Chris Carpino - Current Concepts in Vestibular Rehabilitation: Best Practice Standards for Evaluation & Management

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Faculty:: Chris Carpino
Duration:: 5 Hours 6 Minutes
Format:: Audio and Video
Copyright:: Mar 20, 2015

Description

Outline

INTRODUCTION TO VESTIBULAR REHABILITATION

Epidemiology of dizziness and falling
Role of the vestibular system and its contribution to daily activity

ANATOMY & PHYSIOLOGY OF THE VESTIBULAR SYSTEM

Vestibular complex
- Peripheral and central components
Balance systems
- Proprioceptive, visual, and vestibular
- Motor control and strategies

PATHOPHYSIOLOGY & CLINICAL PRESENTATION OF VESTIBULAR DISORDERS

Unilateral/bilateral vestibular loss
Benign paroxysmal positional vertigo (BPPV)
Perilymphatic fistula
Superior semicircular canal dehiscence
Meniere’s disease and migraines
Concussion
Transient ischemic attack (TIA)/cerebrovascular accident (CVA)
Cervical vertigo
Orthostatic hypotension

DIAGNOSTIC TESTS & EVALUATION PROCEDURES

Differentiate central vs. peripheral vestibular pathology
Oculomotor exam
- Spontaneous and gaze-holding nystagmus
- Smooth pursuit and saccades
- Visual acuity
- VOR cancellation
Vertical and horizontal nystagmus
Torsional nystagmus
Positional testing
- Roll test
Vestibular function testing
- ENG and VNG
- Cervical and ocular VEMPs
- Subjective visual vertical
- Caloric and rotary chair testing
Balance testing

TREATMENT PROGRESSION LAB

Berg and DGI
TUG (standard, manual, cognitive)
Gait assessment
Gaze stabilization
- X1 and X2 viewing
- Vestibular adaptation and habituation
- Canalith repositioning techniques
  - Anterior, posterior, and horizontal canals
  - Apiani and Cassani maneuvers
  - Liberatory and Brandt-Daroff maneuvers
- Cervical exercises
- Static and dynamic balance exercises
- Functional retraining
- Self-treatment and HEP

CASE STUDIES

Faculty

Chris Carpino, MPT Related seminars and products: 1

CHRIS CARPINO, MPT, is a licensed physical therapist practicing in southern New Jersey, and specializes in Vestibular Rehabilitation. Mr. Carpino has completed Vestibular Competency training at Emory University and achieved certification in Vestibular Rehabilitation from the American Institute of Balance in Largo, Florida. He is currently developing the vestibular program at Bayada Home Health, with staff training and marketing. Mr. Carpino is an adjunct instructor at Burlington County College, where he teaches Anatomy and Physiology. He received his Bachelor of Science degree in Exercise Science from James Madison University in Harrisonburg, Virginia. He obtained his Master of Physical Therapy degree from Richard Stockton College in Pomona, New Jersey. Currently, Mr. Carpino practices in southern New Jersey, where he treats patients of various orthopedic and neurological diagnoses. His strengths in rehabilitation include orthopedics, vestibular rehabilitation and manual therapy. Mr. Carpino’s goal as a clinician is to utilize all of his skills to treat the patient as a whole, not just the symptoms.

Speaker Disclosures:

Financial: Chris Carpino has an employment relationship with Bayada Home Health Care. He receives a speaking honorarium from PESI, Inc.

Non-financial: Chris Carpino is a member of the America Physical Therapy Association, Neurology Section.

Salepage: https://catalog.pesi.com//item/current-concepts-vestibular-rehabilitation-practice-standards-evaluation-management-34130

Archive: https://archive.ph/wip/tClSo

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