upcoming seminars

Course Details

COURSE # 8: Vestibular Rehabilitation Therapy: Practical Management of Patient with Dizziness and Balance Dysfunction - DR JEFF WALTER


Dr. Jeffery Walter PT, DPT, NCS

Course Description

This evidence-based course will train clinicians in the practical management of vestibular disorders.

The course will include instruction in anatomy and physiology, medical management, pathology, detailed bedside examination and treatment skills.

The material will be presented in a lecture, lab and video case study format. Competence in the performance of a comprehensive office/bedside examination and treatment skills will be addressed in a lab format.

The course is intended to enhance the clinician's ability to evaluate the appropriateness and effectiveness of VRT for vestibular disorders. Practical application of VRT to a variety of practice settings (outpatient, acute care, SNF, ER) will be discussed. An emphasis will be placed on the management of BPPV variants and vestibular hypofunction.

Contact Hours

Upon completion of this course, all participants will be given a certificate of attendance for 14.0 contact hours (approved by Physical Therapy Association of different states including, Tennessee, North Carolina, South Carolina, Virginia, Illinois, Arkansas, Texas, Florida, Georgia, Wisconsin). The Learning and Training Center is an AOTA Approved Provider of continuing education.  AOTA Provider number is 5184.

Course Objectives

Upon completion of the course, participants should be able to:

  • Describe the anatomy and physiology of the vestibular system and balance systems.
  • Describe the pathophysiology of common vestibular disorders.
  • Perform a detailed bedside vestibular and balance examination
  • Based on patient history and bedside examination, identify the specific features of:
  • Peripheral vestibular disorders
  • Central vestibular disorders
  • Non-vestibular dizziness
  • Recognize typical characteristics of peripheral vestibular vs. central-etiology nystagmus
  • Identify appropriate standardized assessment tools for use in vestibular rehabilitation
  • Prescribe rehabilitation programs to address adaptation and compensation for vestibular dysfunction
  • Identify specific variants of BPPV and perform appropriate canalith repositioning maneuvers.
  • Identify indications for further diagnostic testing/medical referral


Course Agenda

Day 1

7:30-8:00    Registration

8:00-10:30 Detailed Anatomy and Physiology of the Vestibular and Balance System

10:30-10:45 Break

10:45-12:15  Disorders and Management Options 
a. Unilateral Disorders: vestibular neuritis, labyrinthitis, vestibular schwannoma, superior canal dehiscence, anterior vestibular artery ischemia, Meniere’s disease
b. Bilateral Disorders
c. Central Disorders: MS, Vertebral Basilar Insufficiency, CVA, Chari Malformation, Cerebellar Degenerative Disorders, Head  Injury
d. Non-Otogenic Dizziness and Imbalance:   Migraine, Cervicogenic Dizziness, Funcional Disorders

12:15–1:00    LUNCH

1:00–2:15     Vestibular Disorders and Management Options (cont)

2:15-2:30 Break

2:30: – 5:30 Bedside / Office Evaluation  (combined lecture / practicum with video case studies)
Oculomotility / stability screen, tuning fork examination,  multi-directional head impulse testing, head shake, hyperventilation, vibration, static vs. dynamic visual acuity, CTSIB, Fukuda Step Test, gait assessment


Day 2

7:45–8:45     Bedside / Office Evaluation (cont)

8:45–10:00 Vestibular and Balance Rehabilitative Treatment Strategies
a. Head motion induced oscillopsia
b. Imbalance

10:00-10:15 Break

10:15-12:00 Benign Paroxysmal Positional Vertigo
Pathophysiology, Identification of Variant Forms, Differential Diagnosis, Canalith Repositioning Maneuvers, Management Guidelines   

12:00–12:45  Lunch

12:45–2:30    BPPV Practicum and video case studies with emphasis on differential diagnosis and assessment of treatment efficacy: 
a. Examination: Hallpike, Roll, Sidelying Tests;
b. Maneuvers:  Modified Epley, Liberatory (Semont), Gufoni, Kim


Upcoming Classes


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