A Practical Review of BPPV Assessment and Treatment 2025

The Vestibular Disorders Association (VEDA) estimates that as many as 35% of adults over the age of 40 have experienced some form of vestibular dysfunction.  Studies indicate that 5.6 million clinic visits per year occur for dizziness, in which, between 17 and 42% receive a diagnosis of Benign Paroxysmal Positional Vertigo (BPPV).  BPPV is considered the cause of approximately 50% of dizziness in older adults and is the most common vestibular disorder.  Therapists who are trained in appropriate treatment of vestibular dysfunction can significantly impact patient outcomes; in fact, studies indicate that successful remission of the signs and symptoms of BPPV is obtained in 67-94% of all patients treated with carnality repositioning treatment (CRT), compared with 0-48% for those given no treatment.  

This hands-on course will provide participants with the knowledge and skill set necessary to understand the assessment and treatment of BPPV through evidence based practice.  Participants will learn nystagmus patterns through video analysis.  This course is designed to provide participants with the knowledge to complete a basic assessment of BPPV, identify proper canal, laterality, canalithiasis versus cupulolithiasis, and apply evidence-based treatment strategies.  Lab instruction will be a vast majority of the course content to help provide therapists with relevant hands on clinical tools.  

SITE:

OhioHealth Upper Arlington Rehab 

3363 Tremont Rd 

Columbus, OH 43221

SPEAKERS:

Abigail Uribe PT, DPT received her B.S. in Exercise Science from Miami University in 2012 and her Doctorate in Physical Therapy from The Ohio State University in 2015. Abby began working for OhioHealth in May of 2015 with a career in outpatient orthopedics and as a member of the Vestibular team. She transitioned to outpatient neurologic rehabilitation in 2016 and is now a member of the Brain and Stroke Rehabilitation team as well as an active member of the Vestibular team at the OhioHealth Outpatient Neurological Rehabilitation clinic in Upper Arlington, Ohio. Abby furthered her knowledge of vestibular and neurologic rehabilitation by earning her Certificate in Vestibular Rehabilitation at Emory University in 2016 and her Neuro-Developmental Treatment (NDT) certification in 2017. Abby has served as a guest lecturer for the physical therapy assistant program at the Bradford School in Columbus, Ohio and regularly serves as a course instructor for an Introduction to Vestibular Rehabilitation course. She belongs to the American Physical Therapy Association (APTA), is a Neurology section member, and is an APTA credentialed clinical instructor. Abby also serves as an adjunct clinical mentor for the OhioHealth/Ohio University Neurologic Physical Therapy Residency Program. 

Corey Lump PT, DPT received his B.S. in Exercise Physiology from Ohio University in 2017 and his Doctorate in Physical Therapy from Ohio University in 2021. Corey began working for OhioHealth Outpatient Neurologic Rehabilitation in August of 2021 and is an active member of the vestibular team. Corey has furthered his knowledge by receiving his dry needling certification in 2021 and his Neuro-Developmental Treatment (NDT) certification in 2022. Prior to OhioHealth, Corey practiced as a PTA in acute care and outpatient orthopedics for 6 years for Adena Health System. 

AGENDA:

8:00-8:45am: Review of anatomy and physiology of the vestibular system including semicircular canals, cupola, otoconia, bony and membranous labyrinths.  Review pathophysiology of BPPV and testing considerations. 

8:45-10:00am: Assessment of posterior, horizontal, anterior canalithiasis and cupulolithiasis BPPV including: Dix Hallpike, Roll Test, Modified Sidelying test, and Deep Neck Extension hang with demonstration and hands on practice.  

10:00-10:30am: Identify nystagmus patterns related to BPPV through video analysis

10:30-11:45am: Treatment of posterior, horizontal, anterior canalithiasis and cupulolithiasis BPPV through Canalith repositioning maneuvers for each through demonstration and hands on practice.  

11:45am-12:00pm: Q&A

1. Review anatomy and physiology of the vestibular system
2. Review pathophysiology of BPPV and testing considerations
3. Understand the pathophysiology of BPPV and testing considerations.
4. Demonstrate proper evidence based techniques for the assessment of BPPV in a practical setting
5. Identify nystagmus patterns related to BPPV through video analysis
6. Demonstrate proper evidence based treatment options for the treatment of posterior canal, horizontal canal canalithiasis and cupulolithiasis BPPV in a practical setting

$40 for OhioHealth PT/OT staff.  $80 for General Registrants.  If your ticket type is sold out, please email [email protected]. 

Cancellation and Refund Policy:
A. OhioHealth Cancellation: OhioHealth reserves the right to cancel or delay a course due to any unforeseen circumstances. In the event a course is cancelled, OhioHealth will refund all registration fees. OhioHealthis not responsible for any travel, hotel or other costs incurred.
B. Participant Cancellation: If a participant cancels, a refund of the conference fee minus an administrative charge of 25% of the registration fee will be made if written notice of cancellation is received no later than one week prior to the event. Exceptions may be approved on a case-by-case basis.
C. Inclement Weather: If a participant is unable to attend due to inclement weather (Level 3 Snow Emergency), refund of the registration fee minus 25% administrative charge will be issued.
D. Exceptions: Exceptions are considered at the discretion of the primary activity planner on a case-by-case basis. 

Approved for 4 CEU by the Ohio OTPTAT Board - OT Section and the Ohio Physical Therapy Association.