Complaints of dizziness account for approximately 4 million ED visits annually. Many of those cases are vestibular-related issues that may mimic or mask central pathology, such as stroke or tumors. Physical therapists can contribute critical information to the differential diagnosis, saving hospitals and patients unnecessary medical costs and preventing delay in delivery of effective treatment.
This course serves to teach and provide practical tools for acute care therapists to screen for central vestibular issues, evaluate and treat peripheral vestibular pathology, and assist in the patient care pathway as early on as in the Emergency Department.
Topics in this course include:
- Review of relevant central and peripheral vestibular anatomy and physiology
- Differential diagnosis and treatment of BPPV & other common peripheral disorders
- Screen for central vestibular dysfunction using a quick 3-test process (“HINTS”) to screen for acute central vestibular dysfunction
- Presentation of case studies
- Discussion of continuum of care for this patient population
Erik Button, DPT - Erik is a graduate of Columbia University’s doctoral physical therapy program. He has ten years of clinical experience in multiple settings including acute care, outpatient and most recently home health. He initiated, and has led, the acute care vestibular work group at St. Vincent Medical Center to help support clinical mentorship and establish evidence-based practice. As part of his focus on advancing clinical excellence, he developed and has taught a continuing education course designed to address the unique clinical skills and knowledge for managing vestibular patients in the acute care setting.
Moire Yue, DPT - Moire graduated from Emory University’s doctoral physical therapy program in 2015. While at Emory, she had the privilege of completing “Vestibular Rehabilitation: A Competency Based Course” and learning under Susan Herdman as a student. She has been working at Providence St. Vincent Medical Center for three years, specializing in critical care and assisting in creating early mobility protocols to improve patient outcomes. She has taught to therapists both within and outside the Providence system in vestibular screening and HINTS testing for ruling out stroke in acute settings.
- Demonstrate competence in assessing and differentiating dizziness with vs. without vertigo in the acute care setting
- Differentiate between BPPV and acute vestibular syndrome
- Differentiate between acute peripheral and central vestibulopathy using the HINTS testing.
- Explain treatment and appropriate referral pathway of patients with acute vertigo
- Identify barriers to acute care vestibular exam
DAY ONE: NOVEMBER 13th
8:05am Anatomy & Physiology Review
8:40am Vestibular Exam
10:30am Vestibular Exam continued
12:30pm Lunch break(on your own)
1:30pm AVS and HINTS testing and lab practice (1:00 – 3:00)
3:30pm Break (3:00-3:15)
3:45pm Peripheral Vestibular Disorders (3:15-4:45)
5:15pm Gait & Balance (4:45-5:00)
5:30pm Questions (5:00-5:15)
DAY TWO: November 14th
8:00am Exam Resources (8:00-9:30)
- Exam tricks & techniques
- Epic & smart phrases
- Barriers to exam
9:45am Case Studies (9:30-11:00)
- Peripheral Vestibulopathy
11:15am Continuum of Care (11:00 – 11:30)
11:45am Questions (11:30-12:00)
Providence St. Vincent Medical Center
Stanley Family Classrooms - East Pavilion
9155 SW Barnes Rd
Portland, OR 97225