Check the Workshop You Will Attend: Vestibular System Allentown, PA - April 15, 2015 High Impact, Live Workshops for Continuing Education Harrisburg, PA - April 16, 2015 Receipts Sent Via Email - Please Print Clearly! ATTENTION: Copy as needed for each attendee or print additional forms at www.summit-education.com Pricing* EMAIL OR PHONE # REQUIRED! Name*____________________________________________________ EARLY $199 | Single Person $189 | 2-4 People $169 | 5+ People Email*___________________________________________________________ Profession/Job Title* ______________________________________________ Organization_____________________________________________________ Easy Registration! All prices are per person REGULAR $219 | Single Person $209 | 2-4 People $189 | 5+ People *Early registration must be received 14 days prior to workshop. GROUPS: Registrations and payment must be received together via fax or mail. You may also register online if payment is with a single credit card. Billing Address*___________________________________________________ Address2 _______________________________________________________ City*_____________________________State*_______ Zip*_______________ Summit Professional Education PO Box 908 Franklin, TN 37065 EMAIL OR PHONE # REQUIRED! Phone*_____________________________________Ext._________________ (MM) (YY) (YRS) CE Renewal Date _________ / _________ License Cycle Length ____________ Assessment and Treatment of the 1. Online: www.summit-education.com 2. Phone: (800) 433-9570 3. Fax: (615) 376-8233 4. Mail: Summit Professional Education PO Box 908 | Franklin, TN 37065 Vestibular System PRSRT STD U.S. POSTAGE PAID NASHVILLE, TN PERMIT NO. 989 Payment Required For Registration Check, credit card or company purchase order (PO#) MUST accompany this registration form. PRIORITY CODE: Price ____________ X Quantity ___________ = Total __________________ Evidence-Based Examination and Intervention Strategies Check enclosed, payable to Summit Professional Education PO#: __________________ VISA MC Amex Discover Cardholder’s Name: ______________________________________________ Card #:__________________________________________________________ Exp. Date: _______________________ 3 Digit CSC/CVC: _________________ GVESAP.0415.1 PLEASE RETURN ENTIRE PANEL Benefits to Attending • Vestibular system disorders and their impact on balance and function Workshop Dates Allentown, PA April 15, 2015 • Subjective examination to guide clinical tests and measures Harrisburg, PA • Examination of the vestibular and oculomotor systems to direct diagnosis High Impact, Live Workshops for Continuing Education Assessment and Treatment of the Vestibular System Evidence-Based Examination and Intervention Strategies Workshop Dates Allentown, PA April 15, 2015 Harrisburg, PA April 16, 2015 Presented by Amy Muncy, PT, DPT, NCS, an experienced physical therapist specializing in the assessment and treatment of vestibular disorders for the past 14 years. Amy has worked in inpatient and outpatient rehabilitation centers in Florida and Tennessee providing assessment and intervention for patients with vestibular system disorders, balance impairments, falls risk, and a variety of neurological diagnoses. Benefits to Attending • Vestibular system disorders and their impact on balance and function • Benign paroxysmal positional vertigo, peripheral and central dysfunction • Subjective examination to guide clinical tests and measures • Examination of the vestibular and oculomotor systems to direct diagnosis • Interpretation of tests and measures to guide evidence-based interventions with expected time frames and outcomes • Extensive hands-on lab instruction in techniques you can use immediately in your clinic REGISTER www.summit-education.com or call 800-433-9570 • Benign paroxysmal positional vertigo, peripheral and central dysfunction • Interpretation of tests and measures to guide evidence-based interventions with expected time frames and outcomes • Extensive hands-on lab instruction in techniques you can use immediately in your clinic Who Should Attend ;; PTs & PTAs ;; Assisted Living Admins ;; OTs & OTAs ;; Activities Directors ;; Rehab Nurses ;; Acute Care Professionals ;; Rehabilitation Directors ;; Home Health Professionals ;; Nursing Home Admins ;; Athletic Trainers REGISTER www.summit-education.com or call 800-433-9570 April 16, 2015 Assessment and Treatment of the Vestibular System Dates & Locations Allentown, PA April 15, 2015 Days Inn & Suites 3400 Airport Rd Allentown, PA 18109 (610) 266-1000 Harrisburg, PA April 16, 2015 Holiday Inn Harrisburg East 4751 Lindle Rd Harrisburg, PA 17111 (717) 939-7841 Evidence-Based Examination and Intervention Strategies Vestibular disorders and dizziness are prevalent in the adult population. Approximately 8 million American adults report chronic problems with balance while 2.4 million report a chronic problem with dizziness. Overall, vertigo from a vestibular problem accounts for a third of all dizziness reported to health