upcoming seminars

Course Details

Course # 10 Patients with Vestibular Dysfunction: Effective Management of Dizziness and Balance Disorders through Vestibular Rehabilitation Therapy by Dr. Sara MacDowell


Dr Sara MacDowell PT, DPT

Course Description

Vestibular dysfunction and subsequent balance disorders are great challenge to today’s health care professional. An estimated 42% of the adult population report episodes of dizziness or vertigo to their physicians and 85% of them are due to vestibular dysfunction. Vestibular disorders can cause dizziness, imbalance, and increased risk of falls, thereby limiting 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 return patients to their previous quality of life. 

Incorporating a vestibular framework into assessment and treatment of dizziness and balance disorders can provide a multitude of treatment options and help minimize fall risk. This two-day evidence-based course is designed for clinicians who treat patients with vestibular dysfunctions and balance disorders in acute, out-patient, or in-patient settings. This course will overview therapist 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 vestibular and balance systems, assessment of vestibular disorders, diagnostic tests, medical management, rehabilitation with appropriate treatment strategies, 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, participants will be given a certificate of attendance for 14.0 Clinical Hours (14.0 contact hours). This course is approved by Louisiana Physical Therapy Board for 14.0 Clinical Hours. Alabama Board of Physical Therapy (ABPT) does not require approval of continuing education course. ABPT accepts and provide credits to continuing education courses if they are directly related to the licensee’s practice of physical therapy

Course Objectives

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


  • Describe the anatomy and physiology of the vestibular system and understand the role of the vestibular system in postural control and balance

  • Describe the pathophysiology of common vestibular disorders.

  • Perform and interpret key components of assessment including oculomotor testing, gaze stability, balance, and BPPV

  • Identify treatment principles of vestibular rehab including adaptation, habituation, and substitution

  • Differentiate between common vestibular dysfunctions

  • Differentiate between types of BPPV and locate the involved canal.

  • Demonstrate correct technique for common treatments including those for BPPV as well as exercises for adaptation, habituation, and substitution

  • Identify and describe appropriate treatment interventions for patients with vestibular dysfunction and balance disorders

  • Develop the tools and knowledge to incorporate a Vestibular Rehabilitation Therapy program into a variety of treatment settings

  • Describe the current advances in medical science that have implications for management of patients with vestibular disorders.

Course Agenda


Time Activity
7:30 a.m. Registration
8:00 a.m. Anatomy and Physiology of the Vestibular System and Role of Vestibular System in Postural Control
9:30 a.m. Break
9:45 a.m. BPPV: Pathophysiology
10:30 a.m. Vestibular Hypofunction: Peripheral, Central, and Non-Vestibular
12:00 noon Lunch (on your own)
1:00 p.m. Vestibular Assessment
  • Medical Testing
  • Vestibular Function Tests
  • Bedside Exam
2:00 p.m. Bedside Exam Lab
2:30 p.m. Break
2:45 p.m. BPPV Assessment and Treatment with Lab
4:00 p.m. Balance Assessment and Lab
5:30 p.m. Adjourn


Time Activity
7:45 a.m Treatment Theory for Vestibular Disorders: Adaptation, Habituation, Substitution
9:45 a.m. Break
10:00 a.m. Treatment Lab
11:00 a.m. Goal Writing, Coding, Billing, G Codes, Program Development
12:00 p.m. Lunch (on your own)
12:45 p.m. Case Studies and Discussion
2:45 p.m. Adjourn

Upcoming Classes

Huntsville, ALAugust 19 - 20, 2017
Registration Deadline : August 12, 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