Printer Friendly Copy
Vestibular Rehab
"Out-Think" Vertigo (BPPV), Dizziness, Neck Pain & Headache - NO PRE REQ
American BackPain Center - Strategic Orthopedics
Format(s): Live Seminars
Discipline(s): Physical Therapy
Contact Hours: 13.75
Registration Fee: $495
Objectives
Upon completion of this course, participants will understand the following;
How new treatment protocols for the inner ear & cervical spine, when performed in proper sequence, have resulted in rapid alleviation of vertigo, dizziness, headache and migraine in the first 1-3 visits for the vast majority of patients.
93% of acute hospitalized vertigo patients are discharged home within 24 hrs. of admission with independent ambulation using these procedures.
The Horizontal/Lateral canal of the inner ear is more prevalent/problematic (>80% of the time) than the posterior canal in BPPV patients.
The cervical spine/vestibular system is responsible for the majority of all:
- Vertigo & Dizziness
- Headache & Migraine
- Tinnitus
The very high prevalence of dizziness among headache patients and headaches among vestibular patients is no coincidence.
The Strategic Orthopedics (SO IV) approach to the cervical spine and inner ear will completely abolish tinnitus in over 50% of all cases in the first 1-3 visits.
New “Respect the Neck/Protect the Neck” inner ear testing:
- Protects the vulnerable structures of the cervical
spine and suboccipital region
- Is less stressful on patients (especially the elderly
and cervicalgia/migraine sufferers)
- Is easier to perform
- Is more accurate & effective
- Creates new treatment options for both the inner
ear & cervical spine
Current research and clinical outcome reports on several hundred vestibular and cervical patients reveals the need to significantly change inner ear testing as a result of new findings in the cervical spine.
Confirmation Notes
Course Fee: $495
$550 if received less than 14 days prior to course
Agenda
Day 1 8 a.m. - 6:00 p.m.
Day 2 9 a.m. - 5:00 p.m.
Program Outline
Upon completion of this course, participants will understand the following;
Course Objectives
* Registration 8-9 a.m.
* Welcome & Introduction
* Cervical Anatomy & Pathophysiology
* New Cervical Spine Research Regarding
- Cervical production of head, face & ear symptoms
- Cervical abolishment of head & face symptoms
- The role of the Trigeminal Cervical Nucleus (CNS)
- The role of upper cervical symptom production
- Tinnitus literature review
* Introduction to “Respect the Neck/Protect the Neck”
Inner Ear Testing - Cervical or Vestibular Dizziness?
* Inner Ear (Vestibular) Anatomy & Pathophysiology: Why it’s the Horizontal not the Posterior Canal (new
prevalence findings).
* Inner Ear Research – A Literature Review on Canalith
Repositioning Techniques (CRT) & Otolith degradation.
* A new way of mapping symptomatic head, ear, & facial
symptoms.
* Proving the neck is involved – the predictive and
systematic elimination of ear, eye, head & facial
symptoms.
* Cervical Examination of the Vestibular patient
* Multicenter Clinical Outcome Reports on the Cervical
Treatment of;
- Vertigo (BPPV), & dizziness
- Tinnitus
- Eye pain & visual disturbances
* “Traditional” Inner Ear Testing & Treatments - Inherent
Shortcomings of Dix-Hallpike, CRT Contraindications, &
Epley”s Maneuver.
* New “Respect the Neck/Protect the Neck” Inner Ear
Examination Procedures – Application & advantages in
distinguishing BPPV from cervical pathology.
* Clinical Outcomes Report – Results on over 600 patients
(both in-patient & out-patient) treated for Benign
Paroxysmal Positional Vertigo (BPPV) and
Headache/Migraine pain.
* Hands on Lab – Vestibular Examination Procedures
1. Rhomberg Test
2. VOR (Vestibular Ocular Reflex) with Gait
3. Slow VOR
4. Smooth Pursuit (“H” Test)
* Cervical Examination of the Vestibular patient
* Vestibular Patient #1 – Examination & Treatment
(live demonstration) (60 min)
* Vestibular Patient #2 - Examination & Treatment
(live demonstration) (60 min)
END 6:00 P.M.
DAY TWO: 9:00am - 5:00pm
* Treatment of the Upper Cervical spine - meticulous
biomechanical repositioning for rapid relief.
* Treatment of the Lower Cervical spine - First manually
applied, then patient instructed to self-treat headache,
ear, and facial pain.
* Cervical self-treatment for the vestibular/headache patient;
maintaining relief at home (home program).
* Hands on Lab – Cervical Treatment Procedures
1. Performing the upper cervical “Escape” Position
2. Performing lower cervical Manual Retraction
3. Instructing patients in lower cervical retraction
exercises
* New “Respect the Neck/Protect the Neck” Treatment
Procedures which clear the ear, check the neck, then
“down-regulate” the Trigeminal Cervical Nucleus of the
CNS.
* The role of Gaze Stabilization/Habituation (eye) exercises to maximize neural plasticity and postural control.
* Incorporating Cervical Self-Treatment for optimum results
with surprising relief of Headache & Migraine pain.
* Hands on Lab – Vestibular Treatment Procedures
1. Head thrust
2. Hand placement for Secosky Maneuver
3. Cervical hand placement to stop nausea
* Vestibular Patient #1 – Reexam & Treatment (visit 2)
(live demonstration) (30 min)
* Vestibular Patient #2 – Reexam & Treatment (visit 2)
(live demonstration) (30 min)
* New assessment on CVA and Concussion patients for
BPPV: Is vestibular ataxia and imbalance delaying their
recovery?
* Clinical Outcomes Report - Results on 82
Headache/Migraine patients presenting with vertigo,
dizziness, tinnitus & visual disturbances, treated at the
American Headache Institute.
* New assessment on CVA & Concussion patients for
BPPV:
Description
Prerequisite - NONE.
After years of collaboration, two experts in their fields have come together to present the most comprehensive vestibular course yet. Angelo DiMaggio, PT, Spine Therapist, and Mike Secosky, MPT, Vestibular Therapist, have combined decades of clinical work and volumes of current research to jointly present a major paradigm shift in cervicogenic dizziness/vestibular rehabilitation. This shift is the result of a newly discovered sensitivity of cervical structures and recent ground-breaking cervical spine research. Our greater understanding of the cervical spine’s involvement in vestibular problems has resulted in what we now call “Respect the Neck/Protect the Neck” Inner Ear Testing.
Clinical results on several hundred vestibular, migraine, stroke, post-concussive, and tinnitus patients using the new testing procedures reveals the seldom considered horizontal/lateral canal of the inner ear to be at fault over 80% of the time. This change in inner ear testing has led to all new inner ear treatment protocols. You will not only learn the new inner ear testing procedures, treatment protocols, and patient home programs, but also a new application of cervical biomechanics capable of decreasing or abolishing the majority of vestibular patient’s headaches in as little as 1 to 3 visits. Along with lecture and lab, actual vestibular/cervicogenic dizziness/headache patients will be examined and treated to demonstrate the rapid and dramatic results routinely achieved.
This biomechanical examination results in a cervical home program individually designed to control a vestibular patient’s frequently associated headaches. As a result, you will be able to resolve your vestibular patient’s vertigo, dizziness, and balance problems, while also relieving their cervical, head, and facial pain.
Course Fee: $495
$550 if received less than 14 days prior to course
Date And Locations
Provider does not currently list available courses on RehabEdge.