This 3 day course is designed to deliver the foundation of knowledge needed to conduct the assessment of the dizzy patient.Through theory and practical workshops the performance of vestibular assessments will be applied to clinical practice. On completion participants will have an understanding of vestibular disorders, there descriptions and understand the technologies to locate, identify recognise vestibular dysfunction. The emphasis of this course is on small group work to ensure maximum learning opportunities for all participants.


Day 1

Building a foundation through knowledge
Intended Learning Outcomes
 Describe the anatomy & physiology of the vestibular / balance system
 Explore how patients reported symptoms can fit with patterns of pathology
 Discuss & demonstrate how to perform bedside assessments to inform the assessment strategy

Morning session
Applied Anatomy & Physiology of the Vestibular / Balance system
The art of taking a ‘balance’ history / clinical examination
Prevalence of dizziness and related pathologies

Afternoon session
Bedside testing of the patient
What are the steps of when making a differential diagnosis?
(plus hands on workshops in using video frenzel goggles and Bertec forceplate for CTSIB

Day 2

Assessment of the 5 vestibular end organs
Intended Learning Outcomes
 Understand the theory and application of objective measurement of the vestibular organ
 Perform assessment of semi-circular function using vestibular ocular reflexes for objective measurement
 Perform assessment of otolith function using cervical and ocular Vestibular Evoked Myogenic Potentials
 To discuss and apply the findings of vHIT and VEMP in the context of quantifying vestibular function

Morning session
Semi Circular Canal assessment (Video Head Impulse Testing)
Introduction to vHIT and Theoretical Background
Hands on workshop on performing 6 semi-circular canal assessments
vHIT artifacts and how to over-come them
Hands on workshop to improve vHIT technique

Afternoon session
Otolith organ assessment (Vestibular Evoked Myogenic Potentials)
Introduction to VEMP and Theoretical Background
Hands on demonstration and (see and do) workshop to perform Cervical VEMP
Hands on demonstration and (see and do) workshop to perform Ocular VEMP
Clinical application - How to put the 5 end organ picture together

Day 3

Interpreting eye movements – Videonystagmography
Intended Learning Outcomes
 Understand the theory and application of objective measurement of eye movements when assessing the dizzy or imbalanced patient
 To measure and perform eye recordings in gaze, movement, and ear specific testing through Videonystagmography
 To discuss and apply the findings of vestibular assessments in the context of quantifying vestibular function, identifying the identity of dysfunction, and gaining clarity in reporting findings

Morning session
Calibration and Gaze Testing
The Oculomotor Examination
Hands on workshop – data interpretation
Positional / Positioning Testing & associated nystagmus
Interactive session / quiz – video eye movement interpretation

Afternoon session
Caloric testing - Ear specific testing
Background revisited, how to interpret, and clinical considerations
Hands on workshop – Performing the caloric test
Clinical application – Reporting on test findings & bringing them together when making a report

Register for Interacoustics Balance Masterclass 2019

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Balance Course registration form

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