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Recent Advances in Treatment and Diagnosis of Posterior Canal BPPV

presented by Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

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Disclosure Statement:

Financial— Susan Whitney is a speaker for Interacoustics and for the APTA, as well as a Director on the APTA Board of Directors. Susan Whitney receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Course one provides learners with an overview of the latest advances in the diagnosis and treatment of posterior canal BPPV. This course is pertinent to physical therapists and occupational therapists across any setting that treat persons with balance and vestibular disorders. Children can also develop BPPV, although it is most seen associated with either migraine or head trauma after the age of six. Morphology of the otoconia will be described in humans. In addition, an overview will be provided of the evidence and "clinical pearls" related to the treatment of persons with posterior canal BPPV. The learner will be exposed to the emerging evidence related to BPPV plus the recent clinical practice guideline recommendations for posterior canal BPPV.

Meet Your Instructor

Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Susan L. Whitney received her PhD in motor development/motor learning from the University of Pittsburgh, her professional physical therapy education from Temple University in Philadelphia, and her DPT from MGH Institute of Health Professions. Currently, she is a professor in physical therapy in the School of Health and Rehabilitation Sciences and treats clinically for the…

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Chapters & Learning Objectives

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1. Definition of PC-BPPV, Epidemiology of BPPV, and Its Typical Presentation

Physical therapists need to recognize BPPV based on history taking. Key questions and responses that suggest that the person has BPPV will be covered plus facts related to the prevalence of BPPV across age with its typical presentation outlined for the learner.

2. Typical and Atypical Presentations of Posterior Canal BPPV

Physical therapists need to recognize the typical and atypical presentations of posterior canal BPPV and be able to differentiate PC-BPPV from central findings. Differential diagnosis in the examination of the BPPV will be emphasized with interpretation of the findings discussed related to the management of the patient's health condition.

3. Posterior Canal Examination

In chapter three, Dr. Whitney describes the newest evidence of the posterior canal examination in detail.

4. Posterior Canal BPPV Cases

This chapter will present some cases to recognize typical versus atypical (red or yellow flags) for posterior canal for BPPV.

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