care professionals. Consequences of dizziness and balance impairments can lead to limited social interaction, increased isolation, decreased activity level, and secondary disability. This evidence-based hands-on workshop will provide participants with an understanding of the vestibular system and its interactions with sensory balance structures that are vital for stability and function. Disorders of the vestibular system and secondary dysfunction will be reviewed. This workshop is designed to teach participants to perform a basic comprehensive examination of the vestibular and sensory systems, interpret findings, and develop a treatment plan with evidence-based interventions to help maximize functional outcomes in this patient population. Hands-on lab instruction will complement workshop content and provide the therapist with clinical tools. About Your Program Instructor SCAN HERE QR Help? www.tinyurl.com/qrhelp Amy Muncy, PT, DPT, NCS, is an experienced physical therapist specializing in the assessment and treatment of vestibular disorders for the past 14 years. She received her Bachelor of Science in Physical Therapy from the University of South Alabama in 1997 and her Doctorate of Physical Therapy from the University of Tennessee at Chattanooga. Amy received her certificate of competency in Vestibular Rehabilitation in 2000, certificate of competency in Advances in Vestibular Rehabilitation in 2009, and certificate of competency in Pediatric Vestibular Rehabilitation in 2012. Amy has worked in inpatient and outpatient rehabilitation centers in Florida and Tennessee providing assessment and intervention for patients with vestibular system disorders, balance impairments, falls risk, and a variety of neurological diagnoses. She has instructed continuing education courses in vestibular rehabilitation and has served as a guest lecturer in doctoral physical therapy programs in Alabama and Tennessee. Amy has presented poster and platform presentations in the area of vestibular rehabilitation at the American Physical Therapy Association Combined Sections Meetings in 2012 and 2013 and for the Tennessee Physical Therapy Association in 2014. Amy is also a board certified clinical specialist in Neurologic Physical Therapy through the American Physical Therapy Association. Learning Objectives 1. List anatomical structures of the peripheral and central vestibular system. 2. Describe basic physiology of the vestibular system and its integration with other sensory structures for balance. Workshop Outline Continuing Education Credit I. Occupational Therapists - Summit Professional Education is an AOTA Approved Provider of continuing education - provider #5873. This program is offered for 0.6 AOTA CEUs (6.0 contact hours). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Anatomy and Physiology of the Vestibular System »» Identify the peripheral and central vestibular system components »» Describe basic physiology of the peripheral vestibular system »» List the cranial nerves relevant for vestibular interaction »» Describe the interaction of vestibular system reflexes with other sensory systems essential for gaze and postural stability II. Peripheral Vestibular System Disorders »» List most common peripheral vestibular system disorders »» Benign paroxysmal positional vertigo »» Unilateral vestibular system dysfunction »» Bilateral vestibular system dysfunction III. Central Vestibular System Disorders »» Most common central vestibular system disorders »» Central vestibular dysfunction of vascular origin/migraine »» Concussion IV. Assessment of the Vestibular System »» Subjective assessment »» Objective assessment – appropriate tests and measures »» Assessment of oculomotor function »» Assessment of the vestibular system »» Motion sensitivity and optokinetic stimulation »» Assessment of balance and dynamic gait Long-Term Care Administrators - Summit Professional Education is a Certified Sponsor of professional continuing education with the National Association of Long Term Care Administrator Boards (NAB) and has approved this program for 6.0 clock hours, approval # 1762015-6.00-11204in. State licensure boards have final authority on the acceptance of individual courses. Athletic Trainers - Summit Professional Education is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 6 hours of category A continuing education. Certified Athletic trainers are responsible for claiming only those hours actually spent participating in the continuing education activity. BOC Approved Provider Number: P3785. Activities Directors - This program has been approved by the National Certification Council for Activities Professionals (NCCAP) for 6.0 clock hours of continuing education, approval # NCCAP31158-15. Home Care, Rehabilitation and Other Professionals - This seminar qualifies for 6.0 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. Nurses - 6.0 contact hours This continuing nursing education activity was approved by the Tennessee Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This event contains intermediate level content. R HANDS ON LAB V. Treatment Interventions for Peripheral and Central Vestibular System Disorders »» Rationale for treatment »» Adaptation intervention »» Substitution strategies »» Habituation exercises (motion and visual) »» Balance and gait training R HANDS ON LAB 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. WORKSHOP HANDBOOK Included with your registration you will receive a comprehensive manual compiled by the instructor. DISCLOSURES: Guidelines exist whereby all speakers must disclose any relevant relationships. Amy Muncy is compensated by Summit as an instructor. She has no non-financial relationships to disclose. 