PPPD: Early Detection and Integrative Rehabilitation Therapy Improves Outcomes
Section: Academy of Neurologic PT
Session Code: NE-2C-8247
Date: Friday, January 25, 2019
Time: 3:00 PM - 5:00 PM
Location: Walter E. Washington Convention Center
Session Type: Educational Sessions
Session Level: Basic
Persistent postural-perceptual dizziness (PPPD) is a new term for a common chronic dysfunction of the vestibular system and brain that produces unsteadiness, unremitting dizziness, and/or nonspinning vertigo comprising 15% - 20% of cases in vestibular clinics.PPPD arises from central maladaptation from a number of causes, including a peripheral vestibular disorder, with symptoms lasting for 3 months or more. As a means of compensation, many patients with PPPD develop an overreliance on environmental visual cues leading to visual dependency and visual vertigo. Patients often develop secondary functional gait disorder, anxiety, avoidance behavior, and severe disability. Years of chronic symptoms lead to ongoing disability and further ingrained illness beliefs. Early recognition and treatment of key signs and risk factors for developing PPPD can be instrumental in preventing onset and improving patients' function and quality of life. Plans of care that include patient education, vestibular rehabilitation, cognitive and behavioral therapies, and medications substantially reduce morbidity and offer the potential for sustained remission. The speakers will highlight specific psychosocial risk factors for PPPD and potential methods for identifying and screening individuals. The multidisciplinary panel also will present case studies of individuals with PPPD.
Learning Objectives: Upon completion of this course, you will be able to:
1.Recognize key signs/risk factors for developing persistent postural-perceptual dizziness (PPPD) and describe methods to prevent development of PPPD.
2. Apply new strategies to manage patients with PPPD to avoid common obstacles to recovery.
3. Examine the role of communication, tone, and patient education when discussing recovery with patients with PPPD.
4. Identify the core symptoms of anxiety related to vestibular disorders and describe evidence-based interventions for anxiety management in the vestibular population.
5. Facilitate development of integrated treatment teams (vestibular rehabilitation specialists, vision therapists, and rehabilitation psychologists) to address multiple symptoms in a coordinated treatment plan.
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