Evidence Based Practice in Evidence Based Practice in Vestibular Rehabilitation: An Vestibular Rehabilitation: An Occupation-based Perspective Occupation-based Perspective Brenda S. Howard MHS OTR Balance Point Indianapolis And University of Indianapolis, DHS Program October 26, 2013
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Evidence-Based Practice in Vestibular Rehabilitation
Presented at the Indiana Occupational Therapy Association Fall Conference, October 26, 2013, at IUPUI. This presentation gives occupational therapists a few tools to recognize, begin treatment, and refer patients with vestibular dysfunction, for earlier identification and return to productive living.
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Evidence Based Practice in Evidence Based Practice in Vestibular Rehabilitation: An Vestibular Rehabilitation: An Occupation-based PerspectiveOccupation-based Perspective
Brenda S. Howard MHS OTRBalance Point IndianapolisAnd University of Indianapolis, DHS ProgramOctober 26, 2013
How is Vestibular Rehabilitation How is Vestibular Rehabilitation Occupation-Based?Occupation-Based?
• Vestibular function underlies all human activity
BPPV Evaluation and TreatmentBPPV Evaluation and TreatmentDix Hallpike and Canalith Repositioning
(Epley) ManeuverDix Hallpike:
http://www.youtube.com/watch?v=7pDOaFKrTbU
Epley: http://www.youtube.com/watch?v=ZqokxZRbJfw
PRACTICE!PRACTICE!
Dix Hallpike and Canalith Repositioning Maneuver
American Academy of Neurology American Academy of Neurology BPPV Assessment and Treatment BPPV Assessment and Treatment (full video)(full video)http://www.youtube.com/watch?v=hq-
Refer to audiologist for VNG, audiogram for suspected ear pathology
Refer to vestibular rehabilitation specialist if patient does not respond to treatment in 2-3 weeks OR if you are unsure what to do based on what you know
A Word about LogisticsA Word about LogisticsAOTA Position Paper (Cohen, et al., 2006)Indiana License (IPLA, 2011)Billing CPT codes:
Education Resources: Richard Clendaniel DPT, Gaye Cronin OTR
Jeff Walters DPT - http://www.vestibularseminars.com/
Sue Whitney PTJanet Helminski PT, Dr. Timothy Hain MDAPTA/Emory University Certificate Course
(Susan Herdman PT)Dr. Richard Gans PhD
http://dizzy.com/education_without_boundaries.htm
(See Cohen, et al., 2011 for educational guidelines)
SummarySummary
Evidence-basedOccupation-based
Post-testCourse Evaluation
THANK-YOU FOR ATTENDING!THANK-YOU FOR ATTENDING!
http://www.youtube.com/watch?v=rbwmfEXu75s
ReferencesReferences Akin, F., & Davenport, M. (2003). Validity and reliability of the Motion Sensitivity
Test. Journal of Rehabilitation Research and Development, 40(5), 415-422. American Geriatrics Society & British Geriatrics Society (AGS/BGS). (2010).
Clinical practice guideline: Prevention of falls in older persons. Journal of the American Geriatrics Society (special article). Retrieved May 17, 2013 from http://www.americangeriatrics.org/health_care_professionals/clinical_practice/ clinical_guidelines_recommendations/2010/
Clendaniel, R. (2010). The effects of habituation and gaze stability exercises in the treatment of unilateral vestibular hypofunction: a preliminary results [sic] [Abstract]. Journal of Neurologic Physical Therapy, 34(2), 111-116.
Cohen, H. (2011). Assessment of functional outcomes in patients with vestibular disorders after rehabilitation. Neurorehabilitation, 29, 173-178.
Cohen, H., Blatchly, C., & L., Laurie. (1993). A study of the Clinical Test of Sensory Interaction and Balance. Physical Therapy Journal, 73, 346-351.
Cohen, H., Burkhardt, A., Cronin, G., & McGuire, M. (2006). Specialized knowledge and skills in adult vestibular rehabilitation for occupational therapy practice. American Journal of Occupational Therapy, 60(6), 669-678.
