APTA Vestibular SIG Podcast: Supported by the Academy of Neurologic Physical Therapy

In this podcast episode Dr. Robin Evans, PT, DPT, GCS presents a case study of a patient with bilateral multi canal Benign Paroxysmal Positional Vertigo (BPPV) and underlying Vestibular Migraine (VM). A systematic approach in assessing and treating multi canal BPPV as well as the criteria for VM is reviewed. This case discussion highlights the importance of nystagmus identification, the approach to formulate a differential diagnosis in patients with positional vertigo as well as the need for interdisciplinary management to optimize patient outcomes. https://content.iospress.com/download/journal-of-vestibular-research/ves201644?id=journal-of-vestibular-research%2Fves201644 https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/vestibular-migraine/ https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599816689667 Please send comments or questions on this podcast to robin.evans@ivyrehab.com To learn more about the Academy of Neurologic Physical Therapy Vestibular Special Interest Group visit www.neuropt.org.

Host Stephen Merchant PT, DPT, NCS is joined by Dr. Lisa Heusel-Gillig PT, DPT, NCS in a discussion regarding the development of the Modified Motion Sensitivity Test. Dr. Heusel-Gillig describes the reason she assisted in the development of this testing as well as the recommended standardized process to perform the test. The abstract of Dr. Heusel-Gillig's research article may be found at https://pubmed.ncbi.nlm.nih.gov/35970158/ To learn more about the Academy of Neurologic Physical Therapy Vestibular Special Interest Group visit www.neuropt.org.

Host Jennifer Burus PT, NCS is joined by Anne W. Hunt, PhD, OT Reg (Ontario) and Nick Reed, PhD, MScOT, OT Reg (Ontario) for a discussion on multidisciplinary care for pediatric patients with concussion. Dr. Hunt is an Assistant Professor Teaching Stream in the Department of Occupational Science and Occupational Therapy at the University of Toronto where she teaches courses on pediatric rehabilitation and fieldwork. Her research focuses on developing interventions that enable individuals with brain injury to participate optimally in meaningful activities in everyday life. Dr. Reed is an Associate Professor in the Department of Occupational Science and Occupational Therapy at the University of Toronto where he directs the OAK (Outcomes, Advocacy and Knowledge) Concussion Lab and holds a Canada Research Chair (Tier 2) in Pediatric Concussion.  His work focuses on developing, delivering and evaluating research, educational and clinical programming specific to youth and concussion. The Vestibular Special Interest Group is a part of the Academy of Neurologic Physical Therapy. neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Joanna Wolfson PhD, ABPP and Emily Kostelnik PhD in a discussion on the integration of psychological care for patients with vestibular disorders. Dr. Kostelnik is a Clinical Health Psychologist who focuses on behavioral health education for the vestibular community through her company Rooted Behavioral Education and provides licensed consultation and therapy through her private practice, The Vestibular Psychologist. Dr. Wolfson is a senior psychologist at Rusk Rehabilitation, NYU Langone Health and Clinical Assistant Professor of Rehabilitation Medicine at NYU Grossman School of Medicine. She is board certified in Clinical Health Psychology and provides individual and group psychotherapy to patients with vestibular and medical conditions.

Host Puja Agarwal PT, DPT, MHA is joined by Dr. Jacob McPherson, PT, DPT, PhD, a clinical assistant professor in the Department of Rehabilitation Science and a member of the University of Buffalo Concussion Management and Research Center Team to discuss strategies on how best to advocate for Vestibular Rehabilitation. His current research focuses on the effects of sport and non-sport related concussion on vestibular function as well as the interdisciplinary clinical management of concussion. Dr. McPherson plays a vital role in advocating for and raising awareness of Vestibular Rehabilitation. The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy. neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Helena Esmonde PT, DPT, NCS and Sara Oxborough PT in a discussion regarding recent updates regarding Vestibular Migraine and Meniere's Disease. They delve into the prevalence, physiology, differential diagnosis, and treatment strategies for both disorders. The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy, neuropt.org. For further information view these sources:  ICHD Vestibular Migraine Criteria: https://ichd-3.org/appendix/a1-migraine/a1-6-episodic-syndromes-that-may-be-associated-with-migraine/a1-6-6-vestibular-migraine/ Meniere's Criteria: https://www.audiology.org/classifications-of-menieres-disease/Vestibular Migraine Clinical Pearls: https://vestibularfirst.com/vestibular-migraine-clinical-pearls-practice-tips/ Migraine-related Journal Clubs including topics on Vestibular Migraine with Dr. Shin Beh and Migraine and Nutrition with The Dizzy Cook: https://www.youtube.com/@VestibularFirst/streams Mediation and Educational Resources: https://www.symmetryalliance.com/

