Navigating the Healthcare System with Vestibular Dysfunction

In this Episode, Dr. Jennifer Stoskus PT, DPT, NCS, Advanced Vestibular Physical Therapist (UPMC course) provides us with a long over-due update on the management of Mal de Debarquement Syndrome (MdDS). Episode Resources: - Barany Society Diagnostic Criteria for MdDS (2020): ⁠https://content.iospress.com/articles/journal-of-vestibular-research/ves200714⁠ - Advanced Vestibular Physical Therapist Certificate Program: https://www.shrs.pitt.edu/pt/continuing-education/advanced-vestibular-physical-therapist-certificate-program - MdDS Foundation: https://mddsfoundation.org/  - Gait Disorientation Test: https://pubmed.ncbi.nlm.nih.gov/33338462/ - Our discussion of “The Mind-Body Connection in Managing Dizziness” with Dr. Lisa Farrell, PT, DPT: https://youtu.be/ZWlrVh8Fz_U?si=uo5aIiFzdDvyBXEv Where to find Dr. Jennifer Stoskus PT, DPT, NCS, Advanced Vestibular Physical Therapist: - Website is www.NJDizziness.com - Research page: bit.ly/tech4hcp Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us [email protected] Where to find us: ⁠⁠⁠⁠⁠⁠⁠https://link.me/balancingactrehab⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.BalancingActRehab.com⁠⁠⁠⁠⁠⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness ⁠⁠⁠https://balancing-act-rehab-s-school.teachable.com/courses/⁠⁠⁠

Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with the one and only JJ Mowder-Tinney, PT, PhD, NCS about getting creative when it comes to empowering patients while also keeping rehab functional and fun. Where to find JJ: - NeuroCollaborative: mentorship, coaching, resources, support, workshops, continuing education, and a power community of professionals aimed to support and empower providers to create specialty programs or businesses that positively impact their communities and themselves. https://www.neurocollaborative.com/ - Instagram: @JJMowderPT - Medbridge Courses: https://www.medbridge.com/courses#/physical-therapy?search=jj Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us [email protected] Where to find us: ⁠⁠⁠⁠⁠⁠https://link.me/balancingactrehab⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.BalancingActRehab.com⁠⁠⁠⁠⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness ⁠⁠https://balancing-act-rehab-s-school.teachable.com/courses/⁠⁠

Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT are joined by Jeff Walter, PT, DPT, NCS for a great discussion with Prof. Dr Herman Kingma about the science behind vestibular perception, as well as the vibrotactile technology behind The Balance Belt. (https://balancebelt.net/en/) About Prof. Dr Kingma As a Professor in Clinical Vestibulology at the Maastricht University Medical Centre in The Netherlands, Prof. Dr Kingma has treated many patients with vestibular disorders. He developed the BalanceBelt as a substitute to the existing invasive and unsustainable treatments for severe balance disorders. Prof. Dr Kingma has presented more than 1000 keynote lectures and contributed to more than 150 international peer-reviewed publications in biophysics and medical sciences. For more information about Jeff Walter, PT, DPT, NCS and his online MedBridge courses, check out: https://www.vestibular.today/medbridge Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us [email protected] Where to find us: ⁠⁠⁠⁠⁠https://link.me/balancingactrehab⁠⁠⁠⁠⁠ ⁠⁠⁠⁠www.BalancingActRehab.com⁠⁠⁠⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness ⁠https://balancing-act-rehab-s-school.teachable.com/courses/⁠

This week, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT connect with Joanna Wolfson, PhD, ABPP about what people living with dizziness may experience on a day to day basis, and what can be done about it from a psychological point of treatment. Joanna Wolfson, PhD, ABPP is a board-certified senior psychologist on the Adult Outpatient service at Rusk Rehabilitation, NYU Langone Health and Clinical Assistant Professor of Rehabilitation Medicine at the NYU Grossman School of Medicine. She holds a doctorate in Clinical Psychology from Fairleigh Dickinson University, completed her internship at NYU Rusk, and her postdoctoral fellowship at the Manhattan VA in Health Psychology and Primary Care. She is board certified in clinical health psychology. Dr. Wolfson provides individual and group psychotherapy to patients with a wide range of medical presentations, including vestibular conditions. She co-leads a vestibular stress management group, which has been running for the past 8 years. She also supervises interns in the field of health psychology and presents on topics including integrated healthcare, motivational interviewing, and health anxiety.   Dr. Wolfson can be reached at: [email protected] Episode Resources: https://www.psychologytoday.com/intl/blog/psychological-trauma-coping-and-resilience/202302/communicating-and-feeling-understood-long   https://www.psychologytoday.com/us/blog/psychological-trauma-coping-and-resilience/202102/why-am-i-so-tired Gordon, R. M., Dahan, J. F., Wolfson, J. B., Fults, E., Lee, Y. S. C., Smith-Wexler, L., Liberta, T. A., & McGiffin, J. N. (2020). Existential–humanistic and relational psychotherapy during COVID-19 with patients with preexisting medical conditions. Journal of Humanistic Psychology, 002216782097389. https://journals.sagepub.com/doi/10.1177/0022167820973890 Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us [email protected] Where to find us: ⁠⁠⁠⁠https://link.me/balancingactrehab⁠⁠⁠⁠ ⁠⁠⁠⁠www.BalancingActRehab.com⁠⁠⁠⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/