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. 3. List various peripheral and central causes of vestibular system disorders. 4. Identify vestibular system impairments as a result of peripheral or central vestibular system disorders. 5. Perform a comprehensive physical therapy examination of the vestibular and oculomotor systems. Physical Therapists - MD: This course has been reviewed, meets the basic criteria of and has been approved by the Maryland State Board of Physical Therapy Examiners for 0.6 CEUs. NJ: This course has been submitted to the New Jersey State Board of Physical Therapy Examiners for approval, 6.0 hours. NY: Summit Professional Education has been approved by the New York State Education Department Office of the Professions Board for Physical Therapy to offer continuing education for physical therapists and physical therapist assistants. This workshop is offered for 7.2 contact hours. PA: This course has been submitted to the Pennsylvania State Board of Physical Therapy for approval, 6.0 hours. Bring a towel and dress comfortably for lab sessions. Have continuing education credit questions? Please email our CE Department at ceinfo@summit-education.com for the latest approval status. 6. Utilize appropriate tests and measures to identify balance and gait impairments secondary to vestibular dysfunction. 7. Demonstrate the ability to utilize results of tests and measures to formulate appropriate treatment interventions to maximize patient outcomes. Join Our Faculty Summit Professional Education is currently seeking qualified professionals to develop and teach workshops nationally. Visit www.summit-education.com/instructor for more information. THE SUMMIT GUARANTEE Summit Professional Education is a national leader in high-quality educational products and services for today’s professional. Our seminars and training programs are designed to help professionals achieve improved performance and results in all areas. Our faculty is the “best of the best” in their fields of expertise, providing programs that really make a difference to participants. If for any reason you are not satisfied with the program, simply notify the registrar of your intent to withdraw from the program prior to the first morning break, turn in your workshop materials and receive a 100% refund or credit on a future program. REGISTRATION, CONFIRMATION & CERTIFICATES Confirmations of registration will be sent via email. A copy of your registration confirmation will serve as Workshop Schedule Your instructor will break for 15 minutes in the morning and afternoon at appropriate times. 7:30am – Registration & Coffee 8:00am – Workshop Begins 11:30am - 12:30pm – Lunch On Your Own 3:30pm – Workshop Adjourns Some facilities may charge for parking, which is at your own expense. your receipt for fees paid at the time of registration. Walk-ins are welcome but must register onsite. Please notify us at least thirty (30) days in advance if you have special needs or require assistance. Certificates are mailed to the seminar location 5 business days in advance. If your certificate is not available the day of the seminar, please complete a certificate request onsite and a copy will be sent to you. Hotel locations must occasionally be adjusted. Please provide an email address and phone number to receive any important updates. attendee. If the cancellation is made within ten days or less, refunds will not be granted for any reason. A credit voucher will be issued that may be used toward a future seminar. Credit vouchers are transferable and do not expire. In cases of inclement weather where the seminar is conducted as scheduled, you may request a credit voucher toward a future seminar. If we must cancel or change the seminar for any reason, our liability is limited to the cost of tuition. If you register and do not attend, you are still responsible for payment. SUBSTITUTION & CANCELLATION POLICY Substitutions may be made at any time. Requests for cancellation must be received in writing by fax or mail ten (10) days prior to the seminar in order to receive a refund less a $20.00 administrative charge per canceled W-9: To download a copy, logon to www.summit-education.com/w-9 FEID Number: 47-1189590 800-433-9570 | www.summit-education.com
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