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Drs. Anne K. Galgon, PT, MPT, PhD and Andrew E. Littman, PT, PhD. Drs. Anne Galgon and Andrew Littmann are a part of task force that published"A Survey of Entry-Level Physical Therapy Education Content for Vestibular Rehabilitation". Task Force constituted of the following individuals: Galgon, Anne K. PT, MPT, PhD; Roberts, Holly J. PT, PhD; Littmann, Andrew E. PT, PhD; Heusel-Gillig, Lisa L. PT, DPT; Dransfield, Lisa PT, DPT, MA; Plishka, Charles M. PT, DPT; Wrisley, Diane M. PT, PhD.  Dr. Anne Galgon is an Associate Professor in the Department of Physical Therapy at Saint Joseph's University.  Dr. Galgon is a board-certified clinical specialist in neurological physical therapy with advance training in vestibular rehabilitation. She has 35 years of experience as a physical therapist primarily managing patients with neurologic, vestibular and balance disorders. Over the past 21 years she held faculty positions in physical therapy at Neumann University and Temple University, and University of the Sciences where she taught courses in movement sciences, neurosciences, evidence-based practice and clinical management of neuromuscular and vestibular disorders. Her current research focuses on physical therapy management of vestibular disorders. Dr. Littmann is associate professor in the School of Physical Therapy at Regis University in Denver, CO. He specializes in rehabilitation of neurological disorders and has practiced vestibular rehabilitation for the last 20 years. He is a member of the Academy of Neurologic Physical Therapy and serves national roles on the APTA's Council on Frontiers in Rehabilitation Science and Technology, and the vestibular special interest group. He was a member of the critical appraisal team for the recently published clinical practice guidelines for vestibular hypofunction. This episode discusses task force's journey in development of their survey, disparities in VR content, expected level of performance, and the amount of time dedicated to VR at Entry level Education in Physical Therapy programs. The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy, neuropt.org.

Host Puja Agarwal PT, DPT, MHA is joined by Dr. Regan Harrell, PT, DPT, NCS, a current PhD student in Rehabilitation Sciences at the University of Pittsburg to discuss Vestibular Agnosia. Dr. Harrell's research interests include the use of technology to improve the diagnosis and treatment of vestibular disorders and dizziness, and balance disorder manifestations in the traumatic brain injury population. Her recent work investigates the effect of Vestibular Agnosia on the reporting of BPPV symptoms in patients post TBI. The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy. neuropt.org.

In this episode, physical therapist and clinician, Jonathan Kinzinger, shares his story of finding evidence that he could apply to practice. Resources such as the Clinical Practice Guidelines for the core outcome measures and locomotor training inspired him to change practice. He is now embarking on systematic change.   For more information on the Academy of Neurologic Physical Therapy and the Evidence Elevates campaign visit www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Dr. Edward Cho an Otolaryngologist at Cedars-Sinai Medical Center in a discussion of testing for vestibular hypofunction. The Vestibular Special Interest Group is part of the Academy of Neurologic Physical Therapy - neuropt.org.

Dr. Robert Landel is a professor of clinical physical therapy in University of Southern California Division of Biokinesiology and Physical Therapy (at the Herman Ostrow School of Dentistry at USC), where he is the director of PT residency and fellowship programs.His clinical interests have been in cervicogenic dizziness and the diagnostic dilemma and management challenge posed by patients with persistent post-concussion symptoms. He has multiple courses developed for clinicians on his website https://skill-works.thinkific.com  This podcast discusses the causes, examination and intervention strategies for people with cervicogenic dizziness.Below are the links to the citations in the podcast https://www.neuropt.org/docs/default-source/vestibular-sig/cervicogenic-dizziness--robert-landel.docx The Vestibular Special Interest Group is part of the Academy of Neurologic Physical Therapy - neuropt.org.

Host Diron Cassidy, PT, GCS is joined by Courtney Hall PT, PhD and Wendy Carender, PT, NCS to discuss the recently published update of the clinical practice guideline for vestibular rehabilitation for peripheral vestibular hypofunction. Dr. Hall is a Research Health Scientist at the Mountain Home Hearing and Balance Research Program at the James Quillen VA Medical Center and Professor in the Physical Therapy Program at East Tennessee State University. Ms. Carender is a physical therapist in the Department of Otolaryngology, Michigan Medicine, in the University of Michigan Health System. Both are co-authors of the updated clinical practice guideline, which is published online and will be in the April issue of the Journal of Neurologic Physical Therapy. For more resources for the updated clinical practice guideline visit neuropt.org.​

Host Puja Agarwal PT, DPT, MHA is joined by Michael Schubert PT, PhD, FAPTA and Bela Buki MD, PhD to discuss their upcoming article "Prevalence of and Theoretical Explanation for Type 2 Benign Paroxysmal Positional Vertigo. This will be published in the April edition of the Journal of Neurologic Physical Therapy. The Vestibular  Special Interest Group is part of the Academy of Neurologic Physical Therapy – neuropt.org.

