Reid S.1, Thomas L.2
1ACU, School of Phsyiotherapy, North Sydney, Australia, 2University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Australia
- To be able to understand the different types and causes of dizziness such as Benign Paroxysmal Positional Vertigo (BPPV), cervicogenic dizziness, VBI, migraine, cardiovascular dizziness etc.and how they differ.
- To be able to identify and treat a person with cervicogenic dizziness.
- To be able to differentially diagnose VBI, and red flag conditions such as cervical arterial dissection, and then to perform a screening examination covering VBI, domains of balance, co-ordination and cranial which might be undertaken prior to treatment of the cervical spine.
This workshop will include
Review dizziness and its classification, types and causes
Section A: Cervicogenic dizziness
- What is cervicogenic dizziness and how do we identify it?
- Case studies
- The patient interview. Establishing type of dizziness is unsteadiness and not rotatory dizziness, presence of neck dysfunction and that the dizziness is triggered by neck movements.
- The physical evaluation to determine if the dizziness is coming from the neck , includes Dix-Hallpike manoeuvre to identify BPPV.
- Treatment. SNAGs, Self-SNAGs, passive joint mobilization, multi-modal. Treatment of BPPV.
Section B: VBI and cervical arterial dissection
- Screening for VBI and red flag conditions- pathophysiology, historical features and physical screening
- Differential diagnosis of cervical arterial dissection- recognition of risk factors and early clinical presentation.
- Physical screening for cervical arterial dissection
Implications / Conclusions
This course will provide participants with a broad overview of the safety aspects of managing cervical spine conditions and succinct screening protocols to differentially diagnose cervicogenic dizziness, VBI and red flag conditions. The course will improve participant's confidence with recognising more serious pathologies and refine their skills in basic screening practices. It will also enable them to more confidently undertake treatment of patients presenting with conditions such as cervicogenic dizziness and the more simple vestibular conditions amenable to physiotherapy management.
- Cervical spine
- Vertebrobasilar insufficiency
Funding for research has been by
- Mulligan Concept Teachers Association
- The University of Newcastle
- Australian Catholic University
- Stroke Foundation Australia
- The University of Queensland
This course targets all physiotherapists treating neck pain or dizziness. It is an essential course for safe practise for early career thru to experienced clinicians.
Level of learning
Programme subject to change