Dizziness, Balance & Vestibular Disorders

Naseem Chatiwala, PT, DPT, MS, NCS

Dizziness, Balance & Vestibular Disorders

CE Information


Course Brochure

Contains CE information for additional professionals

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Course Highlights

  1. Effectively increase function in patients who suffer from peripheral as well as central vestibular dysfunction including stroke, MS and TBI
  2. Evidence-based assessment and treatment strategies related to balance, dizziness and falls
  3. Hands-on labs on BPPV and other comprehensive clinical examination skills using functional tests and measures
  4. An effective plan of care and fall risk reduction with evidence-based therapeutic interventions for complicated vestibular disorders
  5. Objective assessments to support medical necessity

Additional Info

Approximately 90 million American adults have been diagnosed with a vestibular disorder, making physical and occupational therapists key members of the evaluation and rehabilitation team for patients. Vestibular disorders can cause dizziness, imbalance, and subsequent risk of falls, which greatly limits mobility, function, and quality of life. Using vestibular rehabilitation, therapists can guide a patient through the course of their dysfunction, assist them in recovery, and help them to get back to their previous level of function. To effectively assess and treat these clients, therapists must have a solid understanding of the anatomy, structure and function of the vestibular system, and utilizeevidence-based assessment, treatment and outcome measures in their treatment planning and documentation.

This workshop will enhance your ability to evaluate the appropriateness and effectiveness of vestibular rehabilitation therapy for multiple vestibular disorders. Participants will takehome a comprehensive set of easy-to-implement information on relevant topics including anatomy and physiology of the vestibular system, assessment of vestibular disorders, and rehabilitation with appropriate treatment strategies including adaptation, substitution, habituation exercise, BPPV assessment, and successful management and balance programs. Through hands-on labs, participants will utilize current evidence-based research to guide objective assessments and use results to develop effective treatment plans that justify medical necessity. This workshop is applicable to clinicians without vestibular experience whilemaintaining the interest and expanding the clinical skills of themore experienced vestibular rehabilitation clinician.

  1. List the anatomical structures of the vestibular system (both central and peripheral).
  2. Distinguish the typical characteristics of peripheral vscentral origin vestibular disorders.
  3. Utilize oculomotor, vestibular and balance assessment strategies.
  4. Interpret assessment findings and formulate a plan of care using appropriate evidence-based therapeutic interventions.
  5. Implement focused assessment and treatment rehabilitation programs to address various vestibular dysfunctions.
  6. Identify specific variants of BPPV and be able to perform Canalith Repositioning Maneuvers (CRM).
  1. The Role of the Vestibular System and Its Impact on PhysicalTherapy Outcomes
    1. Understanding basic terminology-dizziness, disequilibrium, vertigo
    2. Vestibular input: Anatomy and physiology of peripheral vestibular system
    3. Central processor: Central vestibular connections
    4. Vestibular output: Eye muscles as they relate to each canal
    5. Vestibular ocular reflex
    6. Vestibular spinal reflex
  2. Accurately Identify Unilateral Vestibular Disorders
    1. Neuritis
    2. Labyrinthitis
    3. Superior canal dehiscence
    4. Menieres disease
  3. Accurately Identify Bilateral Vestibular Dysfunction
    1. Pathophysiology
    2. Oscillopsia
    3. Disequilibrium
    4. Treatment strategies
  4. Elements of the Functional Assessment: Techniques and Practice
    1. Oculomotor assessment (including Vestibular Ocular-MotorScreening (VOMS)
    2. Head Impulse Test (HIT)
    3. Dynamic Visual Acuity test (DVA)
    4. Standardized outcome measures for balanceassessment
    5. Dynamic Gait Index (DGI)
    6. Functional Gait Assessment (FGA)
    7. Dizziness Handicap Inventory (DHI)
  5. Assessment and Treatment of BPPV
    1. Pathophysiology
    2. Differentiating canilithiasis from cupulolithiasis
    3. Assessment for posterior and lateral semicircular canal
    4. Canalith repositioning maneuver
  6. Focused Evaluation
    1. Thorough history taking - What to know?
    2. Interpretation of clinical findings - Tests and measures
    3. Differential diagnosis - Clinical trajectories and pathways
  7. Treatment Considerations and Progressions
    1. Gaze stabilization (adaptation and substitution examples)
    2. Habituation examples
    3. Dosage and frequency
    4. Clinical practice guidelines
  8. Cervicogenic Dizziness
    1. Cervical proprioception
    2. Cervical Joint Position Error Test (Cervical JPET)
    3. Effective treatment to address decreased neck proprioception

