This 6 hours CCU aims at providing clinicians working with patients with vestibular system involvement a clinical update on evidence based diagnostic and treatment interventions. The course will be presented by a multidisciplinary cadre of professionals. The diversity of speakers aims to provide a comprehensive perspective of the management of vestibular dysfunctions. This offering will cover a review of anatomy, physiology of the vestibular system, and interactive clinical case activities to discuss best practices in managing patients with vestibular dysfunction
- Able to describe the impact of vestibular dysfunction on balance system and its contribution to falls
- Able to identify diagnostic procedures to categorize vestibular system dysfunctions
- Able to identify patients with intractable to conservative treatment of vestibular system dysfunction
- Able to descive the treatment options available to patients with intractible to conservative treatment of vestibular dysfunction
- Able to use clinical tests to categorize vestibular system dysfunction
- Able to use a clinical decision tree to manage benign paroxysmal positional vertigo (BPPV)
Chara Booker Rodriguez PT, DPT, NCS
Dr. Chara Booker Rodriguez received her undergraduate degree in Life Science/Biology from the Pennsylvania State University in 1994. She received her Master of Physical Therapy degree in 1996 and her Doctorate of Physical Therapy degree in 2005 both from Emory University in Atlanta, GA; she has 20 years of experience as a therapist. She began her career working with patients who sustained brain injury and was certified as a vestibular specialist by Dr. Susan J. Herdman originally in 1998. She was certified as a Neurologic Clinical Specialist initially in 2004 and renewed in 2015. She works currently at University Health System in San Antonio, TX at the Reeves Rehabilitation Center treating patients in the inpatient and outpatient departments. She has also been working as Adjunct Faculty at the University of the Incarnate Word School of Physical Therapy since 2012 teaching patient/client management and a clinical reasoning course and working as a certified clinical instructor.
Jennifer Penn PT, DPT, NCS
Dr. Jennifer Penn has a love for all things neurological. During her high school years one of her close friends sustained an incomplete spinal cord injury. While attending physical therapy with her friend her interest in neuroplasticity and rehabilitation grew. She obtained her Bachelor’s degree in Neuroscience from Brigham Young University, where she participated in research regarding the effect of migraines on central processing. Moving forward, she went on to earn her Doctorate in Physical Therapy at the University of Southern California where she participated in national clinical trials regarding Constraint Induced Therapy post CVA and the effects of electrical stimulation for foot drop recovery post CVA with the Bioness L300. She completed a specialization through the APTA accredited Neurological Physical Therapy Residency at USC and practiced at USC PT Associates while teaching in the USC Physical Therapy program. After completing the residency she became an APTA board certified Neurological Clinical Specialist and continued teaching as an adjunct clinical faculty at USC in the Neurorehabilitation course for 5 years. While she continued teaching at USC she balanced her professional life by also working at Long Beach Memorial Medical Center in the Outpatient Neurorehabilitation and Balance Centers. In 2009, Dr. Penn married and moved to Salt Lake City to be closer to family and began work in the Intermountain Health Care System at Stewart Rehabilitation Center in the Neurorehabilitation and Vestibular Clinic. While there she founded and led the Parkinson’s Wellness Program and participated in development of system wide post-concussion protocols and training, and outreach programs for vestibular rehabilitation. In 2011, she completed the Herdman Vestibular Rehabilitation Competency-Based Course and continues with advanced vestibular training throughout the years. She has been involved with vestibular rehabilitation and program development for over 10 years. Most recently, she moved to the San Antonio area, again to be close to family, joining the full time faculty at the University of the Incarnate Word. At UIW she is now responsible for the development and instruction of all second year content in the PT program, which focuses on all things neurological – and of course, vestibular evaluation and treatment!
Elva Garcia PT
Elva Garcia graduated from the University of Texas Medical Branch at Galveston in 1985. She has worked in several settings including acute care, acute rehabilitation, home health and outpatient. She received her Vestibular Certification in 2001 and has treated BPPV, peripheral and central vertigo in both inpatient and outpatient settings. She worked for 4 years for the Ear Medical Group, a practice of Neurotologists in San Antonio.
Doug Bartels, PT, MA
Doug Bartels, PT, MA received his BS in Physical Therapy from the University of Texas Health Science Center-San Antonio in 1994. He was certified in vestibular rehabilitation in 2004 through the Susan Herdman course in Atlanta. Since his certification he has treated a variety of vestibular diagnoses and consulted with Neurotologists, ENT’s, and PCP’s. He is a guest speaker for community balance programs and has provided vestibular in-services to healthcare professionals. Doug has practiced primarily in outpatient rehabilitation settings, but also has experience in home health and SNF settings. He currently is the Program Director for the PTA program at Concorde Career College in San Antonio.
Erika Salazar Alaniz PT , DPT
Erika Salazar Alaniz, PT, DPT received her Bachelor's of Science in Kinesiology with a concentration in Exercise Science from the University of Texas at San Antonio in 2010. She attended University of the Incarnate Word School of Physical Therapy where she earned her Clinical Doctorate in Physical Therapy in 2015, exploring her interest in working with patients who experience dizziness and vertigo. She had the opportunity to work under a clinical specialist of Vestibular Rehabilitation, Dr. Chara Rodriguez, PT, DPT, NCS, CBIS, where she learned how to treat and use differential diagnoses to improve various Vestibular disorders. Her clinical experience to date includes: Out Patient Orthopedic Rehab, In Patient Rehab, and Out Patient Vestibular Rehabilitation. Her educational contributions include: assisting in the University of The Incarnate Word SoPT Vestibular Lab (2015) and assisting in the development of a course on SCI hosted by the University Health Systems (2015). She is currently implementing a Vestibular Rehabilitation program at Schertz Parkway Physical Therapy.
Chris Caroll DPT, LAT
Chris Caroll obtained his DPT from the University of the Incarnate Word School of Physical therapy in 2016. He completed his undergraduate studies at The University of the Incarnate Word and received a Bachelor of Science degree with a double major in Rehabilitation Science and Athletic Training and went on to become a Licensed Athletic Trainer. During my Physical Therapy clinical rotations I completed a 16 week rotation with Dr. Rodriguez at University Hospital-Reeves Outpatient, during which I assisted Dr. Rodriguez in patient care for diagnoses such as BPPV, Mal de debarquement, bilateral vestibular hypofunction, and countless other vestibular related cases. I have also assisted Dr. Rodriguez in an instructional lecture on BPPV and vestibular rehab for the University Health systems residents program.
Brian P. Perry, M.D., F.A.C.S.
Dr. Perry is a Board Certiﬁed Neurotologist. His practice focuses on disorders of the ear and related structures, particularly disorders of hearing and balance. He surgically treats tumors and infections of the temporal bone, cranial nerves, and the base of the skull. Dr. Perry graduated from Saint John’s University in 1988 with Cum Laude honors. He attended medical school at The University of Nebraska Medical Center, where he was a member of the Medical Honorary Association, Al- pha Omega Alpha. He published his ﬁrst scientiﬁc paper about otitis media in children while at Nebraska. He was awarded the Waldron Cassidy Award in Otolaryngology and Maxillofacial Surgery, and was an Honor Graduate. He did his residency training in Otolaryngology- Head and Neck Surgery at Duke University. He was awarded the Association for Research in Otolaryngology Travel Award in 1996. Dr. Perry did his fellowship training in Neurotology and Skull Base Surgery at The University of Iowa from 1997-1999. While there he developed his interest in adult and pediatric disorders of hearing and balance. Dr. Perry was given the Barry J. Anson Memorial Teaching Award in 1999. Since his fellowship, Dr. Perry has been in private practice in San Antonio, as well as being a Clinical Professor in the Department of Otolaryngology at the University of Texas Health Science Center. Twice he has received the teaching award for his service to UTHSCSA. He began an educational program entitled “Young Ears” in the San Antonio Independent School District (Grades K-3). He has been elected into the two most prestigious otolaryngology societies: The Triological Society and The American Otological Society. He has published numerous articles and book chapters during his career.
Allyson Womack, AudD, CCC-A
Dr. Allyson Womack, a South Texas native, received her Bachelor of Science degree in Communication Disorders from Stephen F. Austin State University (SFASU). She then obtained her Clinical Doctorate in Audiology (AuD) from the Texas Tech Health Sciences Center. Allyson studied at the University of Texas MD Anderson Cancer Center where she completed her clinical externship and has worked as a clinical audiologist for University Health System for the past 3 years. Clinical specialties include pediatric and adult audiometric and vestibular evaluations and treatment through hearing aids and other assistive technology. She has been published in the Journal of Ear and Hearing for her research in ototoxic chemotherapy. Allyson is currently furthering her education and pursuing an MBA with a concentration in Business of Health.
Madalyne Rash, AudD
Madalyn Rash is a Clinical Audiologist based in San Antonio at University Health System, where she provides a variety of both pediatric and geriatric services. Her audiologic interests include vestibular diagnostic evaluations to help evaluate those who experience dizziness and imbalance. Madalyn graduated from the University of Texas at Austin in 2009 with a degree in Communication Sciences and Disorders. Following she spent time in Arizona in order obtain her Audiology degree from Arizona State University that she received in 2014.
8:30-9:00 Onsite registration
9:00am - 10:40am Welcome & Objectives Review:
10:45am - 12:15pm
Examination Strategy 90 mins
30 mins Vestibular Work up - Dr. Womack & Dr. Rash
30 mins Medical Intervention, Surgery & Pharmacy - Dr. Perry
30 mins PT examination - Elva Garcia, PT
Vestibular EDGE OM
12:30pm - 1:00pm Lunch
1:00pm - 1:30pm
Vestibular Treatment 30 mins - Doug Bartels, PT
CPGs, Cochrane reviews
BPPV - U, B
Peripheral hypofunction - U, B
1:30 - 3:00pm
Lab 90 mins - Erika Salazar, DPT, Chris Caroll, DPT, Chara, Elva, Doug
30 mins BPPV - decision tree activities
15 mins DVA - VOR X1,X2, saccades part B, imaginary targets
30 mins Balance - exs, progression: Gentile's, FITT for balance, March 2016 PTJ
15 mins Gait/Dynamic balance peripheral & central
3:00 - 3:30pm
Q&A for all Vestibular specialists
PT or PTA member of APTA/TPTA: $150
PT or PTA non-member: $200
Student (PTA or PT): $15