Puja Agrawal PT, DPT, MHA highlights the sessions that may be of interest to vestibular therapists during the APTA CSM in San Antonio, TX 2/2/22-2/5/22. The Vestibular Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Ethan Hood, PT, DPT, GCS, NCS is joined in a "roundtable" discussion by Karen Lambert, PT, DPT, NCS, Nicole Miranda, PT, DPT, Dan Sawyer, PT, DPT, and Julie Skrzat, PT DPT, PhD, CCS to discuss dizziness with COVID-19. The Vestibular  Special Interest Group is part of the Academy of Neurologic Physical Therapy – neuropt.org. https://www.apta.org/your-practice/outcomes-measurement/covid-19-core-outcome-measures https://www.texashealth.org/ieem/Patient-Care/Syncope-and-Autonomic-Dysfunction-Clinic https://www.dysautonomiainternational.org/exercise https://workwellfoundation.org/educational-videos/ https://www.stasis.life/

Host Puneet Dhaliwal, PT, DPT, NCS is joined in this episode by Dr. Catherine Cho to discuss about Mal De Debarquement Syndrome. Dr. Cho is Director of Neuro - Otology, Department of Neurology and Clinical Associate Professor Department of Neurology and Otolaryngology, NYU Health, New York. She is a subcommittee member for Mal de débarquement syndrome To learn more about the ANPT Vestibular Rehabilitation Special Interest Group visit neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Sara Oxborough PT in an update on the use of telehealth for vestibular rehabilitation. They discuss best practices for treating vestibular conditions in this medium, changes that have occurred related to the Covid-19 pandemic and resources for further information. The Vestibular  Special Interest Group is part of the Academy of Neurologic Physical Therapy - neuropt.org.

Host Puneet Dhaliwal PT, DPT, NCS is joined by Dr. Michael Popovich, MD, Neurologist, and Clinical Assistant Professor of Neurology at the University of Michigan and Wendy Carender, PT, NCS at University of Michigan in a discussion of the role of supervised exercise challenges prior to Vestibular and Ocular Screening (VOMS) in people with sports related concussion.  This is based from the article they recently published in the Journal of Neurologic Physical Therapy entitled “Does Exercise Increase Vestibular and Ocular Motor Symptom Detection After Sport-Related Concussion?” The Vestibular  Special Interest Group is part of the Academy of Neurologic Physical Therapy - neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Nikki DiSalvio PT, DPT, NCS in a case study discussion of an acute rehabilitation patient with SCI and BPPV. The Vestibular Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puja Agarwal, PT, DPT, MHA is joined by guest speaker and world renowned researcher Dr. Jeffery Staab, MD, MS in a discussion on Persistent Postural Perceptual Dizziness (PPPD) or the The Mystique of PPPD. He offers pearls of wisdom on diagnostic criteria, intervention options and future research on the same. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS, is joined by Professor, Joseph Furman, MD, PhD, FACS, in a discussion on diagnosis and treatment interventions for Vestibular Migraine. Link to diagnostic interview for Vestibular Migraine: Diagnostic Interview The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuropt.org. 

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Robert Gürkov, MD, PhD. An internationally trained physician and eminent Otorhinolaryngology. He has taught as a Professor of Otolaryngology at the University of Munich, head of Neurotology at LMU, Munich, Senior physician and head of the vertigo clinic at Bielefeld Clinic. He is currently working as ENT surgeon at Specialist Center Munich-Laim. With a PhD on Diagnosis and Therapy of Menière's Disease, he has multiple landmarks to his name.Including - Introduction of Endolymphatic Hydrops Imaging for clinical practice, Discovery of VEMP frequency tuning in Menières Disease.Introduction of the terminology "Hydropic Ear Disease" and Discovery of Amiodarone-associated Bilateral Vestibulopathy. This episode discusses examination, pathology and treatment interventions available for Hydropic Ear Disease(Meniere’s).  The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org. 

