Vestibulogy

The student must know and understand the anatomy and physiology of the vestibular system (peripheral and central); The student must know audio-vestibular pathology.

Lectures and small group work in the classroom.

Practical lessons follow the material given in the theoretical/practical lessons.

To acquire basic knowledge in Vestibulology on balance, vertigo and nystagmus.

To acquire the knowledge necessary for the anamnesis of the individual with vertigo, and for the realization and interpretation of the videonystagmogram, video head impulse test and otolith tests, namely vestibular evoked potentials and subjective vertical test.

To understand the importance of Pharmacology in the individual suffering from vertigo.

To understand the problem of vertigo in children and its study.

3 hours:

Introduction to the subject, explanation of methods of evaluation, and test dates.

Brief Revision of vestibular physiology;

Definition of vestibulogy;

Definition of balance;

Study of vertigo:

  Definition

  Physio-pathological explanation of vertigo

  Primary and secondary causes

  Classification

Study of nystagmus: 3 hours

  Physio-pathological explanation of nystagmus

  Definition

   Flourens’ law

   Ewald’s laws

  Types of nystagmus:

    Spontaneous

      Peripheral

      Central

    Evocations

      Physiological

      Pathological

  Parameters of analyze

    Direction

    Amplitude

    Rhythm

    Morphology

    Frequency

    Maximum velocity of the slow phase

Anamnesis of individuals with complaints of vertigo or loss of balance – 2 hours

  Vestibular symptoms

  Auditive symptoms

  Neurological symptoms

  Medication History

Dynamic tests of evaluation 1 hours

  Romberg

  Romberg sensibilization

  Fukuda/Untemberger

Cerebellar tests

Pharmacology: 3 hours

– ototoxic and vestibulotoxic;

– Conditions of vestibular assessment and its relationship with the medication being taken by the individual;

Videonystagmography

  Physical bases for Vestibular exploration – 0.5 hour

  Different tests:

    Eye calibration – 0.5 horas

    Study of Nystagmus position and positioning – 5 hours

        Diagnostics of VPPB

    Study of eye movements – 3 hours

      Spontaneous and decentralized nystagmus

      Ocular pursuit

      Saccades

      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 – 2 hours

Vertigo in Children (3 horas)

Association of all exams for the study of peripheral causes of vertigo vs. vertigo from central causes (4 hours)

Clarification of doubts – 2 hours

Evaluation – 3 hours

Practical lessons follow the material given in the theoretical/practical lessons (30 hours for each practical unit).

NAO

PRIMARY:

Bronstein, A. M. e Lempert, T. Dizziness: A Practical Approach to Diagnosis and Management. Cambridge University Press. 2017

Herdman, S.J. Reabilitação Vestibular. segunda edição. Manole.2002.

Jacobson, G. P. Newman, C. W. Kartush, J. M. Handbook of Balance Function Testing. Thomson. Australia. 1997.

Jacobson, G. P. Shepard, N. T. Balance Function Assessment and Management. Plural Publishing. San Diego. 2016.

SECONDARY:

Crowson, MG., Garrison, D., Riska, KM., Tucci, DL. e Kaylie, D. Vestibular Testing Interpretation. Plural Publishing. 2020

Herdman, S.J. Vestibular Rehabilitation. quarta edição. F. A. Davis Company. Philadelphia. 2014.

Jacobson, G. P. Shepard, N. T. Balance Function Assessment and Management. Plural Publishing. San Diego. 2021.