Vestibular Rehabilitation: An Advanced Course and Update
Vestibular Rehabilitation: An Advanced Course and Update is designed to provide an update regarding the treatment of persons with balance/vestibular disorders and the underlying science. Some of the topics include central causes of dizziness (e.g. anxiety and migraine related dizziness), BPPV, concussion management, vestibular function testing, alternative therapies, pharmacotherapy, cervical dizziness, back to work and driving decisions, innovative therapies for person with vestibular disorders, clinical and functional neuroimaging, and bedside evaluation of the person with dizziness with a lab component. Each of the speakers is an expert from one of several disciplines including physical therapy, neurology, otology, audiology, gerontology, psychology, psychiatry, physical medicine and rehabilitation, bioengineering, and neuroscience. There are scheduled question and answer periods following each session at which participants can ask the entire faculty questions.
Keynote speakers include Dr. Joseph Furman and Dr. Susan L. Whitney. Dr. Furman is co-director of the course and has numerous Medline references to his credit. He is co-author of the book entitled "Vestibular Disorders: A Case Oriented Approach" published by Oxford University Press. He has recently published the 3rd edition with Dr. Stephen Cass and Dr. Susan Whitney. Dr. Furman has been an NIH supported clinicianscientist
his entire career and is a board certified neurologist.
Dr. Whitney is a physical therapist who has published extensively. She is the Program Director of Vestibular Rehabilitation at the Centers for Rehab Services and has treated persons with vestibular disorders for over 30 years. She is an active clinical researcher and is actively involved in patient care. Drs. Furman and Whitney will conduct the lab/cases together to provide a unique physician/physical therapist team perspective.
Criteria for Successful Completion:
Evidence of attendance by signing in and out each day
Completion of Post-test with a score of 70%
Target Audience
Physical therapists, physicians, nurses, and physician assistants who have a basic knowledge of vestibular disorders.
Learning Objectives
The participant will be able to:
1. Discuss how concussion-induced impairments of balance and vestibular dysfunction,
and understand the role of cognitive testing in return-to-play.
2. Discuss the treatment of acute vestibular disorders.
3. Describe the manifestations of vestibular, oculomotor, and visual sensitivity impairments
after concussion, and ways to assess and treat these impairments.
4. Discuss the hearing loss may affect interactions with individuals with vestibular
disorders, and how to best communicate with a person with hearing loss.
5. Discuss the different types and treatment options available for someone with posttraumatic
headache.
6. Compare the assessment techniques and treatment options for oculomotor dysfunction
after concussion.
7. Differentiate central from peripheral vestibular dysfunction.
8. Describe how sleep disorders, especially obstructive sleep apnea, interact with
vestibular disorders and affect management of vestibular disorders.
9. Understand the interaction between cognitive function and vestibular disorders.
10. Discuss the influence of the visual system on postural control
11. Discuss the most recent advances in BPPV management over the last 5 years.
12. Describe pharmacotherapy for patients with balance and vestibular disorders.
13. Differentiate anxiety-related dizziness from other vestibular disorders and understand its
management from a psychiatric perspective.
14. Recognize cervical dizziness with its typical signs and symptoms.
15. Discuss medical management of chronic vestibular disorders not amenable to vestibular
rehabilitation.
16. Describe the clinical characteristics of Persistent Postural-Perceptual Dizziness.
17. Describe advances in treatment interventions for persons with vestibular disorders.
18. Describe the factors that affect adaptation of the VOR, both facilitators and barriers.
19. Design an exercise program for people with visual vertigo and motion sickness.
20. Understand new advances in assessing vestibular function, including VEMP testing, and
how this relates to intervention.
21. Identify balance assessment tools that may be helpful in determining whether a person
can return to work after a vestibular disorder, and understand how driving is affected by
vestibular disorders.
