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 Vestibular Rehabilitation Workshop: Evaluation & Treatment Strategies
Digital Seminar

Vestibular Rehabilitation Workshop: Evaluation & Treatment Strategies for Vertigo, Dizziness, & Balance Disorders


Faculty:
Colleen Sleik
Duration:
12 Hours 17 Minutes
Format:
Audio and Video
Copyright :
Oct 02, 2017
Product Code:
POS020677
Media Type:
Digital Seminar


Description

Vestibular rehabilitation is a very successful intervention that can change a person’s life in as little as one treatment for BPPV, and two weeks for other types of dizziness. This hands-on, intensive course trains clinicians to develop clinical decision-making skills, determine who can benefit from vestibular rehabilitation, assist in therapy diagnosis and treatment strategies, and provide skilled treatment to improve the lives of many. Wrapping up, we will review documentation, goal-writing, and Medicare Functional Limitation Reporting G-Codes, as well as case studies of common findings and problem-solving approaches for the challenging patient.

This comprehensive training workshop includes diagnostic and treatment strategies for:

  • Benign paroxysmal positional vertigo (BPPV)
  • Post-concussion syndrome
  • Vestibular hypofunction
  • Vestibular neuronitis
  • Labyrinthitis
  • Meniere’s disease
  • Endolymphatic hydrops
  • Acoustic neuroma
  • Cervicogenic dizziness
  • Central/neurological dizziness
  • Vestibular migraine
  • Post-concussion syndrome
  • Multiple sclerosis
  • TIA/CVA
  • Orthostatic hypotension
  • Postprandial hypotension
  • Nystagmus

Credits

**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  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 cepesi@pesi.com or 800-844-8260 before the event.

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 professions standards


Occupational Therapists & Occupational Therapy Assistants

AOTA

PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self-study course qualifies for 12.0 self-study contact hours or 1.2 CEUs in the Category of Domain of OT and Occupational Therapy Process. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate. Expires: 10/02/2019.


Florida Occupational Therapists & Occupational Therapy Assistants

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 12.3 self-study continuing education credits.


Physical Therapists & Physical Therapist Assistants

This self-study course consists of 12.25 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.


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 12.25 continuing competency hours.


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 12.0 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 14.7 contact 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 12.25 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.


Kansas Speech-Language Pathologists

Approved for 14.5 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Speech-Language Pathologists & Audiologists

This course contains 12.0 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 12.0 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.


Other Professions

This self-study activity qualifies for 12.25 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.


Handouts

Faculty

Colleen Sleik Related seminars and products: 5

PT, DPT, OCS, NCS

Focus On Function Physical Therapy PC


Colleen Sleik, PT, DPT, OCS, NCS, is a licensed physical therapist, specializing in the treatment of patients with vestibular disorders when other forms of medical management have failed. Dr. Sleik founded a private practice in 2010 with the primary focus of treating patients with vestibular conditions. She continues to work as a specialist at Dickenson Rehab Services where more than 90% of her caseload consists of patients with vestibular and balance disorders.

Dr. Sleik graduated from The College of St. Catherine with a Master’s in physical therapy. She earned a transitional Doctor of physical therapy degree through The University of St. Augustine, Florida, and completed the Competency-Based Vestibular Rehabilitation course through Emory University in Atlanta, Georgia. In addition to board-certification as an Orthopaedic Clinical Specialist and Neurologic Clinical Specialist, Dr. Sleik is a member of the American Physical Therapy Association, including the Academy of Neurologic Physical Therapists, and the Vestibular Special Interest Group.

She began teaching continuing education courses in vestibular rehabilitation with the purpose of improving clinicians’ knowledge in the specialty of vestibular rehabilitation and ultimately improving the quality of patient care. Dr. Sleik’s goal as a clinician is to provide her patients with the best care available for return to daily function with minimal limitations, while also providing the tools for long-term self-management of symptoms.

Speaker Disclosures:

Financial: Colleen Sleik has an employment relationship with Dickinson County Health Care System; and Aegis Therapies, Golden Living Center. She receives a speaking honorarium from PESI, Inc.

Non-financial: Colleen Sleik is a member of the American Physical Therapy Association.


