Jamie Miner – Aging & Vestibular Disorders: Streamlined Evaluation & Effective Treatment Modifications – PESI

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Aging & Vestibular Disorders: Streamlined Evaluation & Effective Treatment Modifications
Speaker: Jamie Miner, PT, DPT, GCS
Duration: 1 Hour 47 Minutes
Format: Audio and Video

Description

Getting the “official diagnosis” for a vestibular disorder can be a long road because dizziness is often pushed to the side as a “normal part of aging.” Meanwhile, your patients are struggling with poor balance, trouble walking, unsteadiness and decreased QOL.  In this targeted session, you’ll explore how and why your testing should be adjusted so that you can feel more at ease while working with older vestibular patients: 

• Modified techniques for your most complex and challenging patients 
• How to choose the best test for the patient in front of you 
• A concise framework for determining peripheral vs central 
• Simple modifications to breakthrough for patients with cognitive impairment 

BPPV can sometimes get skipped over as a cause for referral from MDs…but living with dizziness and an increased falls risk for several months is often unnecessary!  Help your patients get their lives back now. Filled with demonstrations for diagnosis and treatment techniques, this is a training you don’t want to miss if you work with older adults! 

Speaker

Jamie Miner, PT, DPT, GCS
Jamie Miner, PT, DPT, GCS, provides specialized services to many skilled nursing facilities and earned geriatric clinical specialist designation through the American Physical Therapy Association. She has experience in home health, acute care, outpatient vestibular rehab and fall prevention, acute rehab, sub-acute rehab, and long-term care. Additionally, she serves as a clinical instructor to many doctoral physical therapy students. Jamie graduated with a BS degree in PT from UNC Chapel Hill, a DPT from Shenandoah University in March 2003.

Speaker Disclosures:
Financial: Jamie Miner has employment relationships with Gallowayridge Rehabilitation and Sunnybrook Skilled Nursing Facility. She receives a consulting fee, speaking honorarium, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jamie Miner is a member of the American Physical Therapy Association, the Neurology Section and Academy of Geriatric Physical Therapy, and the Vestibular Disorders Association. She serves on the North Carolina Board of Physical Therapy Examiners.

Objectives

1. Design a vestibular rehab program for patients with cognitive declines. 
2. Analyze advanced concepts regarding changes to the vestibular system, otoconia and symptoms related to aging. 
3. Manage treatment programs for elder patients, with strategies for modifications. 

Outline

Aging & the Vestibular System  

• Otoconia and symptoms related to aging 
• Changes in symptoms and presentation 
• Implications for medications 

Streamline Your Evaluation and Assessment Strategies

• Oculomotor evaluation 
• Cervical ROM 
• Orthostatic hypotension 
• Sensory & proprioception exams 
• Sway testing 
• Functional gait assessment 
• TUG & 5x STS 
• Identify peripheral vs central issues 
• Red flags and when to refer to MD 

Targeted Modifications for Patients with Cognitive Decline

• Balance training should not be underdosed 
• Visual training & avoid over taxing 
• Positive reinforcement and consistency  

Customize Your Vestibular Treatment Programs for Aging Patients

• Instructions for motion sensitivity 
• Sensory Reweighting 
• Inclusion of caregivers 
• Changes in intensity 
• Relationship to falls 
• How to address falls risk with specific balance training  

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Chiropractors

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