Vestibular Rehabilitation

Teaching Methodologies

Theoretical-practical classes of expository and dialogical teaching, using audiovisual media. 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.
Continuous evaluation:
– T/P evaluation = 70% of the final grade
80% written frequency + 20% group work (with a minimum grade of 9.5 in each of the evaluations);
– PL Evaluation = 30% in the final grade, whose classification must be at least 9.5 values:
15% repositioning maneuvers for BPPV + 15% RV for different vestibular deficits
The final evaluation consists of 70% of the final grade of the T/P component (whose classification must be at least 9.5) + 30% of the final grade of the practical component (PL) (whose classification must be at least 9.5).

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
Repositioning maneuvers (BPPV)
VR: General principles
Vestibular Compensation, Adaptation, Habituation and Substitution; Objectives, Indications and Contraindications;
VR: Materials and equipment
Rotating Chair; Optokinetic Stimulation; Eye stability exercises; Posturography;
VR strategies
Unilateral vestibulopathy; Bilateral vestibulopathy; Central vestibular disosders;
VR in psychogenic vertigo and in presbyvertigo
Elaboration and Evaluation of the VR Plan
Vestibular implant
Written assessment
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

Internship(s)

NAO

Bibliography

Eggers, S. et al. (2019). Classification of vestibular signs and examination techniques: nystagmus and nystagmus-like movements. Journal of vestibular Research, 29: 57-87.
Giardi, M., et al. (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.
Associação Portuguesa de Otoneurologia. (2017). Vertigem Posicional. Campo Maior.
Associação Portuguesa de Otoneurologia. (2019). Vestibulppatia Bilateral. Cascais.
Baloh, R. & Honrubia, V. (2001). Clinical Neurophysiology of the Vestibular System. Third Edition. Oxford University