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Dizziness and Balance Assessments & Treatments - A Clinical Guide for Healthcare Professionals | 1st Edition

A must have clinical resource!

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It can often feel like a complex maze finding the right approaches for our patients.

The Dizziness and Balance Assessments & Treatments - A Clinical Guide for Healthcare Professionals | 1st Edition (spiral bound & digital publication formats now available) simplifies assessments and interventions, offers clear progressions, and provides valuable insights for a better understanding when assessing and treating patients with dizziness and balance disorders.

As healthcare professionals, we all know that time is a precious commodity. The efficiency of our work is crucial in maximizing patient outcomes and, ultimately, providing exceptional care. This is especially true when it comes to the assessment and treatment of dizziness and balance disorders. For many clinicians, it can feel like navigating a labyrinth, constantly searching for the most effective interventions and strategies for their patients.

That's why I wrote this clinical guide to provide the clinical resources and evidence-based treatment guidelines necessary for initiating and progressing treatment for patients experiencing dizziness and balance disorders. Drawing on my over 25 years of experience working with these patients, I've developed a comprehensive approach to assessment and treatment incorporating the latest vestibular, balance, and vision rehabilitation techniques.

This clinical guide is for students, practicing novice clinicians, and seasoned healthcare professionals looking to optimize outcomes and improve efficiency in their daily practice. It is expected that students will implement assessments and treatments under supervision. The clinician is also expected to have a strong foundation of application for tests and treatment activities across the lifespan to provide the most appropriate interventions for children and older adults.

A multi-sensory and functional approach offers a roadmap that can be tailored to individual patients and their unique circumstances. Every step, from initial assessment to treatment progressions, is based on the latest research and best practices, focusing on achieving long-term patient success.

I'm excited to share this wealth of knowledge with fellow healthcare professionals and hope it will become an indispensable resource in your practice. Whether you're just getting started in this specialty or have been practicing for years, this clinical guide provides the tools to confidently navigate the complexities of dizziness and balance disorders and deliver the best care possible to your patients.

Bridgett Wallace, PT, DPT
Co-Founder & Director of Clinical Education

A note from the editor:

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So...what's inside?

An Overview of Visual Motor Systems
An Overview of Vestibular Ocular Reflex (VOR)
An Overview of Vestibular Spinal Reflex (VSR)
Key Factors to Optimize Outcomes

SECTION i: CONCEPTUAL FRAMEWORK

VISION ASSESSMENTS
Pupillary Light Reflex (PLR) or Swinging Penlight Test
Cardinal Gaze Positions
Extraocular Movements (EOM): H-Pattern
Eye Alignment: Cover Tests & Penlight Test
Eye Alignment: Alternate Cover Test
Smooth Pursuit
Saccades
Normal Physiological Diplopia (NPD)
Vergence
Vestibulo-Ocular Reflex Cancellation (VOR-Cx) Test

VESTIBULAR ASSESSMENTS
Head Impulse Test (HIT)
Dynamic Visual Acuity Test (DVAT)
Modified Clinical Test of Sensory Interaction on Balance (mCTSIB)
Additional Assessment Considerations

SPECIAL TESTS
10-Meter Walk Test
Joint Position Error Test (JPET)
Visual Midline Shift Test
Modified Control of Balance Test AKA Modified Concussion Balance Test (mCOBALT)

SECTION ii: Assessments

VISION-RELATED ACTIVITIES
Accommodative Agility with Saccades Training with Letter Charts
Column Saccades AKA Door Jam Exercise
Smooth Pursuit Training: INTEGRATE Videos
Brock String Training
Normal Physiological Diplopia (NPD) Training
Pencil Push-Ups 
Saccades with Brock String
Saccades with Peripheral Task  

