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Masterclass: Vestibular Rehabilitation 22nd - 24th April 2015

Paul Radomskij


The course is designed for all those clinicians who have a reasonable knowledge of vestibular assessment and rehabilitation but are looking to build on this foundation. Delegates will be provided with a pre-course reading list, which should maximise their learning opportunities during the course. Course material and refreshments are included in the registration fee (including evening workshop)

As with all of the Advanced Audiology Masterclasses, this course also forms part of our MSc in Advanced Audiology. For further details please contact Robert Heller at the Ear Institute 

Images from 2013

Themes

Day 1 – Introductory (‘Beginner’s’) Day

The first day is of particular interest to clinicians who are new to the field or those requiring a refresher. It should be of value to those who are simply interested in this field and want to know more about it. The lectures and workshops will provide an up to date overview of vestibular assessment and rehabilitation and will include lectures on the patient interview (taking a history), clinical and objective and tests of balance, how to differentiate between central and peripheral positional vertigo. The final lecture of the day will be an overview of vestibular rehabilitation and outcome measures. The evening workshops at the end this first day will cover a range of objective assessments of balance function, including VEMPs, Head Impulse tests, visual vertical, dynamic visual acuity and more. The first day of this course may be attended using the “day pass option”.

Day 2 and 3

This will cover vestibular rehabilitation assessment and the current methods employed in the management of patients with vestibular problems including medical management; physiotherapeutic management; machine-based therapy; bibliotherapy; cognitive behavioural therapy; management of hyperventilation syndrome; management of patients with complex needs; optokinetic desensitization and the use of outcome measures to test efficacy of treatment including questionnaires and objective posturography.

There will be an exciting mix of lectures, practical demonstrations and workshops with serious opportunities to 'have a go'.

Speakers

Speakers Will include:

  • Dr Ghada Al-Malky
  • Paul Benton
  • Ms Johanna Beyts
  • Ms Debbie Cane
  • Bernard Cohen
  • Prof John Golding
  • Natasha Harrington-Benton
  • Alison Kandiah
  • Dr Diego Kaski
  • Dr Veronica Kennedy
  • Mr Paul Radomskij
  • Jas Sandhu
  • David Scott

Knowledge

To gain the maximum benefit for this Masterclass, delegates and students should have theoretical knowledge (gained through reading, observation and/or actual experience) in the following areas:

  1. Basic knowledge of the anatomy and physiology of the peripheral vestibular system
  2. Vestibular testing facilities & equipment, to include daily calibration checks of calibration and room set up
  3. Assessment and treatment planning to include the roles of other professionals
  4. Clinical approaches, using clinical reasoning strategies, evidence based practice
  5. Vestibular test techniques to include:

    • Clinical and bedside tests
    • Assessment of spontaneous nystagmus
    • Assessment of saccadic eye movements
    • Assessment of smooth pursuit eye movements
    • Positional testing
    • Assessment of sway
    • Positioning testing
    • Caloric test
  6. Vestibular rehabilitation techniques to include

    • Information counselling
    • Particle repositioning
    • Rehabilitation exercises
    • Management of associated problems
  7. Knowledge of the most common vestibular disorders including BPPV
  8. Content of a full and relevant history
  9. Awareness of communication strategies and appropriate language when working with patients.
  10. How to integrate relevant information to make an informed decision concerning the diagnosis and management of individual cases

Pre-course Reading material

If delegates (and in particular students planning to complete the MSc Advanced audiology module) are unfamiliar with this material, then they should spend time prior to this course acquiring this knowledge through private study. The following on-line resources and reading material will be helpful:

  1. Balance Function Assessment and Management Ed Jacobson and Shepard. Plural Publishing 2008
  2. Dizziness: A Practical Approach to Diagnosis and Management - by Adolfo M. Bronstein and Thomas Lempert Cambridge University Press 2008
  3. Handbook of Vestibular Rehabilitation, LM Luxon & RA Davies (eds), Whurr Publishers, 1997
  4. http://www.dizziness-and-balance.com/

Other resources

  1. Dizziness Etiologic Approach to Management by Rubin and Brookler Thieme Medical publishers 1992
  2. Vestibular Rehabilitation Herdmann (2nd edition) FA Davis & co. 2000
  3. Jones SM Anatomical and Physiological Considerations in Vestibular
  4. Dysfunction and Compensation Seminars I hearing Vol 3 (4) 232:241 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2975108/pdf/nihms246621.pdf
  5. Balatsouras DG et al. Diagnosis of Single- or Multiple-Canal Benign Paroxysmal Positional Vertigo according to the Type of Nystagmus International Journal of Otolaryngology Volume 2011,
  6. Balatsouras DG Benign paroxysmal positional vertigo with multiple canal involvement American Journal of Otolaryngology–Head and Neck Medicine and Surgery 33 (2012) 250–258
  7. Recommended Procedure for Hallpike Manouvre http://www.thebsa.org.uk/docs/RecPro/HM.pdf
  8. Humphriss RL, Baguky DM, Sparkes V, Peerman SE, Moffat DA Contraindications to the Dix-Hallpike manoeuvre: a multidisciplinary review.Inj J Audiol 2003 Apr;42(3):166-73.

Timetable

NB: this timetable is subject to change

CPD

  • This course will be accredited with 20 CPD points by the BAA

This can be further broken down as:

  • Day 1: 7 points
  • Day 2: 6 points
  • Day 3: 7 points

British Academy of Audiology

Fees

Cost of 1 Day Masterclass EB N/A
SR £200
Cost of 2 Day Masterclass EB £255
SR £275
Cost of 3 Day Masterclass EB £370
SR £415
Cost of 4 Day Masterclass* EB £485
SR £555

EB – Early Bird rate FOR BOOKINGS MADE AT LEAST 8 WEEKS IN ADVANCE

SR – Standard rate

* Please note that the 4 day prices are only applicable for our longer courses. The fee structure is standardised across all Advanced Audiology Masterclasses.

Payment
  • Payment via UCL Store must be made at least 2 working days before the start of the course
  • In order to secure your place using a purchase order, these must be received at least 3 weeks before the start of the course

NB: Your place on the course is not secured until payment has cleared.

T & Cs

All bookings for courses at the UCL Ear Institute are subject to our terms and conditions. By placing a booking you will have agreed to our terms and conditions.

Cancellation

If you wish to cancel your order for a Course after it is accepted by us and outside of any period in which you might have a right to cancel, then the following applies:

Your cancellation must be received in writing no later than 14 days before the start of the Course. If we receive your cancellation no later than 14 days before the start of the Course we will refund any amount you have paid to us for that Course less an administration charge of 20%. No refunds will be made for cancellations made by you within 14 days of the Course date.

Full UCL terms and conditions