Diagnose the disease, detect its root cause,
discern its cure and then act appropriately. (thirukkural - 948 300 BCE)

Vestibular CPD-UK








 

Welcome to Vestibular-CPD UK

Samy Selvanayagam
BSc PT, MSc PT, Cert.VRT (USA), MCSP

Director
Vestibular-CPD UK







Vestibular-CPD UK is the training/education wing of the DizzyCare Clinic, through which we offer high quality, evidence-based vestibular training to frontline healthcare professionals in the UK and abroad.

Our aim is to promote awareness and provide vestibular training to as many frontline healthcare professionals as possible to empower them to help patients with vestibular disorders.

To achieve this, we are planning to offer a range of CPD events throughout the year in different locations of the UK. The sessions will range from Vestibular-Awareness sessions in the evenings, introductory one-day workshops and Three-day Enhanced Vestibular course including clinical observation.

Though these sessions are held in West Midlands and London, we are happy to run any of these courses in other locations as In-House Training. If you are interested to host an event, please get in touch with us.

We are also planning to roll-out Online Vestibular Training/Webinar sessions soon.

The above courses will be delivered by Samy Selvanayagam, Director, Vestibular-CPD UK, however, we aim to host courses run by external faculties renowned in this field when possible.

Professional memberships
Health Care Professionals Council (HCPC),
Chartered Society of Physiotherapist (CSP)

Association of Chartered Physiotherapists Interest in Vestibular Rehabilitation (ACPIVR)


British Geriatric Society
Research & awards

Robert Williams International award by CSP for a research paper presented at World Confederation of Physiotherapy (WCPT) Congress at Amsterdam in June 2011.

Vestibular-Disorders Facts!

1 in 3 people aged 40 years and 85% of people aged 80 years and above are suffering from vestibular balance problems ( Y Agrawal ).

Over 80% of people with vestibular disorders are reported to be experiencing impacts in their daily activities and seek medical help or sick leave ( Neuhauser HK)

Bronstein AM,et al found that due to dizziness
27% people change their job
21% gave up work
50% reduced efficiency at work
57% disruption in social life,
35% family difficulties
50% difficulties with travel

A UK based study found that Patients had to wait nearly two years (on average 90+ weeks, range - 14 to 202 weeks) for the diagnosis and treatment of their BPPV. (D. W. Fife, John Fitzgerald 2005)

Delayed diagnosis and treatment of BPPV will have negative impacts on both patients and their carers in terms of cost and quality of life Vestibular patients are not optimally managed in the Emergency Department. BPPV patients are unnecessarily tested with CT and MRI and treated with vestibular medications, which are not indicated (David E. Newman-Toker)

Frequent error occurs in the acute setting in differentiating central from peripheral causes of vertigo. Over 40% of initial ED diagnoses were later corrected; 6% of serious cases were revised as benign and 23% serious cases were revised as benign.

Peripheral vestibular diagnostic tests (Dix-Hallpike, Head Thrust Test etc.)for dizziness are scarcely used in the primary care

References
  1. Agrawal Y, Carey JP, et al. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001–2004. Arch Intern Med. 2009; 169(10): 938–944.

  2. Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol. 2007; 20(1):40–46.

  3. Bronstein AM, Golding JF, et al. The social impact of dizziness in London and Siena. J Neurol. 2010; 257(2):183–190

  4. Bronstein AM, Golding JF, et al. The social impact of dizziness in London and Siena. J Neurol. 2010; 257(2):183–190

  5. Fife D, Fitz Gerald JE: Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice. Int J Audol 2005;44:50–7.

  6. Newman-Toker DE, Camargo CA, Hsieh Y, et al. Disconnect between charted vestibular diagnoses and emergency department management decisions: a cross-sectional analysis from a nationally representative sample. Acad Emerg Med. 2009;16:970-977.

  7. Royl G, et al. Dizziness in the emergency room: diagnoses and misdiagnoses. Eur Neurol 2011;66:256–63.

  8. Dros J, Maarsingh OR, van der Horst HE, Bindels PJ, ter Riet G, et al. (2010) Tests used to diagnose dizziness in primary care: a systematic review. CMAJ 182(13): E621–631.



Vestibular-Physiotherapy Facts!