Naseem Chatiwala, PT, DPT, MS, NCS, is a board-certified neuro clinical specialist and a certified vestibular clinical specialist who has 20+ years of experience as physical therapist treating a variety of complex neuro diagnoses. Naseem has been instrumental in developing a neuro and concussion program at The Clough Family Center for Rehabilitative and Sports Therapies and has helped develop guidelines for balance clinics, vestibular screening, baseline testing, return to play and graded exs protocols. Naseem also developed and runs a brace clinic with an orthotist where they do comprehensive gait evaluations and make custom orthosis for patients with neurologic deficits. She is also an adjunct faculty at MGH-IHP and UMass Lowell PT program and a course developer and instructor through Summit Education where she teaches live workshops on Stroke Rehab and Vestibular Rehab.

Naseem has presented at various conferences and recently was awarded Excellence in Education at the 2019 Emerson Rehab Annual Awards. Naseem is an active member of the APTA and APTA of MA-Neuro SIG and has previously served as a co-chair for Neuro SIG of MA 2017-2019.


FINANCIAL: Naseem Chatiwala is compensated by Summit as an instructor. She serves as adjunct faculty at MGH Institute of Health Professions and at the University of Massachusetts, Lowell DPT program. She is also employed as a Clinical Specialist at Emerson Hospital Center for Rehabilitation and Specialty Services.

NONFINANCIAL: Naseem Chatiwala has no non-financial relationships to disclose.

Search your profession and state above to see CE approval for your selected course.

Content Level: Intermediate

SATISFACTORY COMPLETION: Participants must pay tuition fee, sign in, attend the entire seminar, complete an evaluation and sign out in order to receive a certificate of completion. Participants not fulfilling these requirements will not receive a certificate. Failure to sign in or out will result in forfeiture of credit for the entire workshop. No exceptions will be made. Partial credit is not available.

Scope of Practice: Workshop content is not intended for use by participants outside of the regulatory scope of practice of their license(s). You are responsible for knowing what lies within and without your professional scope of practice.

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With that as our foundation, we are proud to now offer Online Continuing Education courses that we believe set a new standard of high quality. Leveraging our exceptional teaching faculty that delivers thousands of live workshops each year (with an average customer satisfaction rating of 4.7 out of 5.0), we have now invested in creating the same exceptional Online course experience.

We deliver Online courses that are both high quality and easy to use:

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Our Online platform is state of the art

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On-Demand: What to Expect

We want to make sure that you are 100% comfortable with what you are purchasing, so this is a rundown of the experience you should expect.

Here's what you can expect from our media player:

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Continuing Education Credit FAQs

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We do the work upfront and when you select your profession and state, we only present courses that have CE approval for that profession and state. You can also view the licensing approval by profession on the Product page of any course (middle of page, far right tab of "CE Credit")

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How many credits do I receive for an online course?

Typically you will receive the same number of credits that you would get at a live workshop. Currently, all of our online workshops range from 1-6 credit hours (with some exceptions based on state and profession). You can view the licensing approval by profession on the Product page (middle of page, far right tab of "CE Credit") where you can see the exact number of credit hours for each profession and state.

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Yes. Once you complete your online course, post-course requirements, and the printing of your certificate, please follow the below steps.

For ASHA reporting an online course: Once you have met satisfactory completion requirements of the course, you will have access to a participant form via a "Report to ASHA" button in your account (next to the "Certificate Download" button). Simply select the "Report to ASHA" button, provide your ASHA member ID, and select "Submit". Please note, the "Report to ASHA" button will only be available in your account to submit your request for 10 days from the date you completed the online course after which Summit will be unable to report your completion to ASHA.

Online course completions are reported to ASHA following the below schedule:

  • Completions dated 1/1 - 3/31 will be reported to ASHA no later than 5/15
  • Completions dated 4/1 - 6/30 will be reported to ASHA no later than 8/14
  • Completions dated 7/1 - 9/30 will be reported to ASHA no later than 11/14
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Summit offers CE Broker reporting on behalf of FL PTs, OTs, SLPs and ATCs as well as for AL PTs, OH SLPs, SC PTs, OTs and SLPs. Licensees in states/professions outside of these listed should self-report at cebroker.com using the information provided on the certificate of completion. More information can be found here.

Online Course Content FAQs

Is an outline of the course content available before or during viewing?