VESTIBULAR-RELATED ACTIVITIES
Vestibular Ocular Reflex (VOR) Convergence-Mediated Training 
Vestibular Ocular Reflex (VOR) Training x 1 Viewing
Vestibular Ocular Reflex (VOR) Training x 2 Viewing
Vestibular Ocular Reflex (VOR) Training in the Dark
Vestibular Spinal Reflex (VSR) Training: Static Standing
Vestibular Spinal Reflex (VSR) Training: Ankle Strategies
Vestibular Spinal Reflex (VSR) Training: Hip Strategies

SPECIAL TOPICS ACTIVITIES
Binasal Occlusion (BNO) Training
Central-Peripheral Integration (C-PI) Training with Dual Tasking
Cervical Proprioception Training: Bullseye Target
Cervical Proprioception Training: Maze Targets
Gait Training Activities
Gaze Stability Substitution Training
Visual Motion Sensitivity Training


section III: TREATMENT ACTIVITIES

Listed in alphabetical order:
Bertec
Interacoustics
MediTouch
NeckCare
The Institute of Manipulative Physiotherapy & Clinical Training
Vestibular First

SECTION iV: industry partners

You will have access to additional supporting information in 360NeuroGO. This will include a library of articles, videos, and additional resources. This will also include a Nystagmus Quick Guide that provides a clear and concise overview of nystagmus. It includes supporting information and resources to understand the most encountered forms of nystagmus. 

Look for this icon in the text, indicating related supporting materials available within 360NeuroGO: 

360NEUROGO

Grab Your Copy Now!

Dizziness and Balance Assessments & Treatments - A Clinical Guide for Healthcare Professionals | 1st Edition

Spiral Bound & Digital Publication Formats Now Available

Visual Representations, Videos, & supporting materials within 360NeuroGO

 clinical resources and evidence-based treatment guidelines

get your copy now!

Annie
Physical therapist

 This book makes it so you don’t need to carry around your self-made binder full of resources from a bunch of different courses or have access to your Google Drive. It’s all here and organized with an index - the vision, vestibular assessments, special tests with age-based norms where appropriate and the interventions for the above, complete with easy to follow progressions. It demystifies some of the more complex interventions that we hear about at conferences/on forums. It’s an excellent resource to share with co-workers that don’t have the vestibular background so they can understand what you’re doing and why. It saves time!

get your copy now!

Who is this book for?

This clinical guide is for students, novice practicing clinicians, and seasoned healthcare professionals looking to optimize outcomes and improve efficiency in their daily practice. It is expected that students will implement assessments and treatments under supervision. The clinician is also expected to have a strong foundation of application for tests and treatment activities across the lifespan to provide the most appropriate interventions for children to older adults.

A multisensory and functional approach offers a roadmap that can be tailored to individual patients and their unique circumstances. Every step, from initial assessment to treatment progressions, is based on the latest research and best practices, focusing on achieving long-term patient success.

Vision Assessments, Vestibular Assessments, Special Topics, Vision-Related Activities, Vestibular-Related Activities, Special Topics Activities, & Library in 360NeuroGO

Vision
Assessments

Plus, the Nystagmus Quick Reference Guide!

This clear and concise digital quick guide provides an effective overview of nystagmus. It includes supporting information and resources to better understand the most encountered forms of nystagmus.

Use as a practical study aid or reference to incorporate value-added knowledge into your workflow!

Here are just a few examples of the video demonstrations:

When you get a copy of the book, You'll get access to:

Vestibular
Assessments

Special
Tests

Vision-Related Activities

Vestibular-Related
Activities

Special Topics Activities

Library

get your copy now!

You might also like...

'Simplify Vestibular' Kit

The 'Simplify Vestibular' Kit provides a variety of assessment and treatment tools – beyond vestibular. You have access to written instructions and indications for vestibular, balance, and gait assessments and treatments plus additional resources for vision, cervical proprioception, and concussion. So, think of this as the Simplify Vestibular & Beyond Kit!

The 'Simplify Vestibular' Kit includes the tools you need to perform testing for eye alignment, oculomotor, vestibular ocular reflex function, balance, motion sensitivity, & cervical kinesthetics, step-by-step instructions, and video demonstrations.

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