Vestibular Rehabilitation Certification II
A Competency-Based Advanced Workshop
Course Director: Richard E. Gans, Ph.D.
Faculty: Claudia Chavez, Psy.D., James Eimer, PT, Sara Jagger, Au.D.,
Kathy Kounnas, PT, DPT, Darren Kurtzer, Au.D., Elizabeth Letsch, Ph.D.
Day 1 9:00 am – 5:00 pm
Morning Session: 9:00 am – 12pm (Break 10:30 am – 10:45 am)
I. Introduction
II. Migraine
a. Pathophysiology of the peripheral and central vestibular systems
b. Vestibular and balance manifestations
i. BPPV
ii. Migrainous Positional Vertigo (MPV)
iii. Episodic Ataxia 2 (EA2)
iv. Spinocerebellar 6 (SC6)
v. Familial and Sporadic Hemiplegic Migraine (FHM, SHM)
c. VRT management strategies
d. Case studies with plan of care, goals, and outcome measures
Lunch: 12 Noon – 1pm (on your own)
Afternoon Session: 1pm – 5:00 pm (Break 3:00 pm – 3:15 pm)
I. Multifactorial Conditions and Elevated Fall Risk Populations: Interaction of Low Vision, Vestibular Dysfunction, and Reduced Somatosensory
a. Peripheral neuropathy
b. Retinopathy
c. Vestibulopathy
d. Case studies with plan of care, goals, and outcome measures
II. Psychogenic dizziness
a. Overview of personality disorders
b. Manifestations
i. Migraine Anxiety Related Dizziness (MARD)
ii. Mal de Debarquement Syndrome (MDDS)
iii. Agoraphobia
iv. Space and Motion Discomfort (SMD)
v. Chronic Subjective Dizziness (CSD)
vi. Persistent Postural-Perceptual Dizziness (3PD)
vii. Motor Conversion
c. Management incorporating Vestibular Rehabilitation Therapy (VRT) and Cognitive Behavioral Therapy (CBT)
d. Case studies with plan of care, goals, and outcome measures
Day 2 9:00 am – 5:00 pm
Morning Session: 9:00 am – 12pm (Break 10:30 am – 10:45 am)
I. Cervicogenic Dizziness
a. Anatomy of the cervical spine
b. Pathophysiology of cervicogenic dizziness
i. Neurovascular
ii. Thoracic Outlet
iii. Cervical trauma
iv. Cervical muscle fatigue
c. Assessment of cervical dizziness
d. Case studies with plan of care, goals, and outcome measures
Lunch: 12 Noon – 1pm (on your own)
Afternoon Session: 1pm – 5:00 pm (Break 3:00 pm – 3:15 pm)
I. Complex BPPV with co-morbidities
a. Review of nystagmus patterns
b. Co-morbidities
i. Unilateral Vestibular Dysfunction (UVD)
ii. Bilateral Vestibular Dysfunctions (BVD)
iii. Multi-canal BPPV
iv. Special need populations
c. Management strategies and case studies with outcome measures
II. Concussion
a. Neuropsychological evaluation
b. Differentiation of cortical vs. labyrinthine concussion
c. Structural vs. metabolic damage
d. Designing “best” treatment, including return-to-play (RTP)/return-to-activity (RTA) decisions
e. Case studies with plan of care, goals, and outcome measures
Day 3 9:00 am – 12:15 pm
Morning Session: 9:00 am – 12:15 pm (Break 10:30 am – 10:45 am)
I. Parkinson’s patient with and without vestibular dysfunction
a. Overview of neuropathology of Parkinson’s and its role in gait and movement dysfunction
b. Improving baseline function, stride length, and gait
i. Traditional therapy
ii. Incorporating music therapy
c. Incorporating cognitive behavioral therapy (CBT)
d. Case studies with plan of care, goals, and outcome measures
II. Summary and Conclusions
** Timeline is an estimate and is subjective to change based on content, discussions, etc.
January 2018