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
Expository and interactive classes between the teacher and students, integrating theoretical and practical content through clinical cases and video analysis.
The practical classes allow the consolidation of the knowledge obtained in the theoretical-practical classes, with observation of real clinical cases in a hospital environment and practical activities such as role-play, which will allow students to understand the difficulties experienced in people with vestibular disorders and which strategies to use in the vestibular rehabilitation process.
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
1h. Presentation of the course unit and definition of dates and evaluation methodologies;
2h. Anatomophysiological Principles related to postural balance:
– vestibulo ocular reflex (VOR)
– vestibul spinal reflex (VSR)
2h. Computerised Posturography: evaluation of VSR;
4h. Benign paroxysmal positional vertigo (BPPV): repositioning maneuver;
3h. Vestibular Rehabilitation: Indications and Contraindications;
3h. Vestibular Rehabilitation: Materials and equipment;
– Rotatory Chair;
-Optokinetic stimulation;
– Exercise on Platform (s);
– Gaze stability exercises.
4h. VR strategies:
– Unilateral vestibulopathy;
– Bilateral vestibulopathy;
– Central vestibular pathology.
2h. RV in psychogenic vertigo and presbyterigo;
1h. Vestibular implant and evaluation of the RV plan;
6h. Clinical Cases of Patients with Vestibular Symptoms;
– Work on different vestibular and associated pathologies.
2h. Written evaluation.
Practical classes: 15 hours each group (4 groups)
1:30h. Computerized posturography: SOT
3h. Repositioning maneuvers for VPBB
1:30h. Rotatory chair: vector and fixation test
1:30h VR: rotatory chair
1:30h VR exercises: on the platform and gaze stability
6h. Clinical cases in a hospital environment
Curricular Unit Teachers
Internship(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. Dizziness: A Practical Approach to Diagnosis and Management. Cambridge University Press. 2007
– Girardi, M. Vestibular Rehabilitation Therapy for the Patient With Dizziness and Balance Disorders: Exercise Protocols. Vestibular Technologies, L L C. 2005
– Jacobson, G. P. Shepard, N. T. Balance Funtion Assessment and Management. Plural Publishing. San Diego. 2008.
-Maia, F., Albernaz, P., & Carmona, S. (2014). Otoneurologia Atual. Rio de Janeiro: Revinter