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Bridget Kulick – Vestibular Rehab Evaluation & Treatment
Description:
Learn how to evaluate dizziness
Quickly identify type and cause of patient’s dizziness
Strategies to create effective, diagnosis-appropriate treatment plans for immediate implementation
Develop treatment skills into a dedicated vestibular treatment program
Physical therapists trained in vestibular rehab can provide life-changing benefits to patients who suffer from dizziness and balance disorders. This course will equip you with the tools to evaluate symptoms in patients and determine the cause for dizziness, assessments after functional tests, and the most cutting-edge treatment strategies. You will learn strategies for a thorough, yet efficient evaluation and how to explain the rationale for your evaluation, techniques and subsequent treatments such as canalith repositioning, video goggles, rotary chairs and manual therapy.
Through a unique combination of instruction, hands-on lab, demonstrations and case studies, you will learn…
How to pinpoint where a patient’s dizziness is coming from
When further work-up is needed
What treatment strategy will promote the best functional outcomes for your patient
You will never have to tell your patient with dizziness, “I can’t help you.” You will leave this seminar with a toolbox full of strategies to implement immediately in your clinical practice!
OUTLINE
Symptoms of Balance and Dizziness Disorders & How to Categorize
Visual Impairments
Motion Intolerance
Cognitive and Emotional Effects
Physical Symptoms
Peripheral Vestibular Diagnoses
Labyrinthitis
BPPV
Meniere’s Disease
Perilymphatic Fistula
Others
Oculomotor & Balance Evaluation
Lab and Demonstration
Evaluation Tests
Determine Central vs. Peripheral Vestibular Dysfunction
VOR Testing
Functional Gait Assessment
Advanced Balance and Vestibular Testing Equipment
Computerized Balance Testing
ENGs and Audiograms
Video Goggles
Rotary Chair
Assessment after Tests: Putting It All Together
Creating treatment plans
Evidence-based guidelines
Treatment Techniques
Exercises
Manual Therapy
Referral for Non-Physical Therapy Treatments
Canalith Repositioning for Benign Paroxysmal Positional Vertigo (BPPV )
Lab and Demonstration
Treatments for Posterior, Anterior and Horizontal Canals
Epley’s Maneuver, Log Roll, Appi Maneuver
Central Vestibular and Non-Vestibular Diagnoses and Treatments
Cervicogenic Dizziness
Migraine Associated Dizziness
Medications
Head Injury/Concussion
Neurological Disorders
Documentation of the Evaluation
Billing
CPT & ICD-9 Codes
Developing a Dedicated Vestibular Treatment Program
Integrating treatment skills into a vestibular program
OBJECTIVES
Identify the anatomical structures and neurophysiological systems involved in balance/dizziness disorders.
List the symptoms and describe the clinical presentation of a variety of balance and dizziness diagnoses.
Perform an efficient and informative vestibular and balance evaluation.
Create an effective, diagnosis-appropriate treatment plan you can implement right away.
Perform the Epley’s Maneuver and other treatments for BPPV.
Collaborate with other healthcare providers to refer the appropriate patients for further work-up.
Provide patients with outside resources to help them learn more about their disorders.
Develop a “balance-center” approach, tailored to the clinician’s own work setting, identifying key participants.
ABOUT THE SPEAKER
Bridget Kulick, PT, is a physical therapist with over 25 years of experience in all types of physical therapy settings throughout the country. She received a Masters in Physical Therapy at Hahnemann University in Philadelphia and holds the APTA Competency Certificates in Vestibular Rehabilitation, Advanced Test Interpretation and Cervicogenic Dizziness. She is currently practicing at a hospital in Green Bay, Wisconsin, where she started their vestibular rehab program 10 years ago. Her experience includes owning a private practice for four years, where she specialized in balance and dizziness disorders, and she was on the Board of Directors for VEDA (Vestibular Disorders Association) for 6 years. She teaches vestibular-related graduate physical therapy courses, and she is a frequent lecturer to physicians, healthcare professionals and the general public about balance and dizziness disorders. She is on an advisory panel for a community-wide falls prevention program, and she has been featured on the radio, television and in the newspaper talking about balance and dizziness disorders.
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Disclosures:
Financial: Bridget Kulick is employed by Aurora BayCare Medical Center. She is a guest lecturer for Concordia University. She receives a speaking honorarium from PESI, Inc.
Nonfinancial: Bridget Kulick is a member of the advisory board and a guest lecturer for Stepping On, a community based program for fall prevention. She is a member of the Vestibular Disorders Association.