%20Assessment%20and%20Treatment%20Strategies.webp)
.png)
BPPV: Assessment and Treatment
Master the diagnosis and repositioning maneuvers clinicians need to resolve BPPV with precision
Gain the diagnostic precision and hands-on maneuver skills to resolve BPPV confidently across every canal and patient presentation.
$
$
(
$
Course Description
Dizziness is one of the most common chief complaints in clinical practice, yet BPPV remains underdiagnosed, mismanaged, and undertreated in populations that need relief most. When positional vertigo goes unaddressed, the downstream effects compound: fall risk rises, activity declines, and patient trust erodes.
This course equips clinicians with the anatomy, diagnostic reasoning, and technical proficiency to identify BPPV across all canal variants and apply the right repositioning maneuver the first time. From infrared nystagmus interpretation to special population considerations, you leave with a complete, evidence-based clinical framework that works on your most complex cases.
What you’ll learn:
- Identify BPPV canal variants using nystagmus pattern recognition
- Perform Dix-Hallpike, roll, and side lying positional tests accurately
- Interpret nystagmus via infrared video goggles to guide diagnosis
- Apply canal-specific repositioning maneuvers for all BPPV types
- Manage BPPV safely in elderly, pediatric, and post-concussion patients
More About This Course
Benign paroxysmal positional vertigo is the single most common cause of vestibular dizziness in clinical practice, accounting for up to 20 percent of all dizziness presentations seen in medical offices and affecting an estimated 50 percent of people at some point in their lives. Despite its prevalence, BPPV continues to be misdiagnosed, mismanaged, and treated with vestibular suppressants that clinical practice guidelines explicitly advise against. For clinicians ready to close that gap, this course delivers a rigorous, systems-level training in BPPV assessment and treatment built on current evidence and real clinical application.
This course positions clinicians to move far beyond a basic Epley maneuver. Participants develop command of the full vestibular anatomy underlying BPPV pathophysiology, master the Dix-Hallpike, side lying, roll, bow and lean, and head hang positional tests, and learn to interpret nystagmus patterns using infrared video goggle technology that catches 67 percent more abnormal eye movements than traditional Frenzel lenses. Differential diagnosis frameworks help clinicians distinguish posterior, anterior, and horizontal canal variants, including the subtleties of canalithiasis versus cupulolithiasis, while cervical spine clearance protocols and vertebrobasilar insufficiency screening ensure safe clinical decision-making before any repositioning begins.
This course is designed for licensed physical therapists, chiropractors, and other healthcare clinicians who manage patients with dizziness and balance disorders and who want a defensible, systematic approach to BPPV that holds up across complex presentations, special populations, and co-existing vestibular conditions.
Instructor Helena Esmonde, PT, DPT, NCS is a board-certified neurologic clinical specialist and vestibular clinician with 13 years of experience across hospital, home-based, and outpatient settings. As co-founder of Vestibular First, a medical device company developing affordable infrared video goggles, she brings both clinical depth and technology-forward perspective to every session. Her case-based teaching methodology bridges foundational science and high-stakes clinical decisions in a way that advances the diagnostic and therapeutic precision of every clinician in the room.
Components
Educational Syllabus
- The Inner Ear Decoded: Vestibular Anatomy That Changes How You Treat
- Build a clinically precise map of the peripheral vestibular system, including the semicircular canals, otoconia, cupula, and their neurovascular supply, so anatomy becomes a diagnostic tool rather than background knowledge.
- Why Crystals Go Wrong: BPPV Pathophysiology and Risk Profiling
- Understand exactly how displaced otoconia drive vertigo, distinguish canalithiasis from cupulolithiasis, and identify the modifiable and non-modifiable risk factors that explain why BPPV occurs and recurs in your patients.
- Seeing What Others Miss: Nystagmus Interpretation and Oculomotor Exam
- Develop the visual pattern recognition to classify nystagmus by direction, beat quality, and duration, and use infrared video goggles to detect abnormal eye movements that traditional Frenzel lenses miss in up to 67 percent of cases.
- Safe Setup: Cervical Clearance and Vascular Risk Screening
- Apply alar and transverse ligament tests, screen for vertebrobasilar insufficiency using stroke risk stratification, and adapt your assessment approach for patients with cervical immobility before any positional testing begins.
- Precision Positional Testing for Every Canal
- Execute the full battery of BPPV positional tests including Dix-Hallpike, loaded Dix-Hallpike, side lying, roll, head hang, bow and lean, and chair-based alternatives, and accurately interpret findings across all canal variants.
- Repositioning Mastery: Canal-Specific Treatment Maneuvers
- Select and perform the right repositioning maneuver for every diagnosis, including the modified Epley, Semont, BBQ roll, Gufoni, Zuma, Kim CuRM, deep head hang, and Foster, with hands-on lab practice reinforcing technical precision.
- When Cases Get Complex: Canal Conversion, Co-Morbidities, and Failed Treatment
- Navigate multi-canal involvement, canal conversion, concurrent vestibular hypofunction, and persistent symptoms with a clinical reasoning framework that keeps patient safety and diagnostic accuracy at the center of every decision.
- Special Populations: BPPV Across the Lifespan and Clinical Settings
- Adapt BPPV assessment and treatment for elderly patients with fall risk, pediatric patients where BPPV mimics other conditions, employed adults facing significant quality-of-life impact, and patients with post-concussion presentations.
Venue, Hotels & Schedule
Also includes
BPPV: Assessment and Treatment
Gain the diagnostic precision and hands-on maneuver skills to resolve BPPV confidently across every canal and patient presentation.
$
$
(
$
The Carrick Institute team is ready to assist with enrollment, CE approval, or program planning. Email visit our CE Portal or Contact Us directly.