Participants completing this course should be able to:
- Describe the vestibular system and the function that it impacts.
- Describe normal anatomy and specific pathology of common pediatric vestibular disorders.
- Describe common pediatric diagnosis that have vestibular involvement.
- Perform a comprehensive evaluation including taking, history, choosing screening that is appropriate for the describe dysfunction.
- Make clinical decisions in creating individualized exercise program including HEP and patient/care-giver education.
PTs, OTs, SLPs who work with school-aged children
8:00 am – 3:00 pm
8:00-9:00 Intro, anatomy, physiology of the vestibular system, unique nerve properties of cranial nerve 8, differences of the semicircular canal and otoliths, developmental considerations and implications for head righting, balance, coordination, movement patterns, gaze stabilization and eye movement, current state of the research and understanding of development of the complexities of motion sensation, balance and practice guidelines
9:00-10:00 Pathophysiology and epidemiology of migraine, BPPV, BPV, TBI, vestibular neuritis, bilateral vestibular loss, recognizing nystagmus patterns, associated diagnosis: idiopathic scoliosis, CP, ADHD, Otitis media, autonomic nervous system considerations and common adolescent issues: POTS, fainting, fatigue and anxiety-related to vestibular function
10:15-10:45 Treatment principles-how VR works through compensation, adaptation, habituation and repositioning, why treating children is different than adults. Red flags: signs and symptoms that indicate further medical work up is needed, how to apply the techniques safely and efficiently.
10:45-12:00 Evaluation: subjective history-, use of screenings for cranial nerves, balance, and ocular motor function. Determining which vestibular tests to use to maximize time and effort/participation of the child positional testing (BPPV), motion sensitivity, VOR, VOR cx, head righting, head shake and breaking-down function into the vestibular direction Recognizing behaviors that may stem from faulty vestibular function. Lab of techniques with modifications of positional testing, head righting, gaze stability, review of lessons learned from treating younger children: common complaints that are not dizziness, but improved with VR
12:00-12:45 pm Lunch
12:45 pm-1:00 Differentiating between movement seeking and movement avoiding behaviors in the learning environment, how to help improve school readiness and participation, safety with balance, and recognition of self/environment motion, walking down crowded hallways
1:00-2:00: Lab: “Greatest Hits” of exercises and what to watch for tolerance with non-verbal communication, laser tag, ball activities, pencil push-ups, Brock string, variations on balance in games, core strengthening modified to include vestibular stimulation, scanning for objects, spinning, tilting and swinging, engaging children and improving participation
2:00-2:15 Instructor-led demo of functional deficit break down, identification of movement planes and creation of staring activity when very symptomatic then progression of same activity when symptoms improve then relating back to learning environment
2:15-2:45 Lab with participation on ex development with pacing, dual activity advancement, progression and decrease of intensity of activity, modifying position as indicated. Using gaze fixation, moving in plane of inner ear, start/stop, modifying for comorbidities. Visual motion desensitization. Controlling symptom escalation, pacing activity, increasing or decreasing difficulty of intervention and assessing success of intervention, role of exertion/PE, and visual ergonomics with screen use, suppression of faulty signals with use of otolith motion, proprioception, and visual cues
2:45-3:00 Summary of VR, applying techniques with activity you already use.
Q and A, resources for further information
Inger Brueckner, MS, PT
INGER BRUECKNER is a renowned expert in the field of vestibular dysfunction and amputee rehabilitation, treating patients across the lifespan from pediatric to geriatric. A skilled and knowledgeable researcher and therapist, Inger has extensive experience working in multi-disciplinary teams that provide cutting-edge, effective, and safe rehabilitation treatments at rehab facilities including Presbyterian/St. Luke’s Medical Center and Sky Ridge Medical Center. At Rocky Mountain Hospital for Children’s Center for Concussion, she developed and directs PACER (Progressive Acute Concussion Exertional Rehabilitation). Inger has presented at APTA CSM, published journal articles, developed protocols, and has been invited to speak at conferences throughout the world. She is passionate about providing exceptional and collaborative patient care and sharing her knowledge and experience with the continuing education community.
Inger receives a speaking fee for her presentation. She has no relevant non-financial relationships to disclose.
6 contact hours
Approved for 6 contact hours by NYSED’s State Board for PT.
Application has been made to NJBPTE for CE credit approval.
TSI is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Approved by AOTA for .6 CEUs. 6 contact hours, Mixed Level, Domain of OT: Performance Skills and Occupational Therapy Process: Intervention.
This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).
Early $300.00* | Regular $325.00
*Early registration must be received 21 prior days to seminar
VALID UNTIL OCT 28, 2019 for NYC
VALID UNTIL OCT 29, 2019 for LI
3 or more registrants – Early – $283.92 | Regular – $307.58 (use code group3)
In order to qualify for the group discounted rate, registrations MUST all be received within 24 hours (from the first registration) if registering on-line and in the same envelope if registering by mail. PLEASE NOTE: Registrations received after a group has been processed will not be eligible for the discount.
To ensure that all group members receive the appropriate discount, choose a group name and be sure that each person registering adds the name in the “other notes” section at checkout.