Dizziness (COURSE-03)

Pre-congress course
Time:
Saturday 1 July 2017
Location:
Stellenbosch University, Table View PT Room
Level of learning:
Introductory
Fee:
USD 280 (also available to purchase for ZAR 3,640
Chair/speaker
Speakers
DIZZINESS: CERVICOGENIC DIZZINESS, VBI AND DIFFERENTIAL DIAGNOSIS. ASSESSMENT AND TREATMENT

Reid S.1, Thomas L.2
1ACU, School of Phsyiotherapy, North Sydney, Australia, 2University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Australia

Learning objectives

  1. 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.
  2. To be able to identify and treat a person with cervicogenic dizziness.
  3. 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.

Description

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.

Keywords

  1. Dizziness
  2. Cervical spine
  3. Vertebrobasilar insufficiency

Funding acknowledgements

Funding for research has been by

  • Mulligan Concept Teachers Association
  • The University of Newcastle
  • Australian Catholic University
  • Stroke Foundation Australia
  • The University of Queensland

Target audience

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

Introductory

 

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Programme subject to change