Cohen, H., Kane-Wineland, M., Miller, V., & Hatfield, C. (1995). Occupation and visual/vestibular interaction in vestibular rehabilitation. Otolaryngology-Head and Neck Surgery, 112(4), 526-532.
Cohen, H., Gottshall, K., Graziano, M., Malmstrom, E., Sharpe, M., & Whitney, S. (2011). International guidelines for education in vestibular rehabilitation therapy. Journal of Vestibular Research, 21, 243-250.
Cronin, G. & Steenerson, R. (2011). Disequilibrium of aging: Response to a 3-month program of vestibular therapy. Physical & Occupational Therapy in Geriatrics, 29(2), 148-155
Cronin, G. (June 14-15, 2013). Vestibular Rehabilitation: Treatment Intensive (course manual). Philadelphia, PA: Education Resources, Inc.
Epley, J. (1992). The canalith repositioning procedure for treatment of benign paroxysmal positional vertigo. Otolaryngology-Head and Neck Surgery, 107(3), 399-404.
Epley, J. (1995). Positional vertigo related to semicircular canalithiasis. Otolaryngology-Head and Neck Surgery,112(1), 154-161.
Hain, T. Dizziness, imbalance, and hearing disorders. Retrieved on June 30, 2013 from http://www.dizziness-and-balance.com/disorders/index.html
Haven, L. (2011, Summer/Fall). VEDA produces benchmark study to help reduce suffering. On the Level: Quarterly Newsletter of the Vestibular Disorders Association, 28(3-4), 1-8.
Helminski, J., Zee, D., Janssen, I., & Hain, T. (2010). Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: A systematic review. Physical Therapy Journal, 90(5), 663-678.
Herdman, S.(Ed.). (2007). Vestibular Rehabilitation (3rd ed.). Philadelphia: FA Davis Co.
Herdman, S. & Clendaniel, R. (March 13-17, 2007). Vestibular Rehabilitation: A competency-based course (course manual). Atlanta, Georgia: Department of Rehabilitation Medicine, Emory University School of Medicine and American Physical Therapy Association.
Herdman, S., Schubert, M., Das, V., & Tusa, R. (2003). Recovery of dynamic visual acuity in unilateral vestibular hypofunction. Archives of Otolaryngology-Head and Neck Surgery, 129, 819-824.
Hernandez, D. & Rose, D. (2008). Predicting which older adults will or will not fall using the Fullerton Advanced Balance scale. Archives of Physical Medicine and Rehabilitation, 89(12), 2309-2315.
Indiana Professional Licensing Agency Occupational Therapy Committee (IPLA). (2011). Occupational Therapy Committee: Laws and Regulations: A compilation of the Indiana Code and Indiana Administrative Code. Retrieved from http://www.in.gov/pla/files/OTC.2011_EDITION.pdf
Jacobson, G., Newman C., Hunter, L., et al. (1990). The development of the dizziness handicap inventory. Archives of Otolaryntology-Head and Neck Surgery, 116, 424-427.
Shepherd, N. & Telian, S. (1995). Programmatic vestibular rehabilitation. Otolaryngology-Head and Neck Surgery, 112, 173.
Shumway-Cook, A., & Horak, F. (1986). Assessing the influence of sensory interaction of balance: suggestion from the field. Physical Therapy Journal, 66, 1548-1550.
Vestibular Disorders Association (VEDA). Living with a vestibular disorder. Retrieved on June 30, 2013 from http://vestibular.org/living-vestibular-disorder
Whitney, S., Hudak, M., & Marchetti, G. (1999). The Activities-specific Balance Confidence scale and the Dizziness Handicap Inventory: A comparison. Journal of Vestibular Research,9, 253-259.
Whitney, S., Hudak, M., & Marchetti, G. (2000). The dynamic gait index relates to self-reported fall history in indifivuals with vestibular dysfunction. Journal of Vestibular Research, 80, 896-903.
Whitney, S. & Sparto, P. (2011). Principles of vestibular physical therapy rehabilitation. Neurorehabilitation, 29, 157-166.
Wrisley, D. & Kumar, N. (2010). Functional gait assessment: Concurrent, discriminative, and predictive validity in community-dwelling older adults. Physical Therapy Journal, 90, 761-773.