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The Hands-On Guide to Vestibular Rehabilitation-Clinical Decision-Making to Treat Vertigo, Dizziness, & Balance Disorders by Colleen Sleik,
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Faculty:: Colleen Sleik
Duration:: 6 Hours 26 Minutes
Format:: Audio and Video
Copyright:: Jun 13, 2019

Description

Colleen Sleik PT, DPT, OCS, NCS, began her journey into the specialized care of vestibular rehabilitation patients after evaluating a patient that she felt ill equipped to help. She needed to know more. Recognizing and treating BPPV itself is quite straightforward.

However, the care becomes much more complex for patients that are experiencing something that was initially thought to be BPPV or for those who have multiple conditions impacting their overall presentation. Advanced learning is required to understand how the systems function as a whole. This course was developed with these challenging patients in mind.

The recording begins with assessment and treatment techniques for BPPV, including a lab component to practice technique, hand positioning, and patient-specific modifications. You will become skilled to better recognize BPPV and subsequently recognize the presentations that do not fit the BPPV pattern. Further assessment and treatment of the non-BPPV diagnoses will also be addressed through functional assessments and treatment progressions.

Participants of this course will walk out with a deeper understanding of assessment, treatment techniques, patient-specific modifications, and differential diagnosis skills for the dizzy patient. Take your skills to a new level when you can pinpoint the areas where therapy can intervene to promote the desired functional gains for patients and the strategies to appropriately progress patients through each of those areas.

Handouts

Outline

ASSESSMENT TECHNIQUES FOR DIFFERENTIAL DIAGNOSIS

Position modifications for patients with mobility limitations or in environments with limited space such as home health or acute care
Clinical decision-making large group activity to apply assessment techniques and interpret findings
Recognize assessment findings that indicate central, peripheral, and cervicogenic dizziness diagnoses
Determine a therapy diagnosis based on patient history, onset, symptoms and assessment

MEDICAL DIAGNOSES AND PROGNOSIS: PERIPHERAL & CENTRAL ORIGIN

Benign Paroxysmal Positional Vertigo
Vestibular neuronitis, labyrinitis
Meniere’s disease, endolymphatic hydrops, acoustic neuroma
Central vertigo: CVA, multiple sclerosis, migraine-associated
Cervicogenic vertigo
Post-concussion syndrome
Sensory integration/Multi-factorial balance dysfunction

EXAM LAB

Clearing cervical spine: mVAT, Sharp-Purser test
Occulomotor exam: Smooth pursuit, Saccades, Vergence and visual acuity
Vestibular exam: Head thrust, Head-Shaking Nystagmus, Hallpike-Dix, Roll Test
Assessing nystagmus: Horizontal, vertical, torsional
Motion sensitivity quotient
Balance assessment: mCTSIB, Dynamic Gait Index, Gait

VESTIBULAR REHABILITATION: DEVELOPING A PATIENT-SPECIFIC TREATMENT PLAN

Canalith repositioning maneuvers: Epley maneuver, BBQ roll / quick BBQ roll, Cassani, Appiani, Brandt-Daroff Exercises
Gaze stabilization: Basic and advancements
Balance progression
Sensory integration in balance Evidence-based Functional Assessment Tools
Vestibular EDGE recommendations from the Academy of Neurologic Physical Therapy
Direct each of the 4 areas of treatment for vestibular rehabilitation

Faculty

Colleen Sleik, PT, DPT, OCS, NCS Related seminars and products: 6

Focus On Function Physical Therapy PC

Colleen Sleik, PT, DPT, OCS, NCS, is a licensed physical therapist, specializing in the treatment of patients with vestibular disorders when other forms of medical management have failed. Dr. Sleik founded a private practice in 2010 with the primary focus of treating patients with vestibular conditions. She continues to work as a specialist at Dickenson Rehab Services where more than 90% of her caseload consists of patients with vestibular and balance disorders.

Dr. Sleik graduated from The College of St. Catherine with a Master’s in physical therapy. She earned a transitional Doctor of physical therapy degree through The University of St. Augustine, Florida, and completed the Competency-Based Vestibular Rehabilitation course through Emory University in Atlanta, Georgia. In addition to board-certification as an Orthopaedic Clinical Specialist and Neurologic Clinical Specialist, Dr. Sleik is a member of the American Physical Therapy Association, including the Academy of Neurologic Physical Therapists, and the Vestibular Special Interest Group.

She began teaching continuing education courses in vestibular rehabilitation with the purpose of improving clinicians’ knowledge in the specialty of vestibular rehabilitation and ultimately improving the quality of patient care. Dr. Sleik’s goal as a clinician is to provide her patients with the best care available for return to daily function with minimal limitations, while also providing the tools for long-term self-management of symptoms.

Speaker Disclosures:

Financial: Colleen Sleik has an employment relationship with Dickinson County Health Care System; and Aegis Therapies, Golden Living Center. She receives a speaking honorarium from PESI, Inc.

Non-financial: Colleen Sleik is a member of the American Physical Therapy Association.

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