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Dizziness:Multiple Causes Vertigo:Inner Ear ProblemsImbalance:Multiple Causes
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2. Overview
3. Vertigo
4. 5. Inner Ear Problems and Vertigo
6. Menieres Disease Too much inner ear fluid 7. Vestibular Neuritis 8. Vestibular Rehabilitation
9. Vestibular Rehabilitation:Gaze Stabilization 10. Vestibular Rehabilitation: Adaptation/Habituation & Substitution 11. Benign Paroxysmal Positional Vertigo (BPPV)
12. Calcium Carbonate Crystals -- Stones Positional Vertigo 13. Utricle Gravity Detector (Stones are supposed to be here) 14. Stones from Utricle show both small and large crystals Close-up of crystals showing cylindrical forms Electron Micrograph (Lim, 1969) 15. Stones in the Wrong Place
2007 American Institute of Balance Education Foundation 16. Symptoms:
17. Oghalai, J., Manolidis, S., Barth, J., Stewart, M., & Jenkins, H. (2000).Otolaryngology Head and Neck Surgery , 122, 630-634. 18. BPPV Treatment
19. Progression of Stones through Posterior Canal Step 1. Posterior Canal Vertical Step 2. Posterior Canal Horizontal Step 3. Posterior Canal Rotated Step 4. Posterior Canal Returned to Vertical 20. Canalith Repositioning (left ear) Patient kept in each position for 1-3 minutes 21. Case Study
22. Case Study 23. Treatment Outcomes
24. Imbalance
25. Keeping Seniors Safe From Falls Act
110 thSession of Congress, 2006 Hospital Admissions for Hip Fractures among the Elderly 1988 1999 2040 231,000 332,000 >500,000 26. Balance Intervention Program
27. Balance Board 28. Walking Outside 29. Walking Without Help 30. YouDo Nothave to Learn to Live With It www.fixmyhearing.com Hearing and Dizziness Wellness Center