Host Maureen Clancy PT, DPT is joined by Puja Agarwal PT, DPT, MHA in discussion to education the community on why physical therapists are the providers of choice in the treatment of patients with vestibular conditions. This podcast is designed to be shared with members of the public as a way to educate them on what vestibular rehabilitation is, what to expect at a physical therapy appointment, how the vestibular system works, what treatments may be used, what diagnoses may lead to a referral to vestibular rehabilitation and how to proceed if someone thinks they may benefit from vestibular rehabilitation. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy- www.neuropt.org.

Join our Superior Canal Dehiscence podcast with Vestibular SIG member Ethan Hood, PT, DPT interviewing content expert Dr. Michael Ruckenstein. Dr. Ruckenstein is a neurotologist and  the Vice Chairman, Department of Otolaryngology and Professor of Otorhinolaryngology: Head and Neck Surgery at the Hospital of the University of Pennsylvania in Philadelphia, PA. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy- www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS, Cert MDT is joined by Karen McCulloch PT, PhD, FAPTA, NCS in a discussion on the release of the Concussion Clinical Practice Guideline in April 2020. To learn more about the Academy of Neurologic Physical Therapy Vestibular Special Interest Group visit www.neuropt.org.

Doctor Alaina Bassett, AuD., PhD., CCC-A and Doctor Jessie Patterson, AuD., PhD., CCC-A join host Nikki DiSalvio, PT DPT, MS to discuss the function of the vestibular system and vestibular diagnostic testing. This podcast will review the role of audiologists in vestibular testing and how clinicians can utilize the results from vestibular testing to guide their clinical practice. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Beharang Keshavarz, PhD in a discussion on the causes and characteristics of Visually Induced Motion Sickness. They discuss how visually induced motion sickness (VIMS) is a sensation very similar to traditional motion sickness, with the difference being that physical movement is usually limited or absent during VIMS. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Paul Smith, PhD, Professor, Department of Pharmacology and Toxicology, University of Otago, Dunedin, New Zealand, to discuss the implications of vestibular input to the hippocampus on vestibular rehabilitation. They will discuss how a steady accumulation of evidence suggests that vestibular lesions not just effect oculomotor and postural reflexes in humans but also may lead to cognitive deficits. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Ethan Hood, PT, DPT talks with Nathan W. Steinhafel, MS, OD, FAAO, Director of TBI Vision Services at Armstrong Eye Care Associates in Pittsburgh, PA about what vision therapy is and the role of vision therapy in treating patients with neurological pathology like concussion. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Major. Carrie Hoppes, PT, PhD, NCS, OCS. CSCS, ATC. Major Hoppes is an Active Duty Army Physical Therapist and the Deputy Director of the Army-Baylor University Doctoral Program in Physical Therapy. In this episode we discuss various advances in rehabilitation and techniques in vestibular rehabilitation including assessment and treatments. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Andreas Zwergal, MD, PhD, an associate professor at Department of Neurology and German Center for Vertigo and Balance Disorders at University of Munich, Germany to discuss cerebellar dizziness - assessment and treatment interventions. In this episode they discuss how neurodegenerative and hereditary disorders of the cerebellum often lead to postural vertigo, associated with gait and balance disorders and oculomotor disorders. The importance of correct assessment in the clinic leads to successful intervention. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Puja Agarwal, PT, DPT, MHA is joined by Dr. Janet Helmisnki, PT, PhD to discuss atypical BPPV and its biomechanics, apogeotropic nystagmus, differential diagnosis and interventions. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Dr. Marousa Pavlou, a senior lecturer in Physiotherapy at King's College London, in this episode to discuss the assessment and rehabilitation of people with visually induced dizziness. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Puja Agarwal, PT, DPT is joined by Daniel R. Gold, D.O. in a discussion on skew deviation, its definition, identification and pertienence to Vestibular Rehabilitation. Dr. Gold is an Assistant Professor of Neurology, Ophthalmology, Otolaryngology - Head & Neck Surgery, Neurosurgery, and Emergency Medicine at The Johns Hopkins University School of Medicine. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Sarah Gallagher PT, DPT, NCS and Sara Oxborough PT in a discussion on the use of telehealth in vestibular rehabilitation. They discuss who is appropriate for this treatment and the benefits and challenges associated with treating in this manner. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS, Cert MDT is joined by Rose Marie Rine PT, PhD and Jennifer Braswell Christy PT, PhD in a discussion on pediatric vestibular rehabilitation. They discuss the common disorders children presents with, prevalence of vestibular disorders in children, and the signs and symptoms a child presents with. Additionally the tests commonly used in children, equipment required and how treatment differs between children and adults. