Base Knowledge
– Anatomophysiology of the peripheral and central vestibular system;
– Clinical evaluation of the patient with vestibular symptoms;
– Analysis and interpretation of vestibular assessment tests;
– Relate the results of the vestibular evaluation tests with the vestibular syndromes and symptoms.
Teaching Methodologies
Theoretical-practical classes of expository and dialogical teaching using audiovisual media, which can be taught remotely, up to 25% of the hours. Conducting group work in the classroom and viewing videos and scientific articles on clinical cases.
The practical classes will have demonstrative and practical teaching, which will allow students to learn in a roleplay dynamic. Practical classes will also be taught in a hospital context with real clinical cases.
Learning Results
– To aqcuire knowledge on the principles of vertibular rehabilitation, its indications and contraindications;
– To know the equipments and strategies avaiable to use in vestibular rehabilitation;
– To know how to do individual plans to each clinical case;
– To know the role of the Audiology licentiate in a vestibular rehabilitation inter-disciplinar team.
Program
– Presentation and definition of dates and evaluation methodologies – 2h
– Repositioning maneuvers (BPPV) – 4h
– VR: General principles – 2h
Vestibular Compensation, Adaptation, Habituation and Substitution; Objectives, Indications and Contraindications;
– VR: Materials and equipment – 6h
Rotating Chair; Optokinetic Stimulation; Eye stability exercises; Posturography;
– VR strategies – 6h
Unilateral vestibulopathy; Bilateral vestibulopathy; Central vestibular disosders; Acute and chronic vestibular deficit.
– VR in psychogenic vertigo and in presbyvertigo – 2h
– Elaboration and Evaluation of the VR Plan – 4h
– Vestibular implant – 2h
– Written assessment – 2h
Practical classes: 30 hours for each group:
Repositioning maneuvers (BPPV)
Rotating chair at low and high frequencies
Optokinetic stimulation
VR exercises through the posturography
Viewing of films with practical examples on the various topics covered
Analysis of clinical cases and preparation of RV plans
Observation of patients in hospital
Evaluation of the practical
Curricular Unit Teachers
Maria Ines Cardoso AraujoInternship(s)
NAO
Bibliography
Priority:
– Eggers, S., Bistdorft, A.,Brevern, M., Zee, D., Kim, J., Perez-Fernandez, N.,… Newman-Toker, D. (2019). Classification of vestibular signs and examination techniques: nystagmus and nystagmus-like movements. Journal of vestibular Research, 29: 57-87.
– Giardi, M., Randolph, A., Nakayama, M. (2005). Vestibular rehabilitation therapy for the patient with dizziness and balance disorders: exercise protocols. Canadá: Vestibular Techologies Publications
– Herdman, S.J. (2002). Reabilitação vestibular. 2ª Edição. Barueri:Manole.
– Herdman, S. J. (2007). Vestibular Rehabilitation. 3ª Edição. Philadelphia: Davis Company
– Associação Portuguesa de Otoneurologia (2012). Reabilitação Vestibular. Abbot Laboratórios, Lda.
Retrieved from:
https://www.otoneuro.pt/images/stories/noticias/Reunioes_de_inverno/Livro_IV_Reuniao_Inverno_2012.pdf
– Associação Portuguesa de Otoneurologia. (2017). Vertigem Posicional. Campo Maior. Retrieved from:
https://www.otoneuro.pt/images/stories/noticias/Reunioes_de_inverno/Livro_IX_Reuniao_Inverno_2017_Livro.pdf
– Associação Portuguesa de Otoneurologia. (2019). Vestibulppatia Bilateral. Cascais. retrieved from:
https://www.otoneuro.pt/images/stories/noticias/Reunioes_de_inverno/xi_reuniao_de_inverno_2019.pdf
– Baloh, R. W., Honrubia, V. (2001). Clinical Neurophysiology of the Vestibular System. Third Edition. Oxford University Press. 2001
Optional:
– Bronstein, A. M. e Lempert, T. (2007). Dizziness: A Practical Approach to Diagnosis and Management. Cambridge University Press.
– Girardi, M. (2005). Vestibular Rehabilitation Therapy for the Patient With Dizziness and Balance Disorders: Exercise Protocols. Vestibular Technologies, L L C.
– Jacobson, G. P. Shepard, N. T. (2008). Balance Funtion Assessment and Management. Plural Publishing. San Diego.
-Maia, F., Albernaz, P., & Carmona, S. (2014). Otoneurologia Atual. Rio de Janeiro: Revinter