What If It’s Not BPPV? Vestibular Functional Assessments Translated to Treatment – Colleen Sleik

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Benign paroxysmal positional vertigo is the most well-known form of dizziness, however there are multiple other conditions that can cause symptoms of dizziness, motion sensitivity imbalance, and falls. This session will introduce multiple vestibular functional assessments that can be used to assess each area of the vestibular rehabilitation program.  Findings from these assessments will direct the clinician’s clinical decision-making with regard to appropriate treatment techniques to minimize or eliminate dizziness, decrease risk of falls, and restore function.

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1. Implement appropriate treatment interventions for identified impairments using impairment-based treatment framework.
2. Develop treatments and progression strategies aimed at alleviating impairments to improve function.
3. Assess a case study to determine vestibular functional limitations, treatment program, & progression options for optimal outcome of vestibular rehabilitation program

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Introduction to vestibular rehabilitation

Discussion of vestibular functional assessments to include:

• Motion Sensitivity Quotient
• Dynamic Visual Acuity Test
• Balance Assessments: Five time sit to stand, Dynamic Gait Index, mCTSIB,
• Gait speed

Discussion of findings from above assessments and how to translate into treatment techniques

• What information can be gained from each assessment
• How does this translate into function
• How to incorporate functional daily/work activities into the vestibular rehabilitation program

Discussion of how to incorporate and progress a treatment plan to address the four areas of a vestibular rehabilitation program:

• Habituation
• Gaze stabilization
• Balance and gait
• Endurance

Review of case study findings for both subjective and objective measures

Discussion of impairments and functional limitations

Translation of assessment findings into treatment

Discuss treatment options to address each of the four components of a vestibular rehabilitation program: gaze stabilization, habituation, balance/gait, endurance

Options for progression of treatment

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