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Presenter(s): Elizabeth Adams Costa, PhD, CCC-A, FAAA; Logan Skinner Cole; Amy Nichols, AuD, PhD, CCC-A
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This presentation describes the case of a 48-year-old female presenting with vertigo and disequilibrium consistent with mal de debarquement (MdDS) following a weeklong vacation cruise. The subject's full medical history revealed increasing difficulty with ataxia, headaches, and ambulation over the past few years, with severe exacerbation of symptoms following cruise travel. MRI and vestibular assessment following disembarking from the cruise vessel suggested additional lesion in the central vestibular system, which led to a final diagnosis of MdDS exacerbated by cerebellar degeneration associated with pre-existing Chiari malformation. MRI images, audiometric, and vestibular results are presented, as well as an in-depth review of MdDS and Chiari malformation and their impact on vestibular function and quality of life.
Presenter(s): Margaret Kenna; Amanda M Griffin; Charlotte Morse-Fortier; Kelly N Jahn; David Faller; Julie Gayle Arenberg; Michael A Cohen; Elizabeth DesRoche
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: There is evidence that many factors contribute to the varied performance outcomes among pediatric cochlear implant (CI) recipients, including etiology and quality of the electrode neuron interfaces (ENI). This course examines a study that investigated the intersection of these factors by analyzing the records and device settings for 156 children with confirmed diagnoses of either enlarged vestibular aqueduct (EVA) or Connexin-26 mutations.
Presenter(s): Georgia Cambridge; Tracey Taylor; Wayne Wilson; Wendy Arnott
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This course presents a systematic review that aimed to answer the PICO-format clinical research question: For adults with cochlear implants and severe to profound postlingual sensorineural hearing loss, is auditory training effective in improving listening outcomes?
Presenter(s): Devin L. McCaslin, PhD, CCC-A
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This session will examine the diagnosis and treatment of persistent postural-perceptual dizziness (PPPD). The session will explore the recently defined criteria for the presentation and symptoms of the disorder as well as describe current and emerging research that is helping clinicians and researchers better understand it. The speaker will also discuss how chronic co-morbid disorders such as migraine and Meniere’s disease should be factored into the treatment of this disorder.
Credit(s): PDHs: 5.0, ASHA CEUs*: 0.5
Summary: For people experiencing dizziness, what are possible options for vestibular and balance rehabilitation? This self-study from Perspectives of the ASHA Special Interest Groups (SIG 7) addresses treatment choices in vestibular and balance rehabilitation, the state of the evidence on their efficacy, and future directions for interdisciplinary research and practice. Written by clinicians and scholars with expertise in audiology and physical therapy, the four articles present an interdisciplinary and life span approach to vestibular and balance rehabilitation for children and adults. The first article by Christy is on the use of vestibular and balance rehabilitation therapy for dizziness in children. Next, the review by Herdman focuses on the evolution of vestibular function tests and rehabilitation for major vestibular disorders as well as areas in which research and clinical practice may grow in the future. In Holmberg, the relatively new but common diagnosis of persistent postural-perceptual dizziness (PPPD) is presented in terms of its pathophysiology, differential diagnosis, and treatment protocols. Finally, Clendaniel provides a review on the use of vestibular rehabilitation in the treatment of benign paroxysmal positional vertigo. Included are detailed photos and illustrations of current techniques and exercises. As described in the introduction to the forum by Guest Editor Neil Shepard, PhD, “It is hoped that these four articles will provide a needed look at vestibular and balance rehabilitation therapy (VBRT) so the audiologist can serve as a productive member of the treatment team and have a good understanding as to everything that
Presenter(s): Cynthia Hogan,PhD, CCC-A; Janalene Jacobson,AuD, CCC-A; Melanie Meldrum,AuD, CCC-A; Sarah Ostlie, AuD, CCC-A
Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: This course explores the most commonly fit devices for patients whose hearing is significantly poorer in one ear than the other (e.g., single-sided deafness or asymmetric hearing loss) and identify factors that impact device selection and hearing management. Using data analysis and case examples from their clinic, the speakers discuss management options for asymmetrical sensorineural hearing loss, including traditional hearing aids, Bi-CROS devices, bone conduction devices (BCD), and cochlear implants (all with or without assistive devices).This course – part of the SIGnature Series – was developed by SIG 6: Hearing and Hearing Disorders: Research and Diagnostics.
Presenter(s): Deb Culbertson, PhD, CCC-A; Rachel Glade, PhD, CCC-SLP, LSLS Cert. AVT; Christy Ray, PhD, CCC-SLP; Elizabeth Rosenzweig, PhD,CCC-SLP,LSLS Cert. AVT; Erin Stefancin,MA, CCC-SLP
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This course features moderated discussions among a panel of clinicians who collectively provide cochlear implant auditory rehabilitation (AR) to patients of all ages. Topics and discussions demonstrate the need to expand and differentiate intervention approaches based on the unique needs of individual patients with cochlear implants. Panelists review recent studies, present translational applications, share case studies and examples, illustrate multidisciplinary professional roles, and discuss evidence-based assessment and treatment. This course – part of the SIGnature Series – was developed by SIG 7: Aural Rehabilitation and Its Instrumentation.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: These Perspectives (SIG 6) articles describe current research, diagnostic, and management techniques for three different vestibular populations, including individuals with Usher Syndrome, Meniere’s Disease, and aging populations. The first article examines age-related changes in vestibular function and discusses findings in animal studies examining specific structural and functional changes occurring within the system. The second article is a review designed to advance understanding of the clinical presentation of individuals with Usher Syndrome and discuss the importance of a multi-disciplinary team in diagnosis and management. Additionally, the latest research in gene-therapy treatments for Usher Syndrome are discussed. The final article is a large scale retrospective study of patients with an active Meniere’s Disease diagnosis. The study examines correlations between disease duration and diagnostic assessment findings.
Presenter(s): Melissa Newell, AuD, CCC-A, FAAA
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Meniere’s disease (MD) rarely occurs in children. Due to this, care and treatment by knowledgeable clinicians and physicians are lacking. This presentation reviews a case of a 10-year-old male with diagnosed MD, the interdisciplinary approach for care and treatment, the cross-facility approach for obtaining best results, and follow-up hearing aid fitting suggestions for the affected ear. This course was presented and recorded at the 2019 ASHA Convention.
Presenter(s): Kristen Janky, AuD, PhD, CCC-A; Lauren Calandruccio, PhD, CCC-A
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: Vestibular loss can co-occur with hearing loss. One functional effect of vestibular loss is decreased dynamic visual acuity. There is some speculation that vestibular loss can also affect reading and/or reading acuity. This presentation outlines the relationship between vestibular loss and both dynamic and static visual acuity and its possible effect on reading and other daily activities. This course was presented and recorded at the 2019 ASHA Convention. The session was developed by, and presenters invited by, Hearing, Tinnitus, and Vestibular Science.
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