Book Summary: Balance Function Assessment and Management, now in its second edition, continues to comprehensively address the assessment and treatment of balance system impairments through contributions from top experts in the areas of dizziness and vertigo. Designed for use in graduate audiology programs and by practicing audiologists, this is also a valuable text for those in the fields of physical therapy, otolaryngology, and neurology. Assessment chapters focus on ocular motility testing, positional/positioning testing, caloric testing, rotational testing, computerized dynamic posturography, and vestibular evoked potentials. Treatment chapters examine nonmedical, medical, and surgical treatments of dizziness and vertigo, vestibular rehabilitation, and assessment of and intervention for risk of falls. Additionally, this text provides background information on the vestibular and ocular motor systems with corresponding sample cases. New topics addressed in this edition include: Development of the vestibular system Central compensation following peripheral vestibular system impairment Video head impulse test (vHIT) Biomechanics and physiology of balance Electrocochleography (ECochG) Pediatric vestibular system and balance assessment Effects of age on the vestibular and balance systems An added bonus to the second edition is the companion website that offers additional reference materials, such as video clips, associated with the text.

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Description:It is estimated that 35.4% of adults in the United States have vestibular dysfunction requiring medical attention, and the condition results in a substantial increase in fall risk. The Neurology Section and APTA supported the development of a clinical practice guideline (CPG) for vestibular rehabilitation of peripheral vestibular hypofunction. A Cochrane Database systematic review concluded that there is moderate to strong evidence in support of vestibular rehabilitation in the management of patients with unilateral vestibular hypofunction for reducing symptoms and improving function. The purpose of the CPG is to review the peer-reviewed literature and make recommendations based on the quality of the research for the treatment of peripheral vestibular hypofunction. The speakers will present the findings of clinical practice guidelines (CPG) for vestibular rehabilitation, including clinical and research recommendations. The session will use a case-based approach to illustrate implementation of these guidelines in clinical practice. Learning Objectives:1 . Describe and discuss the action statements from the vestibular rehabilitation CPG. 2. Implement the action statements into clinical practice. 3. Identify the gaps in the evidence and future research directions in vestibular rehabilitation.

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Background and Purpose: Dance has demonstrated beneficial effects on mobility in older individuals with movement disorders; yet, effects of partnered dance remain unexamined in individuals with chronic stroke. The purpose of this study was to describe the effects of adapted tango classes on balance, mobility, gait, endurance, dual-task ability, quality of life (QOL), and enjoyment in an older individual with chronic stroke and visual impairment. Case Description: D.L. was a 73-year-old African American man, 13 years poststroke with spastic hemiplegia, visual impairment, and multiple comorbidities. Intervention: D.L. attended 20 1?-hour tango classes adapted for older individuals with sensory and motor impairments over 11 weeks. Outcomes: Measures of balance, mobility, gait, endurance, dual-task ability, and QOL were evaluated before and after the intervention and at 1-month follow-up. D.L. improved on the Berg Balance Scale, 30-s chair stand, Timed Up and Go (single, manual, and cognitive conditions), 6-Minute Walk Test, and backward gait speed. Not all measures improved: balance confidence decreased, and there was no change in forward and fast gait speed or QOL, as measured by the Short Form-12 and the Visual Function Questionnaire–25. Some gains were maintained at one-month follow-up. D.L. reported enjoying the classes, noted improvement in physical well-being, and wanted to continue the program. Discussion: Thirty hours of adapted tango lessons improved balance, mobility, endurance, and dual-task ability in a participant with chronic stroke. The participant enjoyed the classes, was adherent, and wished to continue. This is the first reported use of adapted tango dance as rehabilitation for an individual with chronic stroke and low vision.

Book Summary: In two freestanding but linked volumes, Textbook of Neural Repair and Rehabilitation provides comprehensive coverage of the science and practice of neurological rehabilitation. This volume, Medical Neurorehabilitation, can stand alone as a clinical handbook for neurorehabilitation. It covers the practical applications of the basic science principles presented in volume 1, provides authoritative guidelines on the management of disabling symptoms, and describes comprehensive rehabilitation approaches for the major categories of disabling neurological disorders. Emphasizing the integration of basic and clinical knowledge, this book and its companion are edited and written by leading international authorities. Together they are an essential resource for neuroscientists and provide a foundation for the work of clinical neurorehabilitation professionals.

Book Summary: Recognized as two of the world's leading authorities on the subject, Susan Herdman and Richard Clendaniel, joined by a team of expert contributors, deliver the 4th Edition of the field's definitive text on the management of vestibular diseases and disorders. From assessment through therapy, they present the scientific and clinical knowledge you need to distinguish between vestibular and non-vestibular dizziness and to plan and implement the appropriate treatments.

Abstract available through Orthapaedic & Sport Physical Therapy.

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