support from peers and experts.

Program objectives:

At the conclusion of this program, learners will:

  1. Describe the anatomy and physiology of the vestibular system, including the peripheral and central connections.

  2. Understand the pathophysiology and signs and symptoms of common vestibular disorders.

  3. Explain the laboratory tests used to diagnose vestibular disorders including videonystagmography (VNG), rotational chair, computerized dynamic posturography (CDP), vestibular evoked myogenic potential (VEMP), and electrocochleography (ECOG).

  4. Discuss outcome measures and other tools that are used to help diagnose vestibular disorders and monitor a patient’s response to treatment.

  5. Describe and perform various examination skills to competently assess a patient with a vestibular disorder including oculomotor function, head shaking nystagmus test, head impulse test, vibration induced nystagmus, and dynamic visual acuity.

  6. Differentiate peripheral from central vestibular disorders.

  7. Describe and be able to safely perform and interpret positional tests to determine a diagnosis of BPPV including the Dix-Hallpike, the roll test, the bow and lean test plus long sit to supine test, deep head hanging, and the sidelying test.

  8. Interpret eye movement findings from the positional testing and correctly diagnose the type of BPPV from central disorders.