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Concussion or Worse? Differentiating and Managing Patients with Dizziness in a Typical (Busy!) Outpa
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Concussion or Worse? Differentiating and Managing Patients with Dizziness in a Typical (Busy!) Outpa

12/9/2017 to 12/10/2017
When: December 9-10, 2017
8:00am - 6:00pm
Where: Kaiser Permanente – San Jose Medical Center
Building #6 – Lobby floor
250 Hospital Parkway
San Jose, CA  95119
United States
Presenter: Rob Landel, PT, DPT, OCS, FAPTA
Contact: Rita Pierson
(916) 929-2782 x105

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Course Description

Disorders common to the orthopedic PT setting, such as a concussion or whiplash, can produce the trifecta of dizziness: “mild” brain injury, vestibular disorders (central and peripheral) and cervicogenic dizziness. The purpose of this course is to equip the physical therapist with the knowledge and skill, given a patient complaining of dizziness, to identify when a dangerous condition exists; to recognize common vestibular presentations; to differentiate these presentations from musculoskeletal conditions that may produce similar symptoms; to manage the basic issues; and to refer appropriately when needed. Topics will include the differential diagnosis and management of concussion, BPPV, and cervicogenic dizziness. We will emphasize determining which conditions are appropriate for PT interventions and which require referral. Physical therapists practicing in orthopedic, sports, acute and subacute settings will benefit from this course, as will PT’s with a background in vestibular rehabilitation but who are less comfortable managing the concurrent musculoskeletal issues.

Course Objectives

At the conclusion of the program, the participant will be able to:

  • Identify when a dangerous condition exists
  • Recognize and differentiate common vestibular presentations
  • Discuss the ways in which concurrent cervical spine injury complicates the diagnosis and management of patients after a concussion
  • Discuss sensorimotor dysfunctions in the cervical spine and their common manifestations
  • Develop a treatment plan of care in the management of these patients.


Rob Landel, PT, DPT, OCS, FAPTA is Professor of Clinical Physical Therapy in the Division of Biokinesiology and Physical Therapy at the Herman Ostrow School of Dentistry at USC, where he is the Director of the entry level Doctor of Physical Therapy program and Director of the Residency Programs. He established and was Director of the private practice of the Division, USC Physical Therapy Associates, and continues to treat patients there, primarily those with orthopedic, balance and vestibular disorders. He was the founding Director of the Orthopedic Physical Therapy Residency Program at USC; he continues to provide clinical mentorship and instruction to the residents.

Dr. Landel is a Catherine Worthingham Fellow of the APTA, a Board Certified Specialist in Orthopedic Physical Therapy (OCS), a Certified Strength and Conditioning Specialist, and a Certified Manual Therapist. He has chaired the Orthopedic Specialty Council, responsible for developing and constructing the board certification exam in orthopedic physical therapy, and was chair of the Clinical Residency and Fellowship Credentialing Committee, which oversees residency and fellowship program credentialing for the APTA. He is a member of the APTA (Orthopedic and Neurologic Sections) and of the American Academy of Orthopedic Manual Physical Therapists.

With over 25 years of experience treating orthopedic, neurologic and vestibular patients, Dr. Landel has lectured and trained therapists and physicians in the U.S., Asia, Europe and Australia. Dr Landel has published on a variety of topics in orthopedics and in vestibular rehabilitation, and has received the Rose Excellence in Orthopedic Research Award and the Gould Excellence in Teaching Award from the Orthopedic Section of the APTA.



Day 1

7:30-8:00       Registration and Coffee
8:00-8:15       Introduction & course overview

8:15-10:00     Defining the Problem:

                Concussion/mTBI: A diagnostic dilemma

                Cervicogenic dizziness

                Differential Diagnosis

                Dangerous conditions, or other causes for referral

10:00-10:15   Break
10:15-Noon    Differential Diagnosis (cont.)

Noon-1:30      Lunch on your own

1:00-3:00        Central vs. Peripheral pathologies

                 Physical Examination

3:00-3:15        Break
3:15-5:00        BPPV


                 Differentiating vestibular and musculoskeletal causes of dizziness

5:00                Adjourn


Day 2

7:30am           Coffee
8:00-10:00     Cervical Sensorimotor Deficits


                Cervical Kinesthetic Awareness (JPE)

                Cervical Muscle function

10:00-10:15   Break
10:15-12:00   Management strategies

                Influence of hip muscle weakness on spine mechanics

                Vestibular: BPPV

                Vestibular: Habituation, Adaptation

12:00-1:00     Lunch on your own
1:00-2:00       Concussion: Return to activity

2:00-3:00       Management of Cervical Sensorimotor Deficits

3:00-3:15       Break

3:15-3:45       Management of Cervical Sensorimotor Deficits (cont.)

3:45-5:00       Manual treatment

5:00               Adjourn



15.0 contact hours or 1.5 CEUs (approval pending)

Instruction Level: Intermediate
Format: Lecture
Attire: Comfortable business attire. Please consider dressing in layers as each person has a different comfort level when the air conditioning is on.
Target Audience: Physical Therapists, and PT Students.


Registration received by November 25, 2017
$450 APTA PT members
$285 APTA PTA members
$200 APTA Student members
$720 Non-members

Add $100 for late registration.


All cancellation requests must be received in writing – no exceptions. A full refund, less 20% service fee, if cancellation is received 14 days prior to the start of the course. No refunds after November 25, 2017.


Free Surface parking


Four Points Sheraton - 399 Silicon Valley Boulevard
Residence Inn South San Jose - 6111 San Ignacio Avenue
Extended Stay America - 6199 San Ignacio Avenue
Dolce Hayes Mansion - Avenue Del Roble Cletas
Days Inn San Jose Convention Center - 4170 Monterey Road

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