Additional Info

Program Information

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

Objectives

  1. Describe the anatomy and physiology of the vestibular system in a way that patients will understand
  2. Discuss prognosis, treatment duration, and outcome for each type of dizziness (BPPV, vestibular hypofunction, central/neurological dizziness, cervicogenic dizziness, post-concussion syndrome)
  3. Perform oculomotor exam and understand findings
  4. Perform assessment techniques to identify BPPV, vestibular hypofunction, central vertigo and balance disorders
  5. Perform canalith repositioning techniques for BPPV
  6. Analyze findings of oculomotor exam and positional assessment to determine a vestibular diagnosis
  7. Perform vestibular functional assessments and incorporate findings into treatment
  8. Outline the four components of a vestibular rehabilitation program and how to progress exercises in each category
  9. Develop personalized, diagnosis-specific treatment approach to minimize functional limitations
  10. Review documentation and goals for the vestibular rehabilitation program, as well as Medicare Functional Limitation Reporting
  11. Review and proper billing procedures
  12. Analyze case studies to determine diagnosis, prognosis, treatment plan and anticipated outcomes of a vestibular rehabilitation program

Outline

ANATOMY & PHYSIOLOGY OF PERIPHERAL & CENTRAL VESTIBULAR SYSTEMS

CATEGORIES OF VERTIGO (INCLUDES MECHANISM, REPORT OF SYMPTOMS, PRESENTATION, PATIENT EDUCATION, & TREATMENT OF CHOICE)

  • Benign paroxysmal positional vertigo
  • Vestibular hypofunction
    • Vestibular neuronitis
    • Labyrinthitis
    • Meniere’s disease
    • Endolymphatic hydrops
    • Acoustic neuroma
    • Cervicogenic dizziness
  • Central vertigo
    • Vestibular migraine
    • Post-concussion syndrome
    • Multiple sclerosis
    • TIA/CVA
    • Orthostatic hypotension
    • Postprandial hypotension

OCULOMOTOR EXAM TO ASSESS FOR CENTRAL FINDINGS

NYSTAGMUS

  • Definition of nystagmus
  • Documentation of findings
  • How to recognize and name nystagmus

BPPV ASSESSMENT & PROPER DOCUMENTATION

  • Lab: Clearing cervical spine for safety
  • Vestibular positional assessments
    • Modified vertebral artery test
    • Sharpe-Purser test
  • Recognizing peripheral vestibular dysfunction
  • Recognizing vestibular imbalance
    • Head thrust test
    • Head-shaking nystagmus tests
  • Positional assessment for BPPV in anterior, posterior and horizontal canals
    • Hallpike-Dix test
    • Modified Hallpike-Dix test
    • Roll test
    • Bow and lean test
  • Multiple canal BPPV assessment, findings and treatment approach

BPPV TREATMENT: PURPOSE & TECHNIQUE

  • Epley maneuver
  • Semont/Liberatory maneuver
  • BBQ roll
  • Quick BBQ roll
  • Appiani
  • Cassani
  • Gufoni
  • Post-treatment movement restrictions -discussion of research
  • Half somersault
  • Brandt-Daroff exercises

ATYPICAL FINDINGS FOR BPPV

CLINICAL DECISION-MAKING

  • Sample exam findings
  • Determining diagnosis and treatment
  • Demonstration of assessment and treatments

VIDEO DEMONSTRATION: NYSTAGMUS

VESTIBULAR REHABILITATION IN ACTION

CERVICOGENIC VERTIGO

  • Findings from examination
  • Treatment approach

POST-CONCUSSION SYNDROME

  • Findings from examination
  • Treatment approach

CENTRAL VERTIGO

  • Findings from examination
  • Video assessments

VESTIBULAR HYPOFUNCTION

  • Findings from examination
  • Treatment approach
  • Clinical practice guidelines

VESTIBULAR REHABILITATION, SENSORY INTEGRATION, & BALANCE STRATEGIES

VESTIBULAR FUNCTIONAL ASSESSMENTS & DOCUMENTATION

  • Habituation: motion sensitivity quotient
  • Dynamic visual acuity
  • Balance: modified clinical test of sensory integration in balance, dynamic gait index
  • Gait speed: preferred and fast
  • Five time sit to stand
  • Musculoskeletal considerations

BILLING, MEDICARE FUNCTIONAL LIMITATION REPORTING, MEDICARE FALL RISK, & FLR G-CODES

DEVELOPING A TREATMENT PLAN BASED ON FINDINGS FROM FUNCTIONAL ASSESSMENTS & WRITING GOALS

CASE STUDIES

  • Cervicogenic vertigo
  • Post-concussion syndrome
  • Central vertigo
  • Vestibular hypofunction

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapist Assistants
  • Audiologists
  • Athletic Trainers
  • Physicians

Reviews

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Overall:     4.9

Total Reviews: 9

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