We have a large vestibular center in our area. Do you feel that we can be just as successful with our patient outcomes in our small clinic? What do you feel are the essentials to having a clinic for treatment of our patients?
Answer
Absoluetly! You can be just as successful in a small clinic. All that you need is a stopwatch, a metronome, and a Snellen eye chart. You need to be able to accurately measure the VOR and provide progressive treatment. You can do balance training with a little bit of foam. In the small clinic that I used to work in, I would tape letters all over the place, and that was enough. In the large vestibular centers, they can do calorics and rotary chair. If you check the literature, you will see that reliability and validity of the caloric test is poor. ENG testing only tests the horizontal canal. There are limitations. Unless you get some really rare diagnoses that may need surgery, BPPV and unilateral hypofunction are the two most common things you find out there, you can absolutely treat with a plinth, a stopwatch, and your free iPhone app. You will be successful.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/alzheimer-s-and-other-dementias-4864Alzheimer's and Other Dementias: Overview for Healthcare ProfessionalsAn overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comAlzheimer's and Other Dementias: Overview for Healthcare ProfessionalsAn overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.4864OnlinePT60M
An overview for healthcare professionals about Alzheimer’s disease and related disorders is provided in this course. Characteristics of the dementias, such as symptoms, progression, and how they are diagnosed, are described. Care planning strategies for improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence are also discussed.
2https://www.physicaltherapy.com/pt-ceus/course/complex-and-chronic-impairment-in-4353Complex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comComplex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.4353OnlinePT120M
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.
3https://www.physicaltherapy.com/pt-ceus/course/interdisciplinary-approach-to-stroke-rehabilitation-4609Interdisciplinary Approach To Stroke Rehabilitation: Outpatient, Home Health, And Community Rehabilitation PhaseThe unique relationship between the occupational and physical therapist when treating an acute, subacute, or chronic stroke diagnosis will be distinguished in this two-part series. Part two will focus on the subacute and chronic stroke, differentiating the home, outpatient, and community phases of rehabilitation, as well as examining the evaluation, evidence, and interventions in each setting to optimize independence for the patient.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comInterdisciplinary Approach To Stroke Rehabilitation: Outpatient, Home Health, And Community Rehabilitation PhaseThe unique relationship between the occupational and physical therapist when treating an acute, subacute, or chronic stroke diagnosis will be distinguished in this two-part series. Part two will focus on the subacute and chronic stroke, differentiating the home, outpatient, and community phases of rehabilitation, as well as examining the evaluation, evidence, and interventions in each setting to optimize independence for the patient.4609OnlinePT120M
The unique relationship between the occupational and physical therapist when treating an acute, subacute, or chronic stroke diagnosis will be distinguished in this two-part series. Part two will focus on the subacute and chronic stroke, differentiating the home, outpatient, and community phases of rehabilitation, as well as examining the evaluation, evidence, and interventions in each setting to optimize independence for the patient.
4https://www.physicaltherapy.com/pt-ceus/course/wounds-in-patients-with-neurological-4357Wounds in Patients With Neurological ImpairmentsThis webinar introduces participants to the different types of wounds commonly found in patients with neurological impairments. It provides clinicians with basic treatment and risk reduction techniques to utilize in their practice settings. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comWounds in Patients With Neurological ImpairmentsThis webinar introduces participants to the different types of wounds commonly found in patients with neurological impairments. It provides clinicians with basic treatment and risk reduction techniques to utilize in their practice settings. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.4357OnlinePT120M
This webinar introduces participants to the different types of wounds commonly found in patients with neurological impairments. It provides clinicians with basic treatment and risk reduction techniques to utilize in their practice settings. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
5https://www.physicaltherapy.com/pt-ceus/course/exertion-and-challenge-at-just-4359Exertion and Challenge at Just the Right Level: Strategies for mTBI Rehabilitation Across the LifespanThe focus of this course is to review current standards and guidance to return individuals post-concussion to activity, including considerations for self-report and performance-based assessment to identify impairments that require intervention, and methods to progress challenges in therapy to approximate the conditions that are necessary for individuals across the lifespan. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comExertion and Challenge at Just the Right Level: Strategies for mTBI Rehabilitation Across the LifespanThe focus of this course is to review current standards and guidance to return individuals post-concussion to activity, including considerations for self-report and performance-based assessment to identify impairments that require intervention, and methods to progress challenges in therapy to approximate the conditions that are necessary for individuals across the lifespan. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.4359OnlinePT120M
The focus of this course is to review current standards and guidance to return individuals post-concussion to activity, including considerations for self-report and performance-based assessment to identify impairments that require intervention, and methods to progress challenges in therapy to approximate the conditions that are necessary for individuals across the lifespan. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
