A Great Course for a Great Cause: Colorado Neurological Institute in Collaboration with the APTA Colorado Chapter and Regis University Present…

Vestibular Dysfunction and Sensory Integration: Advanced Concepts for Physical Therapy Assessment and Patient Management


Questions: Contact Tim Hermann at thermann@thecni.org with any questions.

Funds raised from this course will assist CNI in their mission to provide neurological rehabilitation for those who are uninsured or underinsured.

Whether you work in a hospital, orthopedic clinic, or neurological clinic, you have likely encountered patients with symptoms of dizziness and imbalance.  Their symptoms may be part of a known event such as whiplash/concussion, or part of a more complex and chronic condition that has led to a central sensory processing disorder. This advanced level course is designed to critically assess the vestibular, visual and proprioceptive components of balance, with specific emphasis on central processing of sensory information.  The content will be presented with a collaborative vantage point of both orthopedic and neurologic approaches to complex patient management.  Laboratory time will provide an opportunity to practice skills and case presentations will be integrated for application of principles introduced.  Participants may be invited to submit challenging cases for use in the course; details regarding this option will be provided to those enrolled.

** This is an advanced course. To get the most out of this course, it is recommended that you have either taken an introductory vestibular course and/or have experience evaluating and treating patients with vestibular disorders.**

Course Objectives: The participant will be able to…..

  • Describe the vestibular neuroanatomy and sensory integration of the balance sub-systems.
  • Identify the cervical afferent contributions to the experience of dizziness.
  • Perform a critical laboratory assessment of the cervical spine.
  • Discuss the interplay between cervical and oculomotor function in central vestibular and sensory processing disorders.
  • Comprehend the concept of, assessment of and intervention for visual motion hypersensitivity.
  • Summarize evaluation findings to guide intervention plans.
  • Apply of the principles of vestibular rehabilitation and sensory integration into balance and gait training of all patient populations.
  • Implement practical solutions and creative ways to address intervention programs and compliance for patient success.

Heather Campbell, PT, DPT, MA, is a clinical expert in the areas of the spine, TMD and craniofacial pain.  Through her 37 year career she has developed a profound understanding of the cervical afferent contributions to dizziness and imbalance.   As a vestibular rehabilitation therapist at South Valley Physical Therapy she integrates orthopedic and neurological physical therapy intervention.  She has pursued expertise in cervical spine dysfunction and cervicogenic dizziness, providing instructional coursework in these domains both nationally and internationally.  Dr. Campbell is an invited lecturer and has served as adjunct faculty in local PT education at The University of Colorado Health Science Center and Regis University. She is a contributing author in Goodman’s Pathology: implications for the physical therapist, and teaches cervicogenic dizziness in the South Valley Physical Therapy Vestibular Residency program.  She finds understanding visual motion processing, postural responses to gravity, motor mapping, and vestibular function to be crucial in successful intervention with most patients.

Nicole Miranda, PT, DPT specializes in neurological and vestibular rehabilitation, working with children and adults at South Valley Physical Therapy in Centennial, CO. Her neurological experience stems from working at comprehensive inpatient and outpatient pediatric and adult rehabilitation facilities that embraced an interdisciplinary team approach. Dr. Miranda has provided basic and advanced continuing education courses regarding vestibular dysfunction in CO and WY.  She has published an educational resource article for public access on the Vestibular Disorders Association website, and is currently working with a Concussion Group through the Neurology Section of the APTA to develop nation-wide education on concussion.  Dr. Miranda has been affiliate faculty member and guest lecturer at Regis University since 2005, providing all curriculum content related to lower limb amputations.  She integrates vestibular rehabilitation principles into the care of all patient populations.