VESTIBULAR REHABILITATION

AN INTRODUCTORY COURSE

Saturday 22nd & Sunday 23rd October 2016

Presenters: Natalie Rando BPhty; MPhty (Neuro)

Leia Barnes BPhty; Grad Dip (Neuro Rehab)

Vestibular Rehabilitation – An Introductory Course is a two‐day event that is aimed at introducing physiotherapists to common vestibular disorders such as BPPV, vestibular neuritis/labyrinthitis, Ménière's disease, bilateral vestibular hypofunction, migraine associated dizziness, cervicogenic dizziness and central vestibular pathologies. By having practical components and video examples, the objective of this course is to equip delegates with the knowledge and skills to take a thorough history of the dizzy patient, perform a comprehensive objective examination and develop an up‐to‐date evidence based management plan.

Venue: Physiotherapy Department, GARU, Princess Alexandra Hospital

Registration cost: $560 (including GST) Includes morning & afternoon tea and lunch

To register, please complete and return registration form with payment details

Priority will be given to Metro South staff until 26th August, 2016

After this date, registrations will be open to all physiotherapists

Closing date: 6th October 2016

Contact: Gretta Palmer on 3176 2401 or email

Course Program

SATURDAY 17th October

8.00 - 8.30: Registration

8.30 - 10.15 Introduction/Course Objectives

The Vestibular System– Anatomy & Physiology

Vestibular anatomy and physiology

Central vestibular pathways & reflexes

Introductions to Common Peripheral Vestibular

System Disorders

Key features of common vestibular pathologies

BPPV

Vestibular Neuritis/Labyrinthitis

Meniere’s Disease

Endolymphatic and Perilymphatic Fistula

Bilateral Vestibular Hypofunction

Acoustic Neuroma

10.15 - 10.30 : Morning Tea

10.30 - 12.30: Physiotherapy Vestibular Assessment and Differential Diagnosis

Overview of key subjective and objective assessments

Introduction to Manual

Common history findings

Oculomotor examination and vestibular nystagmus

VOR testing

Practicum 1: Oculomotor and VOR Examination

12.30 - 1.00: Lunch

1.00 - 1.30: Physiotherapy Assessment and Differential Diagnosis continued

Pressure testing

Balance and gait assessment

1.30 - 2.40: Unilateral Vestibular Pathology: Recovery Mechanisms and Implications for Treatment

Signs of incomplete compensation

Anatomical, physiological and functional deficits associated with unilateral vestibular loss

Vestibular and Balance Rehabilitation

Adaptation

Substitution

Balance and postural control

VBRT for bilateral vestibular hypofunction

2.30 - 3.00: Afternoon Tea

3.00 - 4.00: Audiology Testing

4.00 - 4.30: Practicum 3: Case examples - Developing a targeted treatment plan.

SUNDAY 18th October

8.30 - 10.00: Anatomy and Pathophysiology of Benign Paroxysmal Positional Vertigo (BPPV)

Anatomical review of semicircular canals

Cupulothiasis vs canalithiasis

Flouren’s Law and BPPV Nystagmus

Practicum 4: Infrared video recordings of BPPV nystagmus

10.00 - 10.15: Morning Tea

10.15 - 2.30: Assessment and Management of BPPV

Key subjective findings

Determining which canal using positional assessment

Treatments for Posterior Semicircular Canal BPPV

Introduction to horizontal and anterior canal BPPV

Practicum 5: Posterior semicircular canal BPPV techniques

12.30 - 1.00: Lunch

1.00 - 2.15: Introduction to Central Vestibular Disorders Vascular lesions

Traumatic Brain Injury

Migraine associated dizziness

Non—Vestibular Disorders

Mal de Debarquement

Cervicogenic dizziness

Psychological causes of dizziness

2.15 - 2.30: Afternoon Tea

2.30 - 4.30: Practicum 6: Case Examples

Natalie Rando BPhty; MPhty (Neuro)

Natalie Rando graduated from the University of Queensland in 1997 with a Bachelor of Physiotherapy and went on to complete a Masters in Neurological Physiotherapy from UQ (2004). Natalie has attended competency‐based training by Dr Susan Herdman and team as well as attending advanced training in Melbourne and the Gold Coast. Natalie previously held the position of Assistant Director of Physiotherapy (Rehabilitation) at the Gold Coast Hospital (2004‐ 2012), where she instigated and managed the physiotherapy service for Vestibular Clients. She has 12 years experience teaching Vestibular Rehabilitation at the graduate entry level at Bond University and Griffith University, as well as the post‐graduate level throughout Queensland and northern NSW. Natalie currently holds the position of Assistant Professor of Physiotherapy (Neurology & Geriatrics) at Bond University and is an APA Titled Neurological Physiotherapist.

Leia Barnes BPhty; Grad Dip (Neuro Rehab)

Leia Barnes graduated from the University of Queensland in 2005 with a Bachelor of Physiotherapy and completed a Graduate Diploma in Neurological Rehabilitation through the University of Western Australia in 2012. She was granted the title of an APA Neurological Physiotherapist in 2013. Leia has attended competency‐based training by Dr Susan Herdman and team, and has further enhanced her clinical skills by attending advanced vestibular rehabilitation courses in Melbourne, Gold Coast and USA. Leia has recently been appointed as an Advanced Physiotherapist in the Integrated Specialist ENT Service at Logan Hospital, where she functions as a primary contact vestibular physiotherapist. Previous roles have included the Assistant Director of Physiotherapy (Rehabilitation) at the Gold Coast University Hospital and the Senior Physiotherapist at the Falls and Balance Clinic (Robina). Leia also manages a private vestibular caseload through her business, Back in Balance Vestibular Physiotherapy, (clinic at Physiologic). Leia has over 10 years experience in treating patients with vestibular disorders and has been invited to speak at multiple conferences including the National Neurosensory Unit Audiology Conference and Queensland Rehabilitation Physiotherapy Network Conference.

Please note that course program is a proposed schedule and there may be minor changes to the schedule and/or content.

Please note that payment is non-refundable for self-cancellations. Course will be confirmed once minimum numbers met.