Casper Wyoming Ramada Plaza Riverside - $75/room (1-4 people)- includes complimentary breakfast

Vestibular Rehabilitation

Julie Knoll, PT NCS

The Classification System that will be presented has been developed over a period of 15 years working with dizzy patients in a multidisciplinary setting including professionals in PT, Otology, Neurology, and Optometry. While teaching the common principles of evaluation and treatment of the patient with dizziness and imbalance from vestibular disorders, this course goes a step further in assisting the clinician in adequately classifying patients to determine which type of symptom group will respond best to particular interventions. This improves the outcome and reduces the duration of treatment by making the most effective treatment decisions, once the specific evaluation is made. This is an intermediate course that will cover dizziness of all types, imbalance, gaze instability, and positional vertigo. Specific intervention and exercise progression will be covered in the areas of habituation, balance training, gaze stability, and particle repositioning.

Movement System Syndromes of the Lumbar Spine and Hip: interactions and evidence

SHIRLEY A. SAHRMANN, PhD, PT, FAPTA

Two aspects of the interactions of the lumbar spine and hip are particularly important to physical therapy.  The first relates to determining whether pain in the hip region is from the lumbar spine, the hip or both.  The second aspect is that though kinesiology, a key basic science of physical therapy, stresses the interaction of the kinetic chain this information is not commonly used in practice for examination and for treatment.  An intrinsic factor believed to contribute to mechanical pain is the development of a joint whose movement pattern is characterized by moving more readily in a specific direction than movement in the same direction by adjoining joints.  Contributing to the development and maintenance of this movement pattern is the relative flexibility or stiffness of the adjoining segments.  Thus the interaction of the hip and lumbar spine becomes particularly important.  This lecture will describe the movement system syndromes (MSS) of the lumbar spine and the hip joint.  The factors contributing to these syndromes particularly as they relate to the passive and active characteristics of muscle and the recent focus on structural variations of the hip joints will be described.  The clinical and laboratory evidence of back and hip interactions will be discussed.  The presentation will help clarify how the pain pattern and the examination that includes correcting the offending movement can assist the therapist in determining the regional source of the pain.