BPPV is a common vestibular disorder that most often is treated in limited sessions with high success rates, however, there are complex, atypical and refractory presentations that can be challenging to manage. This course is designed to help guide clinicians in establishing better understandings of differential diagnosis e.g. BPPV vs migraine, proposed pathophysiology e.g. apogeotropic posterior canal BPPV, refractory BPPV presentations especially in older adults and develop treatment strategies to more optimally manage patients with atypical/complex BPPV. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
Live WebinarFri, Nov 5, 2021 at 12:00 pm EDT
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DC/2.0; DE/2.0; FL/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NY/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0
- Participants will be able to identify at least three factors that lead to refractory or more complex BPPV presentations.
- Participants will be able to identify pathognomonic clinical presentations that differentiate probable migraine from isolated BPPV and associated treatment management strategies.
- Participants will be able to identify clinical features supportive apogeotropic or atypical posterior canal BPPV vs anterior canal BPPV and proposed treatment management strategies.
- Participants will be able to identify at least two unique challenges with the management of BPPV in the older adult.
|0-15 Minutes||Background, review of learning outcomes|
|15-30 Minutes||Factors related to BPPV complexity|
|30-60 Minutes||Migraine differential|
|60-90 Minutes||Apogeotropic or atypical posterior canal BPPV|
|90-115 Minutes||Older adult BPPV presentations and management strategies|
|115-120 Minutes||Summary, Q&A|
PT, DPT, NCS
Janene M. Holmberg, PT, DPT, NCS received her PT and DPT from the University of Utah. She has over 30 years of experience treating patients with vestibular disorders. She lectures nationally and internationally in the field of vestibular and balance rehabilitation with many leaders in the field. In 2014, Dr. Holmberg has received the "Clinical Excellence in Neurology" Award from the Academy of Neurology Physical Therapy (ANPT) of the American Physical Therapy Association (APTA). She is published in areas of BPPV, clinical updates on vestibular rehabilitation, and most recently in the area of chronic dizziness secondary to functional/psychiatric disorders, specifically the diagnosis of Persistent Postural-Perceptual Dizziness (PPPD). In 2021, she received the honor of being accepted into the prestigious International Barany Society for her contributions to advancing the clinical science of vestibular rehabilitation. She is currently working in a leadership position for Intermountain Rehabilitation Services where she fosters collaboration, best-evidence care, clinical research, and mentoring in addition to keeping a small clinical practice at the Hearing and Balance Center. She is a respected skilled clinician and has mentored many in her field of expertise to better manage the complexities of the dizzy and unsteady patient.
Financial: Janene Holmberg has received an honorarium for presenting this course.
Non-financial: Janene Holmberg has no relevant non-financial relationships to disclose.
Sponsor Disclosure: This Course is presented by PhysicalTherapy.com, a Continued site.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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