Identifying Vestibular Loss in Head and Brain Trauma
Course: #40743Level: Intermediate 1 Hour 11 ReviewsThis course examines the identification and clinical management of vestibular loss in patients with head and brain trauma, covering the classification of traumatic brain injury, common vestibular disorders associated with head trauma, and the diagnostic and rehabilitation strategies used to support this patient population. Hearing healthcare professionals will gain practical knowledge of evidence-based assessment tools and individualized vestibular rehabilitation approaches applicable to patients presenting with both traumatic brain injury and vestibular dysfunction.
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Learning Outcomes
- After this course, participants will be able to identify common types of vestibular disorders associated with head trauma, including benign paroxysmal positional vertigo, endolymphatic hydrops, perilymph fistula, labyrinthine concussion, and vestibular migraine, and describe the mechanisms by which they occur.
- After this course, participants will be able to describe vestibular assessment strategies used in the evaluation of patients with traumatic brain injury, including the video head impulse test, vestibular evoked myogenic potentials, videonystagmography, and the Dizziness Handicap Inventory.
- After this course, participants will be able to explain how to implement a personalized vestibular rehabilitation plan for patients with traumatic brain injury, incorporating gaze stabilization exercises, optokinetic retraining, and virtual reality-based intervention.
Course created on April 10, 2026
Agenda
| 0-5 Minutes | Introduction, welcome, and course learning objectives |
| 5-12 Minutes | Vestibular system anatomy review: otoliths, semicircular canals, and the vestibulo-ocular reflex |
| 12-20 Minutes | Causes and prevalence of TBI: falls, motor vehicle accidents, blast injuries, and military population data |
| 20-30 Minutes | Definitions and classification: head injury, concussion, and TBI; Glasgow Coma Scale; mild, moderate, and severe TBI; loss of consciousness and post-traumatic amnesia |
| 30-35 Minutes | Mechanisms of TBI: blunt force, acceleration-deceleration, shockwave/blast; focal versus diffuse injury |
| 35-42 Minutes | Dizziness and TBI: acute and chronic prevalence, clinical impact, and long-term disability outcomes |
| 42-50 Minutes | Vestibular disorders associated with TBI: BPPV, endolymphatic hydrops, perilymph fistula, labyrinthine concussion, vestibular migraine, and 3PD |
| 50-55 Minutes | Vestibular assessment strategies: VHIT, VEMP, VNG, SHIMP, and DHI; clinical interpretation in TBI patients |
| 55-60 Minutes | Vestibular rehabilitation and case studies: gaze stabilization, OPK retraining, virtual reality; Q&A and closing |
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Presented By
Amy Lennox-Bowley
Amy is the founder of Hypatia Specialist Clinics and Hypatia Training which aims to help improve vestibular care by providing innovative clinics and training for clinicians worldwide. She mentors and assists clinicians from a number of services both NHS and private, CHIME Social Enterprise, Arrowe Park NHS Hospital, Dizzy and Vertigo Institute of Los Angeles. Although an independent business owner her opinion on equipment and devices is often sought from technology manufacturers and she often makes recommendations that make it to final production.
She is currently researching Visual Vertigo and has been providing patients with new techniques to help relieve these symptoms and is involved in a number of multi-centre research projects.
After completing a Bachelors in Audiology at the University of Manchester in 2009, Amy worked in the NHS until in 2011 she had the opportunity to emigrate to Australia. Here she completed her Master's equivalence and became Head of Service in Queensland looking after both patients in the public and private sector.
In 2012 she joined Otometrics as Clinical Lead for Australia she worked on research and development projects for the ICS Impulse and produced the interpretation guide for Head Impulse. Alongside working for Otometrics she developed the “Vestibular Forum” an online community for multidisciplinary clinicians and regularly hosted vestibular and electrophysiology lectures at La Trobe and Flinders University.
Amy lives at home with her husband and 7 year old son and enjoys family activities and adventures at the weekend.
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Financial: Amy Lennox-Bowley is employed by Otometrics, a division of Natus Sensory. Non-financial: Amy Lennox-Bowley has no relevant non-financial relationships to disclose.
Sponsor Disclosure: This Course is presented by Natus Sensory in partnership with AudiologyOnline.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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