Managing Vestibular Disorders in Acute Care
Managing Vestibular Disorders in Acute Care
  • Total Seat(s): 50
  • Left Seat(s): 48

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
Speaker biography

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.

Course Objective(s)
  • 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
Course Outline


8:00am     Introduction

8:05am     Anatomy & Physiology Review 

8:40am     Vestibular Exam

10:15am    Break

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)

5:45pm     Dismiss

DAY TWO: November 14th

 8:00am      Exam Resources (8:00-9:30)

    1. Medications
    2. Exam tricks & techniques
    3. Epic & smart phrases
    4. Barriers to exam

9:30am      Break

9:45am      Case Studies (9:30-11:00)

    1. HINTS
    2. Peripheral Vestibulopathy
    3. Concussion

11:15am    Continuum of Care (11:00 – 11:30)

11:45am    Questions (11:30-12:00)

12:00pm    Dismiss


Providence St. Vincent Medical Center

Stanley Family Classrooms - East Pavilion

9155 SW Barnes Rd

Portland, OR 97225

Managing Vestibular Disorders in Acute Care
Registration Information

Target Audience: This course is appropriate for acute care Physical Therapists.  

Registration: Registration is on a first-come, first-served basis. Space is limited to 50 participants.

Registration Fee: The registration fee is as follows: 

$200 for Providence employees, $400 for all other participants. Registration fees cover electronic certificate of attendance and electronic course materials. a $25 early bird discount is available if you are registered prior to October 22, 2021.

Refund Policy: Full refunds less a $25 administrative fee will be granted if cancellation is requested by October 31, 2021.  If the course is cancelled by Providence Rehabilitation Services, full refunds will be issued.

Contact Hours: This course qualifies for 12 contact hours for Physical Therapists in Oregon.  Certificates of attendance will be issued to all participants completing the CEU requirements.