Host Sarah Pichini PT, DPT is joined by Dr. Robin Evans, PT, DPT, GCS discussing a case study of a patient with bilateral multi canal Benign Paroxysmal Positional Vertigo (BPPV) and underlying Vestibular Migraine (VM). A systematic approach in assessing and treating multi canal BPPV as well as the criteria for VM is reviewed. This case discussion highlights the importance of nystagmus identification, the approach to formulate a differential diagnosis in patients with positional vertigo as well as the need for interdisciplinary management to optimize patient outcomes.

https://content.iospress.com/download/journal-of-vestibular-research/ves201644?id=journal-of-vestibular-research%2Fves201644

https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/vestibular-migraine/

https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599816689667

Please send comments or questions on this podcast to [email protected]

To learn more about the Academy of Neurologic Physical Therapy Vestibular Special Interest Group visit www.neuropt.org.

Host Stephen Merchant PT, DPT, NCS is joined by Dr. Lisa Heusel-Gillig PT, DPT, NCS in a discussion regarding the development of the Modified Motion Sensitivity Test. Dr. Heusel-Gillig describes the reason she assisted in the development of this testing as well as the recommended standardized process to perform the test.

The abstract of Dr. Heusel-Gillig’s research article may be found at https://pubmed.ncbi.nlm.nih.gov/35970158/

To learn more about the Academy of Neurologic Physical Therapy Vestibular Special Interest Group visit www.neuropt.org.

Host Jennifer Burus PT, NCS is joined by Anne W. Hunt, PhD, OT Reg (Ontario) and Nick Reed, PhD, MScOT, OT Reg (Ontario) for a discussion on multidisciplinary care for pediatric patients with concussion. Dr. Hunt is an Assistant Professor Teaching Stream in the Department of Occupational Science and Occupational Therapy at the University of Toronto where she teaches courses on pediatric rehabilitation and fieldwork. Her research focuses on developing interventions that enable individuals with brain injury to participate optimally in meaningful activities in everyday life. Dr. Reed is an Associate Professor in the Department of Occupational Science and Occupational Therapy at the University of Toronto where he directs the OAK (Outcomes, Advocacy and Knowledge) Concussion Lab and holds a Canada Research Chair (Tier 2) in Pediatric Concussion.  His work focuses on developing, delivering and evaluating research, educational and clinical programming specific to youth and concussion.

The Vestibular Special Interest Group is a part of the Academy of Neurologic Physical Therapy. neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Joanna Wolfson PhD, ABPP and Emily Kostelnik PhD in a discussion on the integration of psychological care for patients with vestibular disorders. Dr. Kostelnik is a Clinical Health Psychologist who focuses on behavioral health education for the vestibular community through her company Rooted Behavioral Education and provides licensed consultation and therapy through her private practice, The Vestibular Psychologist. Dr. Wolfson is a senior psychologist at Rusk Rehabilitation, NYU Langone Health and Clinical Assistant Professor of Rehabilitation Medicine at NYU Grossman School of Medicine. She is board certified in Clinical Health Psychology and provides individual and group psychotherapy to patients with vestibular and medical conditions.

Host Puja Agarwal PT, DPT, MHA is joined by Dr. Jacob McPherson, PT, DPT, PhD, a clinical assistant professor in the Department of Rehabilitation Science and a member of the University of Buffalo Concussion Management and Research Center Team to discuss strategies on how best to advocate for Vestibular Rehabilitation. His current research focuses on the effects of sport and non-sport related concussion on vestibular function as well as the interdisciplinary clinical management of concussion. Dr. McPherson plays a vital role in advocating for and raising awareness of Vestibular Rehabilitation.

The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy. neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Helena Esmonde PT, DPT, NCS and Sara Oxborough PT in a discussion regarding recent updates regarding Vestibular Migraine and Meniere’s Disease. They delve into the prevalence, physiology, differential diagnosis, and treatment strategies for both disorders.

The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy, neuropt.org.

For further information view these sources:

 ICHD Vestibular Migraine Criteria: https://ichd-3.org/appendix/a1-migraine/a1-6-episodic-syndromes-that-may-be-associated-with-migraine/a1-6-6-vestibular-migraine/

Meniere’s Criteria: https://www.audiology.org/classifications-of-menieres-disease/
Vestibular Migraine Clinical Pearls: https://vestibularfirst.com/vestibular-migraine-clinical-pearls-practice-tips/

Migraine-related Journal Clubs including topics on Vestibular Migraine with Dr. Shin Beh and Migraine and Nutrition with The Dizzy Cook: https://www.youtube.com/@VestibularFirst/streams

Mediation and Educational Resources: https://www.symmetryalliance.com/

Host Puneet Dhaliwal, PT, DPT, NCS is joined by Drs. Anne K. Galgon, PT, MPT, PhD and Andrew E. Littman, PT, PhD. Drs. Anne Galgon and Andrew Littmann are a part of task force that published“A Survey of Entry-Level Physical Therapy Education Content for Vestibular Rehabilitation”. Task Force constituted of the following individuals: Galgon, Anne K. PT, MPT, PhD; Roberts, Holly J. PT, PhD; Littmann, Andrew E. PT, PhD; Heusel-Gillig, Lisa L. PT, DPT; Dransfield, Lisa PT, DPT, MA; Plishka, Charles M. PT, DPT; Wrisley, Diane M. PT, PhD. 

Dr. Anne Galgon is an Associate Professor in the Department of Physical Therapy at Saint Joseph’s University.  Dr. Galgon is a board-certified clinical specialist in neurological physical therapy with advance training in vestibular rehabilitation. She has 35 years of experience as a physical therapist primarily managing patients with neurologic, vestibular and balance disorders. Over the past 21 years she held faculty positions in physical therapy at Neumann University and Temple University, and University of the Sciences where she taught courses in movement sciences, neurosciences, evidence-based practice and clinical management of neuromuscular and vestibular disorders. Her current research focuses on physical therapy management of vestibular disorders.

Dr. Littmann is associate professor in the School of Physical Therapy at Regis University in Denver, CO. He specializes in rehabilitation of neurological disorders and has practiced vestibular rehabilitation for the last 20 years. He is a member of the Academy of Neurologic Physical Therapy and serves national roles on the APTA’s Council on Frontiers in Rehabilitation Science and Technology, and the vestibular special interest group. He was a member of the critical appraisal team for the recently published clinical practice guidelines for vestibular hypofunction.

This episode discusses task force’s journey in development of their survey, disparities in VR content, expected level of performance, and the amount of time dedicated to VR at Entry level Education in Physical Therapy programs.

The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy, neuropt.org.

Host Puja Agarwal PT, DPT, MHA is joined by Dr. Regan Harrell, PT, DPT, NCS, a current PhD student in Rehabilitation Sciences at the University of Pittsburg to discuss Vestibular Agnosia. Dr. Harrell’s research interests include the use of technology to improve the diagnosis and treatment of vestibular disorders and dizziness, and balance disorder manifestations in the traumatic brain injury population. Her recent work investigates the effect of Vestibular Agnosia on the reporting of BPPV symptoms in patients post TBI.

The Vestibular Special Interest Group is apart of the Academy of Neurologic Physical Therapy. neuropt.org.

Host Maureen Clancy PT, DPT, OCS is joined by Dr. Edward Cho an Otolaryngologist at Cedars-Sinai Medical Center in a discussion of testing for vestibular hypofunction.

The Vestibular Special Interest Group is part of the Academy of Neurologic Physical Therapy – neuropt.org.