Date post: | 20-Jun-2015 |
Category: |
Health & Medicine |
Upload: | yashika54 |
View: | 323 times |
Download: | 3 times |
Experiences with overseas Vestibular Clinics
Anne McGann
Senior Clinician Physiotherapist
Churchill Fellow 2003
programme:
5 weeks in USA visiting: Johns Hopkins Medicine Emory University Pittsburgh University Medical Centre NYU RUSK Institute
2 weeks UK visiting Charing Cross Hospital National Hospital for Neurology &
Neurosurgery
vestibular clinics in usa
Diagnostic & Rehabilitation
co-existed Standard lab tests 1:1 customised therapy intervention Specialised clinics ENTs & Physios or Neurologists &
Physios Research occurring
johns hopkins medicinevestibular rehabilitation baltimore usa - dr richard clendaniel pt phd
Dept of Otolaryngology Vestibular Clinic ENTs Neurologists Physiotherapist
Diagnostic: Rotary Chair Calorics Auditory Testing Posturography
Rehabilitation: Physio assessed, treated & set up programme, HEP, Reviews +/- refer out to Physio Depts
emory university: dizziness & balance centre atlanta usadr susan herdman pt phd, dr ron tusa md phd
Balance & Dizziness Centre Neurologists X3 physios Lab assistants
Diagnostic: Calorics Rotary Chair VEMP SVV Posturography
Rehabilitation: Physio assessed, treated, set up programme, HEP, Reviews
pittsburgh university medical centre: balance centre - vestibular rehabilitation program pittsburgh usa - dr sue whitney pt phd
Neurology Clinic Neurologists
Diagnostic: Calorics, Rotary Chair Posturography
Rehabilitation: Balance Centre: Vestibular Rehabilitation Program X3 physios Physios assessed, treated, set up programme, HEP, Reviews
new york university medical centre: rusk institute: vestibular rehabilitation program new york usa -tara denham pt
Vestibular Rehabilitation Program X9 physios!
Diagnostic: Clinical diagnostic skills Posturography
Rehabilitation: Physios assess, treat, set up program, HEP,
Reviews
standard clinical assessment: Central signs
Smooth pursuit Saccadic eye movements
Peripheral signs: Hallpike-Dix Head Thrust Test
Balance measures: SOT Gait Functional Reach
Disability & Handicap: A fear of falling scale Dizziness Handicap Inventory
Vestibular clinics in uk
Diagnostic neuro-otology clinics – medical and lab tests Not “balance centres” Neurologists Standard lab tests +/- refer to vestibular rehab programmes Cawthorne Cooksey habituation approach Group sessions +/- 1:1 approach Research occurring Primary care approach
charing cross hospital: neuro-otology clinic charing cross uk - prof aldolfo bronstein md
Neuro-otology clinic Neurologists
Diagnostic: Calorics Rotary Chair
Rehabilitation: No direct link Drs treated BPPV
national hospital for neurology & neurosurgery: neuro-otology clinic queens square uk - prof linda luxon md
Neuro-otology Clinic Neurologists Audiologists
Diagnostic: Calorics Rotary chair Auditory tests
Rehabilitation: Part of physio dept workload Group Cawthorne & Cooksey exercise and Ed sessions Review in 6/52s for need for 1:1 therapy
evidence for vestibular rehabilitation (vr):
Customised VR vs general
conditioning exs & vestibular suppressant medications
(Horak et al1992)
Unsupervised Cawthorne-Cooksey exs vs supervised customised VR
(Szturm et al1994)
Customised habituation HEP vs control (Yardley et al 1998)