Vestibular physiotherapy is effective to correctly diagnose and safely treat BPPV

Vestibular physiotherapy is safe and effective to treat vestibular hypofunction (labyrinthitis, vestibular neuritis etc,)

Vestibular physiotherapy reduces dizziness, improves balance, reduces the risk of falling and improves balance confidence and activities of daily living.

References
  1. Hillier, S. L., & Hollohan, V. (2007). Vestibular rehabilitation for unilateral peripheral vestibular dysfunction (Cochrane Review). In The Cochrane Collaboration (Issue 4). Chichester, England: Wiley.

  2. Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg. 2017 Mar;156(3 suppl):S1-S47.

Current and upcoming courses

One Day Course

  • Vestibular Rehabilitation for Elderly with Vertigo, Dizziness, Unsteadiness & Falls.
  •   DizzyCare Clinic Ltd,
    (NJB Physio), Oaktree Rise, Codsall,
    Wolverhampton, WV8 1DP
  • 07894546397
  • Fees :  £125.00
Book Now Flyer

PROFESIONALS' FEEDBACK

Course title: Vestibular Rehabilitation for Older People with Vertigo, Dizziness & Unsteadiness
Location: Royal Chelsea Hospital
Date: 24th March 2018
Total number of participants: 13
Feedback: Excellent 7/13,
Very Good 5/13,
Good 1/13
Summary • Excellent 1-day course. Very practical, Good explanations and Good videos
• Fantastic overview! So much more to learn!!. Adapted to individuals in the course. Lots of practical. 2 days would help to consolidate as there is a lot of information
• Very interesting and will be easy to add aspects of this into the assessment
• Well structured. Good visuals & practical combination. Well taught with practical & theory
• Good pre-reading material. Excellent presentation. Good practical demonstration
• Very good session. Well prepared lecturer, very knowledgeable and well-skilled lecturer
• Really enjoyed it, lots of information in one day but found it useful.
• Workshop very useful. Sometimes found info complex due to dyslexia, brief tables, bullet point summary would be useful. Practical was very useful Samy was very knowledgeable
• Very useful, would definitely use the strategies and treatment techniques discussed today
• I learned a lot and thoroughly enjoyed the day. Answered all questions, which really helped to understand. Tutor’s explanation of the theory was very educational and made me really think
• Very well thought-out course. Pitched at our group and the needs we had. Open discussions and questions are encouraged
• Good small group. Good interaction. I would have liked more discussion time at the end and to discuss treatment of other vestibular conditions
• For those not familiar with the topic the pre-reading was very useful. Explanation on the modification for elderly patients was helpful. Use of videos with explanation and doing this repeatedly reinforced what we learn

24th March 2018

Mar 2018
Many thanks, its a lot clear now, this subject has confused me for years. I will feel more confident to incorporate this into my practice now.
Jill W (March 2018)

Mar 2018
Very useful +clinically applicable. Ideal for frontline staff to aid diagnosis and treatment
Alison E (March 2018)

Mar 2018
Good combination of theory, practical. Good treatment ideas
Ben W (March 2018)

Mar 2018
Good clear introduction, the timing of points introduced, small enough group to enable questions and answers. Very enjoyable, well-run course. Enthusiastic and knowledgeable presenter. Pre-course handout very helpful
S Scarborough (March 2018)

Mar 2018
Good group discussion and time to try practical
S Kaur (March 2018)

Mar 2018
Stuck to plan! therefore enabled consolidation of information. Clearly taught. Excellent practical application.
Ellen G (March 2018)

Mar 2018
I thoroughly enjoyed this workshop. The tutor is very approachable and knowledgeable.
Sarah P (March 2018)

Mar 2018
The way Samy simplified, to some extent, the complexity so I felt I actually understood. Samy asked us beforehand what we wanted to learn, and structured the course around our needs. It has been a fabulously helpful day, I hugely appreciate. (March 2018)
Julianne S

Mar 2018
Dear Samy I just wanted to thank you for a very good course last Saturday (10th March 2018). Many vestibular issues were made clearer to me giving a more solid base on which to treat vestibular patients.Thank you for your patience and good teaching.I hope we meet again. Best wishes Ellen
Ellen G

Mar 2018
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    Contact Us

    Admin Office:
    Vestibular-CPD UK,
    32 Health Farm Road,
    Codsall, Wolvehampton,
    WV8 1HT

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