Additional Information
Attachment | Size |
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Pitt_CCEHS_Handout_2020 (005) approved.pdf | 166.08 KB |
Friday, May 1, 2020 | ||
Time | Speaker | Topic |
8:00 – 8:30 | Course directors | Introduction of the Course Instruction on getting best online experience Troubleshooting |
8:30 – 9:05 | Anthony Kontos, PhD Shawn Eagle, PhD | Vestibular and Balance Impairments after Concussion |
9:05 – 9:40 | Anne Mucha, DPT, MS, NCS | Vestibular Rehabilitation Following Concussion |
9:40 – 10:15 | Joseph Furman, MD, PhD | Central Vestibular Disorders |
10:15 – 10:30 | Break |
|
10:30 – 11:05 | Catherine Palmer, PhD | Hearing Challenges Relevant to Physical Therapists |
11:05 – 11:40 | Robert Kaniecki, MD | Headache for Physical Therapists |
11:40 – 12:30 | Lunch |
|
12:30 – 1:05 | Nathan Steinhafel, OD, MS | Neuro-optometry Treatment for Ocular-motor Disorders |
1:05 – 1:40 | Susan Whitney, PT, PhD, NCS | Red Flags and When to Refer Discussant: Joseph Furman, MD, PhD |
1:40 – 2:15 | Ryan Soose, MD | Sleep and Dizziness – Are They Related? |
2:15 – 2:30 | Break |
|
2:30 – 3:05 | Brooke Klatt, DPT, PhD, NCS | Vestibular Contributions to Cognition |
3:05 – 3:40 | Rakie Cham, PhD | Visual Influences on Postural Control |
3:40 – 4:40 | Susan Whitney, PT, PhD, NCS | New Advances in Rehabilitation for Persons with Balance and Vestibular Disorders |
4:40 | Adjournment |
|
Saturday, May 2, 2020
| ||
Time | Speaker | Topic |
8:00 – 9:00 | Susan Whitney, PT, PhD, NCS | Benign Paroxysmal Positional Vertigo Update |
9:00 – 9:35 | Joseph Furman, MD, PhD | Pharmacotherapy of Dizziness |
9:35 – 9:50 | Break |
|
9:50 – 10:30 | Jeffrey Staab, MD, MS | Psychiatric Aspects of Vestibular Disorders |
10:30 – 11:30 | Carrie Hoppes, DPT, PhD, NCS | Cervicogenic Dizziness |
11:30 – 12:05 | Joseph Furman, MD, PhD | Management of the Medically Refractory Dizzy Patient |
12:05 – 1:00 | Lunch |
|
1:00 – 1:35 | Jeffrey Staab, MD, MS | Persistent Postural-Perceptual Dizziness |
1:35 – 2:10 | Carrie Hoppes, DPT, PhD, NCS | Vestibular Habituation for Visual Vertigo and Motion Sickness |
2:10 – 2:45 | Patrick Sparto, PT, PhD | Barriers to Compensation |
2:45 – 3:00 | Break |
|
3:00 – 3:35 | Joseph Furman, MD, PhD | Vestibular Laboratory Testing |
3:35 – 4:10 | Gregory Marchetti, PT, PhD | Occupational and Driving-Related Issues of Dizziness and Imbalance |
4:10 – 5:00 | Course Faculty | Question and Answer |
5:00 | Adjournment |
|
Rakié Cham, PhD
Associate Professor, Department of Bioengineering
University of Pittsburgh
Pittsburgh, PA
Shawn Eagle, PhD, ATC, CSCS
Post-doctoral Fellow, Department of Orthopaedic Surgery
University of Pittsburgh
Pittsburgh, PA
Joseph M. Furman, MD, PhD, FAAN
Professor, Department of Otolaryngology
University of Pittsburgh
Director of the Division of Balance Disorders, University of Pittsburgh Medical Center
Pittsburgh, PA
LTC Carrie Hoppes, DPT, PhD, NCS, OCS, ATC, CSCS
Lieutenant Colonel, US Army
Deputy Program Director, Army-Baylor University Doctor of Physical Therapy Program
San Antonio, TX
Robert Kaniecki, MD
Associate Professor, Department of Neurology
University of Pittsburgh
Director, Headache Center, University of Pittsburgh Medical Center
Pittsburgh, PA
Brooke Klatt, DPT, PhD
Assistant Professor, Department of Physical Therapy
University of Pittsburgh
Pittsburgh, PA
Anthony Kontos, PhD
Director of Research, UPMC Sports Medicine Concussion Program
Associate Professor, Department of Orthopaedic Surgery
University of Pittsburgh
Pittsburgh, PA
Gregory F. Marchetti, PT, PhD
Associate Professor, Department of Physical Therapy
Duquesne University
Pittsburgh, PA
Anne Mucha, DPT, MS, NCS
Assistant Director of Neurological Services
Coordinator of Concussion Vestibular Programming for the Centers for Rehab Services
Centers for Rehab Services
Pittsburgh, PA
Catherine Palmer, PhD
Associate Professor, Department of Communication Sciences and Disorders
University of Pittsburgh
Director, Division of Audiology and Hearing Aids, University of Pittsburgh Medical Center
Pittsburgh, PA
Ryan Soose, MD
Associate Professor, Department of Otolaryngology
University of Pittsburgh
Director, Division of Sleep Medicine and Upper Airway Surgery, University of Pittsburgh Medical Center
Pittsburgh, PA
Patrick J. Sparto, PT, PhD
Associate Professor, Department of Physical Therapy
University of Pittsburgh
Pittsburgh, PA
Jeffrey P. Staab, MD, MS
Professor of Psychiatry
Mayo Clinic
Rochester, MN
Nathan Steinhafel, MS, OD, FAAO
Doctor of Optometry
Armstrong Eye Care Associates
Pittsburgh, PA
Susan L. Whitney, PT, PhD, NCS, FAPTA
Professor, Department of Physical Therapy
University of Pittsburgh
Pittsburgh, PA
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
The University of Pittsburgh School of Medicine designates this live activity for a maximum of 14.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Other health care professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
“The American Physical Therapy Association (APTA) will award Continuing Education Units for PTs and PTAs. The course will not be credentialed specifically for Audiologists or Occupational Therapists, but they are welcome to attend”
Available Credit
- 14.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 14.50 Attendance