Intended Audience: Physical Therapists, Physical Therapist Assistants and Occupational Therapists

Educational Level: Introductory 

Instructional Methods: Demonstration, video, case studies, large group activities, large and small group discussion

Delivery Method: Hybrid

Course Fee: $395

Nearly 40% of adults will experience vertigo at least once in their lives, and over 50% of adults over age 65 years of age will experience vertigo that can be treated and resolved with a simple treatment. 

Dizziness and vestibular conditions become increasingly more common in the aging population, leading to falls, fear of movement, decreased social interactions, and ultimately loss of independence. There are many causes of dizziness, which is why skill development in differential diagnosis is pertinent to the successful treatment of patients with dizziness.

This course offers an introduction to vestibular rehab to include anatomy, physiology, and pathophysiology of central and peripheral origin. Differential diagnosis tests and measures will be applied to differentiate central and peripheral origin of dizziness. 

A significant portion of the course will be in lab-based experience with assessment and treatment techniques for differential diagnosis, BPPV and vestibular hypofunction, and application of vestibular rehab treatment techniques for dizziness of central and cervicogenic origin will be introduced. 

Specific emphasis will be placed on understanding of peripheral and central causes of dizziness, including benign paroxysmal positional vertigo (BPPV), vestibular hypofunction, stroke, neurodegenerative diseases, and multisensory dizziness. 

Principles of assessment and differential diagnosis will improve the clinician’s efficiency in examination and translation of exam findings into the development of an effective, evidence-based treatment plan.

Approved by WI Chapter of the APTA and AOTA for .85 CEU's (8.5 Contact Hours).



LEARNING OUTCOMES

  1. Explain how the visual, vestibular and somatosensory systems function together to maintain balance. 
  2. Describe the role of the cerebellum in the function of balance and control of vision as it contributes to safety with daily activities.
  3. Name the components of the HINTS exam and apply them to differential diagnosis.
  4. Identify key exam procedures and findings to differentiate dizziness of central and peripheral origin.
  5. List contraindications for BPPV positional testing.
  6. Describe testing procedure, findings and treatment of posterior canal BPPV.
  7. Interpret the findings of the Roll test and Bow and Lean test in diagnosing horizontal canal BPPV.
  8. Name the 4 components of vestibular rehab and their role in restoring balance and vision to restore function in activities of daily living.
     


Focus on Function Physical Therapy, PC is an AOTA Approved Provider of professional development. Course approval ID# 8879. This hybrid course is offered at .85 CEUs (8.5 contact hours), intermediate educational level, foundational knowledge. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Host this course at your facility!

2 hours pre-course work online, 6.5 hours one-day live

Instructor

Colleen Sleik PT, DPT, NCS

Physical Therapist

Colleen Sleik, PT, DPT, NCS, is a Doctor of Physical Therapy and a Neurologic Clinical Specialist, specializing in the treatment of patients with vestibular disorders. She has treated patients with vestibular disorders in a variety of settings over the years, including outpatient clinics, acute care, home health, skilled nursing facilities and private practice. Dr. Sleik currently works at Bellin Health in Iron Mountain, MI where her caseload consists of patients with dizziness, balance problems, post-concussion syndrome, neck pain and headaches. She was instrumental in developing Bellin’s Vestibular Specialty track. She developed coursework and training to establish baseline vestibular clinical competency for all new physical therapists in the organization and offers mentoring to support therapists throughout the health system. She is also an active member of Bellin Health’s concussion specialty track. Dr. Sleik graduated from The College of St. Catherine with a Master of Physical Therapy in 2003. She earned a transitional Doctor of Physical Therapy degree through The University of St. Augustine, Florida in 2010. In 2010, she completed the Competency-Based Vestibular Rehabilitation course through Emory University in Atlanta, Georgia and has continued her education by attending advanced vestibular rehab courses through the University of Pennsylvania, Pittsburgh and regularly attends the International Conference on Vestibular Rehab. Dr. Sleik is a board-certified Neurologic Clinical Specialist 2017-2027 and was previously a board-certified Orthopaedic Clinical Specialist 2012-2022. She is a member of the Vestibular Disorders Association (VEDA) and the American Physical Therapy Association, including the Academy of Neurologic Physical Therapists and the Vestibular Special Interest Group. Dr. Sleik lives and works in a small, rural community in Michigan where it is not uncommon for patients to drive several hours to access her specialty vestibular rehabilitation services. This need inspired her to begin teaching vestibular rehabilitation continuing education courses. She has been teaching national-level seminars in vestibular rehabilitation since 2015. Her goal is to increase clinicians’ knowledge and skills in vestibular rehabilitation, ultimately improving patient access to quality vestibular care. Dr. Sleik is pleased to have this opportunity to share her passion for treating this special population and guiding your journey in providing specialty care in vestibular rehabilitation.

Course curriculum

    1. Fundamentals of Vestibular Rehab - Course Description, Objectives and Weekend Schedule

    2. Fundamentals of Vestibular Rehab: Handouts for Online Content

    3. Vestibular Anatomy and Physiology

    4. Aging Vestibular System

    5. Benign Paroxysmal Positional Vertigo: BPPV

    6. Peripheral: Vestibular Hypofunction

    7. Meniere's Disease

    8. Central Dizziness

    9. Vestibular Migraine

    10. Cervicogenic Dizziness

    11. Nystagmus

    12. Are Video Goggles Necessary?

    13. Nystagmus video: Right Torsional Up-beating

    14. Nystagmus video: Left Torsional Up-beating Nystagmus

    15. Nystagmus video: Right Torsional Down-beating

    1. Fundamentals of Vestibular Rehab: Weekend Handouts

    2. Review of Anatomy and Physiology 20 minutes

    3. Pathophysiology of BPPV 20 minutes

    4. Nystagmus 20 minutes

    5. BPPV Assessment and Treatment Lab 2 hours

    6. Lunch

    7. BPPV Large Group Activity 30 minutes

    8. Pathophysiology of Dizziness, non-BPPV 30 minutes

    9. Differential Diagnosis and Lab 45 min

    10. Vestibular Rehab Treatment Techniques and Lab 1 hour

    11. Case Studies 30 minutes

    12. Question and Answer 15 minutes

    13. Attendance

    14. Course Survey

Online Pre-Course Work

  • 2 hours of video content