Base Knowledge
– Knowledge about the anatomo-physiology of the vestibular system (peripheral and central);
– Knowledge about audio-vestibular pathology.
Teaching Methodologies
Lectures, with group work in the classroom.
Practical lessons follow the material given in the theoretical/practical lessons.
Learning Results
Acquire basic knowledge in Vestibulology on postural balance, vertigo and nystagmus;
Acquire the necessary knowledge for the anamnesis of the individual with vertigo, and for the performance and interpretation of the tests that evaluate the vestibular system:
- videonystagmography (VNG);
- Vestibular Evoked Myogenic Potential (VEMP): cVEMP and oVEMP
- Subjective visual vertical Test (VVS)
- Head Shaking test (HST)
- Video Head Impluse Test (vHIT)
Understand the importance of Pharmacology in the vestibular system and the vertigo.
Understanding the problem of vertigo in children and its study
Program
– Introduction to the subject, explanation of methods of evaluation, and test dates – 1 hours
– Review of the anatomy and physiology of the vestibular system– 2 hours
Definition of vestibulogy; Definition of postural balance;
Study of vertigo: Definition; Physio-pathological; peripheral and central causes
– Study of nystagmus: 3 hours
Physio-pathological explanation of nystagmus
Types of nystagmus
Parameters of analyze
– Anamnesis of individuals with audio vestibular symptoms – 2 hours
– Postural Test – 1 hour
Romberg; Romberg sensibilization; Fukuda/Untemberger; Cerebellar tests
Videonystagmography – 3 hours
Spontaneous and decentralized nystagmus
Study of Nystagmus position and positioning
– VPPB -5 hours
– Study of eye movements – 3 hours
Saccades; Ocular pursuit; Optokinetic
– Rotatory tests – 3 hours
– Caloric tests – 3 hours
– Otolithic tests 4 hours
Vertical subjective
Vestibular Evoked Myogenic Potentials: cervical e ocular (cVEMP e oVEMP)
– Video Head Impulse Test (vHIT)/ Head-Shaking Test (HST)/vibrator test – 3 hours
– Pharmacology: 2 hours
Ototoxic and vestibulotoxic drugs;
– Vertigo in Children – 3 hours
Association of all exams for the study of peripheral causes of vertigo vs. vertigo from central causes – 5 hours
Evaluation – 3 hours
Practical lessons follow the material given in the theoretical/practical lessons (30 hours for each practical
unit).
Curricular Unit Teachers
Internship(s)
NAO
Bibliography
PRIMÁRIA:
– Bronstein, A. M. e Lempert, T. (2017). Dizziness: A Practical Approach to Diagnosis and Management. Cambridge University Press.
– Herdman, S.J. (2002). Reabilitação Vestibular. segunda edição. Manole.
– Jacobson, G. P. Newman, C. W. Kartush, J. M. (1997). Handbook of Balance Function Testing. Thomson. Australia.
– Jacobson, G. P. Shepard, N. T. (2016). Balance Function Assessment and Management. Plural Publishing. San Diego.
SECUNDÁRIA:
– Crowson, MG., Garrison, D., Riska, KM., Tucci, DL. e Kaylie, D. (2020). Vestibular Testing Interpretation. Plural Publishing.
– Herdman, S.J. (2014). Vestibular Rehabilitation. quarta edição. F. A. Davis Company. Philadelphia.
– Jacobson, G. P. Shepard, N. T. (2021). Balance Function Assessment and Management. Plural Publishing. San Diego.
– Zuma e Maia, F., Albernaz, P., & Carmona, S. (2014). Otoneurologia Atual. Revinter