You can see a course outline on the Product page under the Course Outline tab. After purchase, the course outline is also provided on the media player for watching the course.

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Once you have purchased the course, there is a tab at the bottom of the media player where you can download the manual to save or print for your personal use.

Manual is located in the "Resources" tab

Are there labs in the course? What do I do if there are labs during the course?

Most of our courses have hands-on lab content, varying from minimal to significant. By looking at the Course Outline tab on the Product page, you can see how intensive the labs are for each course. During the lab section, we have invested heavily in providing very strong video content (i.e. very tight camera angles) so you can learn along with the live attendees. Depending on the course, you may want to simulate the activities that are presented in the course (which will be noted in the "Before You Start" section of the media player).

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Online Video Experience

How long is the course?

Courses range in length from 1-6 hours. You can see the exact length of the course by visiting the course Product page.

Will I need any special materials to take the course?

After purchasing, the any special materials or specific advice is listed at the bottom of the "Course Info" tab.

Can I fast-forward or rewind through the online course?

Yes. For your convenience, you may fast-forward or rewind while watching the course. However, please note you will be required to certify you have watched the entire course to obtain CE credit.

Are there breaks? Can I press pause while watching the course?

There are no formal breaks in the video content. However, there is a pause feature to allow taking breaks at your own convenience.

Can I complete the course over several days? How much time do I have to finish the course?

Yes, you can always press pause or stop to take a break at your own convenience. Also, if you leave the course, please note where you left so you can pick up where you last finished. However, please remember you need to finish the course and pass your post course test within 30 days (non-subscribers) or before your subscription ends (subscribers).

Is the online course interactive? Will I be able to ask questions during the course?

The video that you will be watching is a recorded version of a live workshop. The video captures Instructor answers to participant questions, but there is no opportunity for you to ask questions with the instructor, real time. If you do have questions for the instructor, most instructors have their email address at the end of their presentations.

Am I able to re-watch the online courses even after I have completed the post course test and received my certificate?

Once you purchase the online workshop, you have 30 days to view the workshop as many times as you want as well as to review the manual (if you choose not to download while taking the course). For subscribers, your access is unlimited while your subscription is active.

Can I get a refund if I don't like the course?

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Test & Certificate

Will I need to take a post course test? Why?

Yes, you are required to successfully pass the post course test to obtain CE credits and certification. This is required by our licensing boards for online courses.

What is the post course test like, what is a passing score, and how many times can I take it?

Post course tests consist of True/False and/or multiple choice questions. You will be able to retake the post course test as many time as necessary to receive a passing grade. A passing "grade" is 75% or higher for general content, 80% or higher for certain state specific workshops, like ethics, jurisprudence, and laws and rules courses. You will be able to retake the post course test as many times as necessary to receive a passing grade.

When will I receive my credits and certificate?

Once you complete your course evaluation and online test, you will be able to immediately download your certificate and request CE Broker or ASHA Reporting (if applicable).

Technical FAQs

What browsers and Operating system do I need to run for this to work properly?

The following are the supported browsers and Operating Systems for the media player to work properly:

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  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
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  • Safari 12.0+ for Mac OSX 10.13 and above

Will the media player work on both a Mac and PC?

Yes, the online courses will play on both a Mac and PC. The following are the supported browsers and Operating Systems for the media player to work properly:

  • Internet Explorer 11 or Microsoft Edge 44+ for Windows 10
  • Google Chrome 75.0+ for Windows, Mac OSX, or Linux
  • Mozilla Firefox 70.0+ for Windows, Mac OSX, or Linux
  • Safari 12.0+ for Mac OSX 10.13 and above

Can the workshops be played on my phone?

Yes! You are able to watch the workshops on your phone. Here are the technical requirements to ensure it works properly:

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  • Safari on iPadOS 13+
  • Chrome on Android 9.0+
  • Any running Android 9.0+

Are the videos downloadable or streaming?

All of the videos stream from the media player.

How does the streaming video work?

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Will I experience any occasional buffering or freezing of the video?

Because of our streaming video approach, this rarely happens. If it does, it's typically because of customer internet access quality issues and we will provide troubleshooting tips as well as telephone support from our help desk.

Do you provide technical support?

Our help desk is available to assist you by phone Monday through Friday, 6AM to 6PM at (800) 433-9570.

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Course at a Glance

All our courses are available at a number of locations and at various dates. You can also take many of our courses online whether in video or text format. Below are all the available options for

  • Providence, RI - Jan 22, 2021
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  • Overland Park, KS - Apr 17, 2021
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