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Nikki DiSalvio, PT, DPT, MS is joined by content experts Dr. Patrick Sparto, PT, PhD and Dr. Samantha Michael PT, DPT to discuss the current uses of virtual reality in vestibular rehabilitaton. Our experts will review current technologies available in both research and clinical settings and discuss implications for use of virtual reality in treating patients with vestibular disorders. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Panel members Sara Oxborough, PT and Ethan Hood, PT, DPT, MBA, NCS, GCS discuss the effects of aging on vestibular functioning. The panel members weigh in on common anatomical changes that occur in the vestibular system with age, the relationship between vestibular disorders and falls in older adults, and discuss examination and treatment of vestibular functioning in the elderly population. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Dr. Courtney Hall PT, PhD and Dr. Sue Whitney PT, PhD, NCS, ATC, FAPTA in a dicsussion on vestibular hypofunction. This podcast reviews the medical conditions that would lead to a diagnosis of hypofunction, clinical testing, treatment, exercise prescription, and the key updates from the recent CPG on vestibular hypofunction. For more information on the Vestibular Hypofunction CPG click here. To take a course on Peripheral Vestibular Hypfunction click here. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Nikki DiSalvio, MS, SPT is joined by content experts Dr. Anne Mucha PT, DPT, MS, NSC and Dr. Karen Skop, PT, DPT to discuss current practices in concussion management ranging from screening tools, prognostic factors for recovery, and recommendations for clinics that are interested in starting a concussion program. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Ethan Hood, PT, DPT, MBA, GCS, NCS is joined by panel experts Janet Helminski, PT, Ph.D. and Anne Galgon PT, Ph.D., NCS discussing the latest advances in Benign Paroxysmal Positional Vertigo (BPPV) treatment and any changes noted with the recent release (2017) of the BPPV clinical practice guideline (CPG). The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Karen M. Skop, PT, DPT and Carol Wamsley, PT, DPT, BS, NCS, CBIS discuss case studies of patient's with central vestibular and balance dysfunction. They will delineate similarities and differences as well as prognosis and outcome considerations for these individuals in a subacute rehabilitation setting. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Rebecca York PT, DPT, Nina Surber, PT, DPT and Rachel Trommelen, PT, DPT, NCS discuss 3 case studies of individuals with persistent recurrent BPPV and review physical therapy interventions to treat these individuals. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Content experts Susan Whitney, PT, PhD, NCS, ATC, FAPTA, Janene Holmburg, PT, NCS, and Kim Gottshall PT, PhD discuss treatment approaches for vestibular migraine and the role of medical management. This is part one of this episode. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Content experts Susan Whitney, PT, PhD, NCS, ATC, FAPTA, Janene Holmburg, PT, NCS, and Kim Gottshall, PT, PhD discuss the implications of treatment intensity on patient response, the role of anxiety on patient progress, and exercise prescription for management of vestibular migraine. This is part two of this episode. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Rachel Trommelen PT, DPT, NCS discusses with Neil Shepard PhD and Janene Holmberg PT, DPT, NCS patients with Persistent Postural-Perceptual Dizziness (PPPD). They will discuss a history of PPPD, diagnostic criteria, signs and symptoms and treatment interventions. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Rachel Trommelen, discusses the role of audiologists in vestibular rehabilitation with content expert Dr Laurie Herbert, Aud, CCC-A. They discuss an audiologist's role in assessing the vestibular system and the importance that these results can have in regards to rehabilitation for patient's with vestibular dysfunction. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org.

Host Rachel Trommelen PT, DPT, NCS discusses with Franchino Porciuncula PT, DScPT the definition of bilateral vestibular hypofunction (BVH), causes of BVH, epidemiology, testing, examination findings and treatment. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Ethan Hood PT, DPT, MBA, GCS discusses with content expert Dr. Andrew McCall, MD Meniere's Disease.  They will discuss the clinical condition, clinical criteria, signs and symptoms, differential diagnosis and treatment of this condition. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Rachel Trommelen PT, DPT, NCS discusses vestibular rehabilitation in the acute care setting with Colin Grove PT, MS, NCS and Nicole Van Hueklon PT, DPT.  They explore the unique challenges of vestibular rehab in acute care including referrals, modifications, treatment and discharge recommendations.  Additonally they discuss case studies in the acute care setting. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org

Host Ethan Hood PT, DPT, MBA, GCS discusses with Matthew Scherer PT, PhD, NCS and Linda Horn PT, DscPT, MHS the Vestibular EDGE Task Force.  EDGE: Evaluation Database to Guide Effectiveness. The Vestibular Rehabilitation Special Interest Group is part of the Academy of Neurologic Physical Therapy - www.neuropt.org