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Current Concepts in Vestibular Rehabilitation: Best Practice Standards for Evaluation & Management

Chris Carpino, MPT
5 Hours 06 Minutes
Mar 20, 2015
Product Code:
Media Type:
DVD - Also available: Digital Seminar


Be the First & Last Stop for Vestibular Patients Seeking Help
Dizziness is one of the most common complaints heard by primary physicians, but the reasons contributing to dizziness are numerous and often difficult to diagnose, ranging from age and medication side effects to trauma and infection. These vertigo symptoms can, at times, be the limiting factor for mobility, keeping patients from freely and safely walking around their homes or going out into the community. Vestibular Rehabilitation is highly effective in the reduction and elimination of balance disorders and vertigo. It is the most successful treatment of the most common cause of vertigo over medication or surgery. The ultimate goal of treatment is to eliminate a person's risk for falling.

During this recording, you will learn differential diagnostic techniques that identify the contributor of a patient's dizziness. You will understand the pathophysiology of the dizziness and treat the condition accordingly. In addition, laboratory components which analyze patients' compensatory functional movement patterns and balance strategies will be reviewed. The lecture and lab components presented will be helpful for treating a variety of disorders, including Benign Paroxysmal Positional Vertigo (BPPV) and chronic vertigo, as well as balance and proprioceptive disorders. Upon completion of this recording, you will be confident in applying the best interventions to improve your patients' balance regardless of the demographic or work environment.



Save time and money off other submission methods – purchase & take the CE test online for $19.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 5.1 self-study continuing education credits.

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California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.0 continuing competency hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

Physical Therapists & Physical Therapist Assistants

This self-study course consists of 5.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.1 contact hours.

Speech-Language Pathologists & Audiologists

This course contains 5.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Kansas Speech-Language Pathologists

Approved for 6.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

Other Professions

This self-study activity qualifies for 5.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Chris Carpino, MPT Related seminars and products

CHRIS CARPINO, MPT, is a licensed physical therapist practicing in southern New Jersey, and specializes in Vestibular Rehabilitation. Mr. Carpino has completed Vestibular Competency training at Emory University and achieved certification in Vestibular Rehabilitation from the American Institute of Balance in Largo, Florida. He is currently developing the vestibular program at Bayada Home Health, with staff training and marketing. Mr. Carpino is an adjunct instructor at Burlington County College, where he teaches Anatomy and Physiology. He received his Bachelor of Science degree in Exercise Science from James Madison University in Harrisonburg, Virginia. He obtained his Master of Physical Therapy degree from Richard Stockton College in Pomona, New Jersey. Currently, Mr. Carpino practices in southern New Jersey, where he treats patients of various orthopedic and neurological diagnoses. His strengths in rehabilitation include orthopedics, vestibular rehabilitation and manual therapy. Mr. Carpino's goal as a clinician is to utilize all of his skills to treat the patient as a whole, not just the symptoms.

Speaker Disclosures:

Financial: Chris Carpino has an employment relationship with Bayada Home Health Care. He receives a speaking honorarium from PESI, Inc.

Non-financial: Chris Carpino is a member of the America Physical Therapy Association, Neurology Section.

Additional Info

Access for Self-Study (Non-Interactive) Access never expires for this product.

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Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Audiologists
  • Physicians


  1. Identify and implement treatment strategies for dizziness caused by BPPV
  2. Evaluate and diagnose central and peripheral vertigo
  3. Demonstrate steps to conduct a detailed oculomotor analysis
  4. Perform manual canalith repositioning techniques
  5. Perform functional balance assessment and treatment
  6. Understand the epidemiology of dizziness and falling
  7. Develop personalized treatment regimens to address specific vertiginous and imbalance systems
  8. Understand the pathophysiology of common vestibular disorders
  9. Apply anatomy and physiology principles as they relate to the vestibular complex and balance systems



  • Epidemiology of dizziness and falling
  • Role of the vestibular system and its contribution to daily activity


  • Vestibular complex
    • Peripheral and central components
  • Balance systems
    • Proprioceptive, visual, and vestibular
    • Motor control and strategies


  • Unilateral/bilateral vestibular loss
  • Benign paroxysmal positional vertigo (BPPV)
  • Perilymphatic fistula
  • Superior semicircular canal dehiscence
  • Meniere’s disease and migraines
  • Concussion
  • Transient ischemic attack (TIA)/cerebrovascular accident (CVA)
  • Cervical vertigo
  • Orthostatic hypotension


  • Differentiate central vs. peripheral vestibular pathology
  • Oculomotor exam
    • Spontaneous and gaze-holding nystagmus
    • Smooth pursuit and saccades
    • Visual acuity
    • VOR cancellation
  • Vertical and horizontal nystagmus
  • Torsional nystagmus 
  • Positional testing
    • Roll test
  • Vestibular function testing
    • ENG and VNG
    • Cervical and ocular VEMPs
    • Subjective visual vertical
    • Caloric and rotary chair testing
  • Balance testing


  • Berg and DGI
  • TUG (standard, manual, cognitive)
  • Gait assessment
  • Gaze stabilization
    • X1 and X2 viewing
    • Vestibular adaptation and habituation
    • Canalith repositioning techniques
      • Anterior, posterior, and horizontal canals
      • Apiani and Cassani maneuvers
      • Liberatory and Brandt-Daroff maneuvers
    • Cervical exercises
    • Static and dynamic balance exercises
    • Functional retraining
    • Self-treatment and HEP



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