This week, Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT sit down with Allison Hirshey to discuss her tips for living with chronic dizziness. Allison's Resources: The Steady Coach (Youtube channel includes link to her free chronic dizziness course) o   Dr. Yonit Arthur is a board-certified audiologist and certified strength coach who aims to help those suffering with chronic dizziness and other vestibular symptoms o   The Steady Coach also has a podcast https://www.youtube.com/c/thesteadycoach   Conscious Healing - Retrain Your Brain: Overcoming Neural Circuit Dizziness Course o   Megan suffered with PPPD/MdDS type symptoms for years and has found her way to recovery. She now offers 1:1 coaching and a course she created around healing chronic dizziness https://conscioushealing.uk/courses/retrain-your-brain-overcoming-neural-circuit-dizziness/   The Better Mind Center  o   The therapy center I work with, they have a multitude of psychotherapists who are trained in working with patients who suffer from chronic pain and/or chronic dizziness.  https://bettermindcenter.com   Supplements that helped me: Magnesium Glycinate, Magnesium Threonate (specifically Pure Encapsulations CogniMag), Riboflavin Vitamin B2, Vitamin D3 + K2, Bach Flower Drops (natural stress/anxiety relief), essential oils (for stress/anxiety relief)   VRT:  Balancing Act Rehabilitation  https://www.balancingactrehab.com/about   Alternative Medicine that helped me: o   Acupuncture  o   Massage - specifically Neuromuscular and Craniosacral Therapies   Books: The Way Out by Alan Gordon  o   Takes a mind-body approach to healing chronic pain. The book uses the word “pain” but the same approach can be used for dizziness, just insert “dizziness” anytime “pain” is used. o   There is an audio version as well which is great for those with symptoms that make reading difficult  Victory of Vestibular Migraine by Dr. Shin Beh  o   Extremely informative for those suffering with vestibular migraine but offers take aways to anyone who is suffering with vestibular symptoms  Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us [email protected] Where to find us: ⁠⁠https://link.me/balancingactrehab⁠⁠ ⁠⁠www.BalancingActRehab.com⁠⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab

In this episode, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT talk with Dr. Lisa Farrell, PT, PhD about mindfulness and utilizing the Mind-Body connection with the management of dizziness. Where to find Dr. Lisa Farrell, PT, PhD https://www.symmetryalliance.com/  Mindful Meetups 6-week Mindfulness Meditation Course Physical Rehab Courses Free Resources! (Handouts, Information, Products/Services) Instagram account: @Its.about.balance.with.dr.lisa UPCOMING COURSE OFFERINGS NJAPTA webinar on March 27th, 2024 (7 - 9pm EST): Mindfulness Meditation for Self Care and Patient Empowerment https://aptanj.org/events/EventDetails.aspx?id=1826430&group=  Balance Frontiers: NSU Vestibular Symposium on June 7th, 2024: Rehabilitation for Chronic Vestibular Conditions Using a Mind and Body Approach  VEDA Social Hour – Guided mindfulness meditation on August 27th, 2024 at 7pm EST Mindfulness Meet-ups https://www.symmetryalliance.com/mindful-meetups https://www.symmetryalliance.com/on-demand-february-2024-mindful-meetup Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us [email protected] Where to find us: ⁠https://link.me/balancingactrehab⁠ ⁠www.BalancingActRehab.com⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab

