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Vestibular Rehabilitation 18 - 20 April 2018 

Vestibular rehabilitation

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 Rhona Atkin or Ricky Kemp at the Ear Institute 

Images from 2013

Themes

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

Day 1 – Introductory Day

Day 1 is designed for clinicians who are new to the field or would like a refresher. It will include:

  • lectures on the patient interview (taking a history)
  • clinical and objective tests of balance
  • differentiating between central and peripheral positional vertigo
  • overview of vestibular rehabilitation and outcome measures
  • evening workshops covering a range of objective assessments of balance function (including VEMPs, head impulse tests, visual vertical, dynamic visual acuity and more)

Days 2 and 3

  • physiotherapeutic management
  • machine-based therapy
  • bibliotherapy
  • cognitive behavioural therapy
  • management of patients with hyperventilation syndrome
  • management of patients with complex needs
  • optokinetic desensitization
  • use of outcome measures to test efficacy of treatment

Speakers

Speakers Will include:

  • Dr Charlotte Agrup
  • Dr Paul Bacon
  • Ms Johanna Beyts
  • Ms Debbie Cane
  • Dr Bernard Cohen
  • Prof John Golding
  • Ms Natasha Harrington-Benton
  • Dr Diego Kaski
  • Mr Paul Radomskij
  • Dr 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 possible change.

CPD

  • This course has been accredited with 24 points by the BSHAA (8 points for each day of the course), plus additional points for attending the optional early bird workshops