Vestibulogy

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:

  1.  videonystagmography (VNG);
  2.  Vestibular Evoked Myogenic Potential (VEMP): cVEMP and oVEMP
  3.  Subjective visual vertical Test (VVS)
  4.  Head Shaking test (HST)
  5.  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