Benign Paroxysmal Positional Vertigo

Authored by Bridgett Wallace, PT

Purpose Statement:

The purpose of this short course to introduce the basic principles of diagnosing and treating the most common type of peripheral vestibular disorder: Benign Paroxysmal Positional Vertigo (BPPV). The course includes an anatomy review of the peripheral vestibular system, key components of the patient’s intake and instruction on evaluating and treating BPPV. Although this course provides adequate information for the clinician to use in his or her clinic, the author suggests attending a course that would allow for a demonstration and lab to practice these maneuvers under the direction of a skilled clinician. Be the end of this online course, the participant should be able to:

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Describe basic anatomy and physiology of the peripheral vestibular system as related to BPPV.

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Identify key components of the patient’s intake and perform appropriate testing.

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Locate the canal involved as well as the type of BPPV (canalithiasis versus cupulolithiasis).

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Implement appropriate intervention based on the type of BPPV and which canal is affected.

About the Author :

Bridgett Wallace, PT is a licensed physical therapist with a competency-based certification in vestibular rehabilitation. She has been treating patients with dizziness and balance disorders for 10 years. Her company, 360°Balance, is a Texas-based corporation that includes cutting-edge diagnostic testing and rehabilitation services. Ms. Wallace has initiated the development of balance centers and treatment protocols to a number of outpatient clinics. Her work encompasses a wide variety of patient populations ranging from pediatrics to geriatrics, from multi-factorial balance problems to collegiate athletes and from neurological to vestibular disorders. Ms. Wallace has been instrumental in the development of hardware and software designed to integrate diagnostic findings for vestibular patients and has co-authored two patents related to diagnosis and treatment of vestibular disorders, has authored a chapter for the textbook, Therapeutic Exercise and lectures nationwide on vestibular disorders.
Ms. Wallace is a guest lecturer in the Neuroscience Program of the Physical Therapy Department of Texas State University. She also serves as the Practice Chair for the Texas Physical Therapy Association and is on the Practice Committee of the Neurology Section of the American Physical Therapy Association (APTA). Ms. Wallace is a member of the following organizations: APTA Neurology Section, Vestibular and Geriatric Special Interest Group, Vestibular Disorders Association, National Women’s Chamber of Commerce, and the Better Business Bureau.

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