This episode is a special one! Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT are gearing up and getting excited for VeDA's Life Rebalanced Live conference. Dani speaks with Hollie Smith, one of the hosts of an amazing support group that arose from last year's Life Rebalanced Live. VeDA Retired Join other Vestibular Warriors who have had to medically retire. We will all offer positive support to each other, suggest strategies and accommodations, and laugh as much as possible. Tuesdays at 12:00 PM Pacific / 1:00 PM Mountain / 2:00 PM Central / 3:00 PM Eastern Hosted by: Mary B. Ziegler, Hollie Smith, and Michelle Othon Click here to join the online meeting or dial: ‪(US) +1 574-404-3995‬ PIN: ‪860 727 255‬#https://vestibular.org/members/veda-retired/  If you have any questions about our support group, feel free to email us at: [email protected] Life Rebalanced Live The Vestibular Disorders Association will be hosting its third annual Virtual Vestibular Conference. Vestibular disorders cause a variety of disorienting and debilitating symptoms such as loss of coordination, vertigo, and dizziness, leaving desperate and confused patients searching for answers. Patients will hear from several different experts on topics relevant to the vestibular disorders community, all from the comfort of their homes. Patients will also have the ability to ask specific questions directly to the speakers. Free admission includes: Access to five live presentations by premier vestibular healthcare providers. Each presentation is followed by a panel of patients discussing their experience on that day's topic. Closed captions for live presentations and panels. Ability to watch the recorded presentations for 24-hours after the conclusion of the session. Access to online chat rooms where you can ask questions of presenters and connect directly with other participants. https://vestibular.org/lrl/ Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT Where to find us: ⁠https://link.me/balancingactrehab⁠ ⁠www.BalancingActRehab.com⁠ ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab

Dr. Danielle Tolman, PT and Dr. Abbie Ross, PT, NCS are joined by Jeff Walter, PT, DPT, NCS and Kristen Janky, AuD, PhD, CCC-A to discuss how audiology utilizes testing to assess dizzy patients. ​ Kristen ​Janky, Au.D., Ph.D., is the Director of the Vestibular and Balance Research Laboratory​ at Boys Town National Research Hospital. She splits her time between seeing patients in the vestibular clinic and related research activities. Her overall research focus is on the clinical assessment of dizziness and balance disorders in patients of all ages, with a particular emphasis on vestibular assessment and management in the pediatric population. She received her PhD from the University of Nebraska in 2009, followed by a postdoctoral fellowship at Johns Hopkins University from 2010 – 2011. Jeff is currently the Director of the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, PA. His clinical practice is focused on vestibular diagnostic testing and vestibular rehabilitation, as well as research and teaching. You can find Jeff's online courses with MedBridge here: https://www.vestibular.today/medbridge Follow the link to submit topic or guest requests: ⁠⁠⁠⁠⁠⁠https://forms.gle/81vh89WKCX2kx6zg7l⁠⁠⁠⁠⁠⁠ Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT Where to find us: https://link.me/balancingactrehab www.BalancingActRehab.com ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab

Dr. Christina Garrity, PT, NCS joins Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT to discuss some of the most important principles of Vestibular Rehabilitation Therapy. Dr. Garrity shares insights into how she approaches individualizing her treatments to the patient, and she even loves to turn her patients into their own vestibular therapist! Find her on instagram @vestibular_neuro_pt to marvel at her unique exercises and maybe get some fresh new ideas for patient care. Email: [email protected] Website: www.LabyrinthPT.com Instagram: @vestibular_neuro_pt Online Education: Implementation of Vestibular Rehabilitation in the Geriatric Population ( https://christina-s-site-9bab.thinkific.com/courses/GeriatricVestibular) Follow the link to submit topic or guest requests: ⁠⁠⁠⁠⁠https://forms.gle/81vh89WKCX2kx6zg7l⁠⁠⁠⁠⁠ Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT Where to find us: ⁠⁠⁠www.BalancingActRehab.com⁠⁠⁠ Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors

This interview was a treat! Dr. Danielle Tolman, PT and Dr. Abbie Ross, PT, NCS are joined by our listener favorite Jeff Walter, PT, DPT, NCS to talk to Ian Curthoys, Professor Emeritus. This discussion covers different ways sound and vibration can stimulate the vestibular system, and how it can be used for diagnostic purposes at bedside. If Ian Curthoys' name sounds familiar... it's because it should! In 1988 Halmagyi and Curthoys introduced a subjective test of semicircular canal function—the head impulse test (HIT)! Read his original article here: https://jamanetwork.com/journals/jamaneurology/article-abstract/587833 His most recent publications: Pastras, C., Gholami, N., Jennings, S., Zhu, H., Zhou, W., Brown, D., Curthoys, I., Rabbitt, R. (2023). A mathematical model for mechanical activation and compound action potential generation by the utricle in response to sound and vibration. Frontiers in Neurology, 14. [More Information] Curthoys, I., McGarvie, L., MacDougall, H., Burgess, A., Halmagyi, G., Rey-Martinez, J., Dlugaiczyk, J. (2023). A review of the geometrical basis and the principles underlying the use and interpretation of the video head impulse test (vHIT) in clinical vestibular testing. Frontiers in Neurology, 14. [More Information] Follow the link to submit topic or guest requests: ⁠⁠⁠⁠https://forms.gle/81vh89WKCX2kx6zg7l⁠⁠⁠⁠ Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT Where to find us: ⁠⁠⁠www.BalancingActRehab.com⁠⁠⁠ Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors