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We’ve all had them – the dizzy patient. Dizziness can be such a broad term so how do we sort this population out? This presentation will focus on assessment of the dizzy patient utilizing vestibular and neurological assessment tools. We will review bedside vestibular assessment techniques and will discuss analysis of assessment outcomes and clinical relevance. We will also discuss the subjective history and a few key questions to ask. Then how does this information lead us to a differential diagnosis? We will review specific vestibular conditions and treatment available. Often going hand in hand with dizziness is an increased risk of falling. We will review screening tools which help identify those high risk fallers.

Learning Outcomes: 
  1. To assist clinicians in obtaining a concise symptom history.
  2. To be able to carry out basic bedside vestibular exam.
  3. To interpret vestibular assessment results.
  4. To identify high risk fallers through basic balance testing.
  5. To identify appropriate ENT referrals
  6. To identify appropriate Physiotherapy referrals

Susan Ehler

Vestibular Rehab : Assessment, Treatment and Differential Diagnosis

Susan graduated with a BSc in Physiotherapy from Dalhousie University in 1987. She began practicing in the area of neurological rehabilitation and pursued post graduate training in Vestibular Rehab in 1997.

She began a collaborative approach working with neurologists and ENTs in the development of a Vestibular Rehab Program. She partnered with Steven MacNeil in 2008 to open the Atlantic Balance and Dizziness Centre – a Physiotherapy clinic specializing in the treatment of neurological and vestibular disorders. She obtained an Advanced Competency in Vestibular Rehab from Emory University in 2010. She is a guest lecturer at Dalhousie University in the areas of Vestibular Rehab and Multiple Sclerosis.

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