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Colleen Sleik Related seminars and products

PT, DPT, OCS, NCS

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COLLEEN SLEIK PT, DPT, OCS, NCS, is a licensed physical therapist with over 15 years of experience, specializing in the treatment of patients with vestibular disorders when other forms of medical management have failed. Dr. Sleik founded a private practice in 2010 with the primary focus of treating patients with vestibular conditions. She currently works as a specialist at Dickinson County Rehabilitation Services, where 90% of her caseload consists of patients with vestibular and balance disorders. She also continues to provide PRN services at local skilled nursing facilities.

 

Dr. Sleik graduated from The College of St. Catherine with a Master’s in Physical Therapy. She earned a transitional Doctor of Physical Therapy degree through The University of St. Augustine, Florida, then completed the Competency-Based Vestibular Rehabilitation course through Emory University in Atlanta, Georgia. In addition to being a board-certified Orthopaedic Clinical Specialist and Neurologic Clinical Specialist, Dr. Sleik is a member of the American Physical Therapy Association. She began teaching continuing education courses in vestibular rehabilitation in 2015 with the purpose of improving clinicians’ knowledge bases in the areas of vestibular rehabilitation, clinical decision-making, and ultimately the quality of patient care. Dr. Sleik’s goal as a clinician is to provide her patients with the best care available for return to daily function with minimal limitations, while also providing the tools for long-term self-management of symptoms.

Additional Info

Program Information

Target Audience

Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistants, Audiologists, Athletic Trainers, Physicians

Objectives

1. Describe the anatomy and physiology of the vestibular system in a way that patients will understand
2. Perform assessment techniques to identify BPPV, vestibular hypofunction, central vertigo and balance disorders
3. Discuss prognosis, treatment duration, and outcome for each type of dizziness (BPPV, vestibular hypofunction, central/neurological dizziness, post-concussion syndrome) 
4. Perform canalith repositioning techniques for BPPV
5. Develop a personalized diagnosis-specific treatment approach to minimize functional limitations
6. Document functional limitations, goals, Medicare fall risk, and FLR g-codes as related to dizziness and vestibular rehabilitation

Outline

INNER EAR ANATOMY & PHYSIOLOGY

• Anatomy of vestibular system
• Balance systems
  • Visual, vestibular and somatosensory

MEDICAL DIAGNOSES & PROGNOSIS: PERIPHERAL & CENTRAL ORIGIN

• Benign Paroxysmal Positional Vertigo (BPPV)

• Vestibular neuronitis, labyrinthitis
• Meniere’s disease, endolymphatic hydrops, acoustic neuroma
• Central vertigo: Cerebrovascular Accident (CVA), multiple sclerosis, migraine-associated vertigo
• Cervicogenic Vertigo
• Post-concussion syndrome
• Sensory integration / Multi-factorial balance dysfunction

DETERMINING A THERAPY DIAGNOSIS

• Patient history
• Onset
• Symptom description, duration, nature
• Patient questionnaires

Exam Lab

• Clearing cervical spine: mVAT, Sharp-Purser test
• Occulomotor exam:
  • smooth pursuit
  • saccades
  • vergence and visual acuity
• Vestibular exam:
  • Head Thrust
  • Head-Shaking Nystagmus
  • Hallpike-Dix
  • Roll Test
• Assessing nystagmus: horizontal, vertical, torsional
• Motion Sensitivity Quotient
• Balance assessment:
  • mCTSIB
  • Dynamic Gait Index
  • Gait

VESTIBULAR REHABILITATION: DEVELOPING A PATIENT-SPECIFIC TREATMENT PLAN

• Canalith repositioning maneuvers
  • Epley maneuver
  • BBQ roll / quick BBQ roll
  • Cassani, Appiani
  • Brandt-Daroff Exercises
• Gaze stabilization: basic and advancements
• Balance progression
• Sensory integration in balance

Document functional limitations, goals, Medicare fall risk, & FLR g-codes

CASE STUDIES

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