upcoming seminars

Course Details

COURSE # 9: Evaluation and Treatment of Patient with Dizziness and Balance Disorders: A Comprehensive Approach Through Vestibular Rehabilitation Therapy by DR. SARAVANAN CHOCKALINGAM


Dr. Saravanan Chockalingam PT, DPT, CLT, CYT

Course Description

Evaluation and Treatment patients with dizziness and  balance disorders is a great challenge to today’s health care professional. An estimated 42% of the adult population will report episodes of dizziness or vertigo to their physicians and 85% of them will be due to vestibular dysfunctions.

Vestibular disorders can cause dizziness, imbalance, and subsequent risk of fall and thereby greatly limit mobility, function, and quality of life.  Vestibular rehabilitation is a growing, and much needed, area of therapy in which the therapists can guide a patient through the course of their dysfunction, assist them in recovery, and help to give them back the ability to participate in their lives.

This basic to intermediate two-day course will overview therapists’ role in vestibular rehabilitation and enhance the clinician’s knowledge base and hands-on skill through lecture, case studies, demonstration and practice and video presentation.

Instruction will focus on review and analysis of relevant topics including anatomy and physiology of both vestibular and balance systems, assessment of vestibular disorders, diagnostic tests, medical management, rehabilitation with appropriate treatment strategies including adaptation, substitution, habituation exercise, and concepts behind a successful vestibular rehabilitation and balance program.

Emphasis will be placed on current research using a variety of therapeutic approaches in treating patient with vestibular dysfunctions and balance disorders that will provide a foundation from which appropriate decision can be made with regard to patient needs.

This course is designed for participants with a basic to intermediate level of experience.

Contact Hours

Upon completion of this course, all participants will be given a certificate of attendance for 14.0 continuing education hours (14.0 contact hours). This course is approved for 14.0 Continuing Education Hours by Illinois Physical Therapy Association (IPTA; approval # 245-6370) and by North Carolina Physical Therapy Association (NCPTA) for 14.0 contact hours. Learning and Training Center is an approved provider of continuing competence activities through the North Carolina Physical Therapy Association (Provider # 15-1216-031). The Learning and Training Center is an AOTA approved provider of continuing education (AOTA provider number is 5184). Contact your state board for specific filing requirements.

Course Objectives

Upon successful completion of this course, participants should be able to:

  • Describe the anatomy and physiology of the vestibular system and balance systems
  • Understand the role of the vestibular system in postural control and balance
  • Describe the pathophysiology of common vestibular disorders and non-vestibular dizziness and balance disorders
  • Compare and contrast the principles of adaptation, compensation and substitution
  • Understand the importance of vestibular system assessment in Neuromusculo-skeletal disorders
  • Demonstrate at least 3 specific tests of vestibular function
  • Differentiate between types of BPPV and precisely perform canalith repositioning maneuver
  • Identify and describe appropriate treatment interventions for patients with vestibular disorders and Balance dysfunctions
  • Describe the current advances in medical science that have implications for management of patients with vestibular disorders
  • Gain basic knowledge to develop and implement Vestibular Rehabilitation Therapy program in hospital, nursing  home, out-patient and homecare settings

Course Agenda


Time Activity
8:00 a.m. Anatomy and Physiology of the Vestibular System.
9:00 a.m. The Role of the Vestibular System in Postural Control
9:30 a.m. Vestibular Dysfunction:Peripheral, Central
10:00 a.m. Break
10:15 a.m Non-vestibular Dizziness and Imbalance, Cervicogenic Dizziness
10:45 a.m. BPPV Assessment/Management

11:15 a.m.

BPPV: Demonstration and Practice

12:00 noon

LUNCH (on your own)
1:00 p.m. Vestibular Function Tests & Medical Management
1:30 p.m. PT/OT Diagnosis/Assessment of Vestibular Hypofunction (occulomotor, vestibular, musculoskeletal)

2:00 p.m.

3:00 pm

Demonstration and Practice (occulomotor, vestibular)

Balance and Gait Assessment

3:30 p.m.


3:45 p.m. Demonstration and Practice (Balance and Gait)
4:30 p.m. Vestibular Adaptation, Compensation after Vestibular Loss, Compensation for Vestibulo-ocular Hypofunction
5:30 p.m. Adjourn


Time Activity
7:30 a.m. PT/OT Treatment Theory: Adaptation, Substitution, Habituation

8:15 a.m.

9:15 a.m.

Strategies for Intervention: UVL, BVL, Central/Nonvestibular Dysfunction

Evaluation/Management of the Elderly Patient (special consideration)

9:45 a.m. Break
10:00 a.m. Demonstration and Pactice: Adaptation, Substitution, Habituation Exercise, Yoga Posture, Deep Breathing and Relaxation for Vestibular Dysfunction and Balance Disorders
11:15 a.m. Goal Writing, Diagnosis, Coding and Billing, and Balance Clinic
11:45 a.m. Lunch (on your own)
12:30 p.m. Developing/Implementing vestibular program in Hospital, Nursing Home, Home Care and Out-patient settings
1:00 p.m. Case Studies and Discussion

2:00 p.m.

Questions and Discussion

2:30 p.m.



Upcoming Classes

Duluth, MNSeptember 16 - 17, 2017
Registration Deadline : September 9, 2017


Meet Our Faculty


I am excited that I will take back new ideas to the clinic and use right away with my patients.
- Samantha B. (PT from Illinois)
Instructor is very knowledgeable. Dr. Ghosh explained complicated topic with ease and simplicity.
- Oliver P. (OT from Kentucy)


The Learning and Training Center
c/o Sarbani Ghosh
16327 Champion Drive
Chesterfield, MO 63005
Email: :ltcenter@charter.net
Phone: :(636)536-0272