Advanced Vestibular Workshop

Please note this will take place at Monterey Hall.

This advanced course provides clinicians with the skills to assess and manage complex vestibular disorders. Participants will gain hands-on experience with tools such as vHIT, VEMP, OCR, CDP, GST, and rotational chair testing. Emphasis is placed on interpreting results to distinguish central from peripheral dysfunctions and selecting appropriate assessments based on varied clinical presentations. Through case-based learning, guided practice, and live demonstrations, participants will develop proficiency in diagnostics and create tailored rehabilitation strategies.

Learning Objectives:

• Synthesize vestibular anatomy and balance pathway knowledge to support clinical decision-making.
• Perform advanced vestibular assessments including vHIT, VEMP, OCR, Balance Assessments, and rotational chair testing.
• Interpret test results to differentiate between central and peripheral vestibular dysfunctions.
• Apply case-based reasoning to select appropriate assessments for diverse symptom presentations (e.g., dizziness, TBI, PPPD).
• Demonstrate hands-on proficiency with diagnostic tools through guided practice and peer collaboration.
• Formulate targeted rehabilitation strategies based on assessment findings and patient-specific needs.

View the Syllabus

Two classrooms for more opportunities to get hands-on experience!

Earn up to 0.8 hours CEUs (Tier 1)

Light snacks, lunch and beverages will be provided.

Speaker:

Anna Payne, PT, DPT, earned her Doctor of Physical Therapy degree from St. Catherine University in St. Paul, MN. Prior to her current occupation, Anna worked clinically in an outpatient and inpatient setting with a wide variety of diagnoses, including neurologic, orthopedic, and vestibular disorders across the age spectrum. As a board certified neurological physical therapist, she managed care for patients post stroke, with Parkinson’s disease, vestibular conditions, spinal cord injuries, and balance impairments.

Lab Assistants:

Jason Ramirez, BA - Arizona State University-Communications, 10 Years Experience in distribution and support of Medical Diagnostic Equipment. Specializing in the Hearing and Balance industry. Client -Focused expertise in delivering innovative solutions to Healthcare Providers.

Jeffrey Pommier, BS - Business Southern Connecticut State. 46 Years Experience in Software and Hardware support across multiple manufacturers of Balance and related equipment. Installs, trains and supports Clinical and Diagnostic Balance locations from Colorado West. Experienced in use of VNG, vHIT, Electrodiagnostics -EcochG, VEMP, Saccadometry, Ocular Counter Roll, DVA-GST,SVV, and fvHIT. experience.

Cited References:

· This course is free from commercial bias and does not promote the use/sale of a specific product/service

· Alejandra L., López Cruces, K., Erazo, C., et al. (2023). Effectiveness of virtual reality in balance training for fall prevention in older adults: Systematic review. Sports Medicine and Arthroscopy Review, 31(2), 41–48.

· Barbanchón, C., Mouraux, D., & Baudry, S. (2024). Repeated exposure to virtual reality decreases reliance on visual inputs for balance control in healthy adults. Human Movement Science, 96, 103236. https://doi.org/10.1016/j.humov.2024.103236

· Cohen, H. S., Mulavara, A. P., Stitz, J., Sangi-Haghpeykar, H., Williams, S. P., Peters, B. T., & Bloomberg, J. J. (2019). Screening for vestibular disorders using the modified clinical test of sensory interaction and balance and tandem walking with eyes closed. Otology & Neurotology, 40(5), 658–665.

· de Amorim, J. S. C., Leite, R. C., Brizola, R., & Yonamine, C. Y. (2018). Virtual reality therapy for rehabilitation of balance in the elderly: A systematic review and meta-analysis. Advances in Rheumatology, 58(1).

· Gans, R. E., Rutherford, K., & D’Alessandro, A. (2024). Understanding Mal de Debarquement syndrome (MdDS), persistent postural perceptual dizziness (3PD) and somatoform disorders: and the role of vestibular rehabilitation therapy (VRT). Journal of Otolaryngology ENT Research, 16(1), 1–5. https://doi.org/10.15406/joentr.2024.16.00538

· Heffernan, A., Abdelmalek, M., & Nunez, D. A. (2021). Virtual and augmented reality in the vestibular rehabilitation of peripheral vestibular disorders: Systematic review and meta-analysis. Scientific Reports, 11(1).

· Julienne, A., Verbecque, E., & Besnard, S. (2024). Normative data for instrumented posturography: A systematic review and meta-analysis. Frontiers in Human Neuroscience, 18, 1498107.

· Keshner, E. A., Mallinson, A. I., Longridge, N. S., Sinno, S., Petersen, H., & Perrin, P. (2023). Evolution of postural control assessment: From dynamic posturography to virtual reality. Frontiers in Neurology, 13, 1054346.

· Khattar, V. S., & Hathiram, B. T. (2012). The clinical test for the sensory interaction of balance. International Journal of Otorhinolaryngology Clinics, 4(1), 41–45.

· Newman-Toker, D. E., & Edlow, J. A. (2015). TiTrATE: A novel, evidence-based approach to diagnosing acute dizziness and vertigo. Neurologic Clinics, 33(3), 577–599. https://doi.org/10.1016/j.ncl.2015.04.011

· Ozgur, U. E., & Ceran, H. N. (2024). Virtual reality in vestibular rehabilitation for Mal de Débarquement syndrome: A case report. Duzce Medical Journal (Early Access). https://doi.org/10.18678/dtfd.1510187

· Shumway-Cook, A., & Horak, F. B. (1986). Assessing the influence of sensory interaction of balance: Suggestion from the field. Physical Therapy, 66(10), 1548–1550.

· Wagner, A. R., Kobel, M. J., & Merfeld, D. M. (2023). Increased roll tilt thresholds are associated with subclinical postural instability in asymptomatic adults aged 21 to 84 years. Frontiers in Aging Neuroscience, 15, 1207711. https://doi.org/10.3389/fnagi.2023.1207711

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