about conference

We’ve assembled the most experienced and integrative multi-disciplined speakers from the medical, allied and research field in central vestibular conditions.

Do you want to help people with challenging vestibular cases like Mal de Debarquement Sydnrome (MdDS), Persistent Postural Perceptual Dizziness (PPPD), Tinnitus, Vestibular Migraine, Motion Sickness and Psychogenic dizziness? Most medical doctors and allied practitioners are often providing misguided or inappropriate care to these growing number of chronic dizzy patients

Most vestibular rehabilitation courses, either ignore or glance over the central causes of dizziness, vertigo, tinnitus and poor balance. Learn the latest in research, clinical applications (assessment and treatment), including neuromodulation and virtual reality, as well psychological and audiological interventions.

OTHER EVENTS

NOTE: You’re registering for a online module, a professionally filmed and edited recording of our ‘Advanced Applications for Central Vestibular Conditions’ seminar.

You will receive

  • 12 months online access to watch as many times as you want (you will need internet access to watch it)

  • download presenters notes 

HURRY UP! Grab a special and save AUD150 before Dec 6th.

Our Speakers

We’ve assembled the most experienced and integrative multi-disciplined speakers from the medical, allied and research field in central vestibular conditions.

Joey Remenyi (Audiologist)

MClinAud, BA (Psych), ACT/CBT (cert), Senior Yoga Teacher

Joey is a trained vestibular audiologist, a world leading pioneer in vertigo and tinnitus recovery, and the Founder and Director of Seeking Balance International.

Over the last 10-years Joey has created the ROCK STEADY and BEAUTIFUL BALANCE programs that transform the lives of people suffering with persistent vertigo or tinnitus.

She teaches those suffering with chronic symptoms how to change their brain and body by healing with the ‘neuroplasticity’ recovery process

Joey has presented at medical conferences around the world, authored journal articles and run workshops internationally. She offers a highly needed and refreshing perspective on healing for people living with debilitating vertigo or tinnitus.

Dr Elodie Chiarovano (Vestibular Researcher)

PhD

Dr Elodie Chiarovano is Doctor of Philosophy at the Paris Descartes University (France), graduating in January 2006 with a thesis in Neurosciences untitled: “Postural instability in seniors: peripheral or central vestibular disorder?”. She is now Post-Doctoral Research Fellow at the School of Psychology, University of Sydney in A/Prof MacDougall’s team. She developed new protocols for balance assessment and balance rehabilitation using Virtual Reality. Her work is now implemented in more than 50 clinics in Australia and New Zealand.

A/Prof Hamish MacDougall (Vestibular Researcher)

PhD

Associate Professor Hamish MacDougall is Doctor of Philosophy at the University of Sydney, graduating in 2003 with a thesis on The Human Eye-Movement Response to Maintained Surface Galvanic Vestibular Stimulation. Three years of postdoctoral training at the Mount Sinai School of Medicine (New York), he returned to Australia as an Australian Research Council Postdoctoral Fellow in 2006. He is currently Principal Research Fellow of a Rapid Translation of Advanced Vestibular Testing and Treatment project (with the Garnett Pass Rodney William Memorial Foundation) at the School of Psychology, University of Sydney. Dr MacDougall developed a range of innovative methods and technologies. For example, he invented the Video Head-Impulse Test which is today commercialized in 66 countries worldwide and had significantly improved patients benefit and helped clinicians in the assessment of vestibular function.

Dr Carlo Rinaudo (Chiropractor)

BMedSci(Hons), MChiro, ICSSD, DACNB, PhD(c)

Dr Carlo Rinaudo is a registered Chiropractor from Australia with post-graduate training in clinical neuroscience and sports. Dr Rinaudo is the clinic director of a multidisciplined clinic, focused on helping people with dizziness, concussion and balance related conditions. He is currently undertaking a PhD in Vestibular (balance) therapy at University of New South Wales and Neuroscience Research Australia (www.NeuRA.edu.au), working alongside leading researchers and Neurologist in the field. He is a frequent speaker at national and international events, presenting his research findings at conferences or teaching practitioners about vestibular rehabilitation, including at the 2017 and 219 ECU and WFC conference

Dr Carlo Rinaudo is an engaging presenter, uniquely combining 20 years of clinical experience with current research from multi-disciplined fields, providing an enjoyable and easy-approach ‘knowledge translation’ for the everyday Chiropractor.

Dr Sarah Edelman (Psychologist)

Clinical Psych, PhD

Sarah Edelman PhD is a clinical psychologist, author and presenter. She previously worked as a researcher and lecturer at the Health Psychology Unit, UTS. In addition to her private practice, Sarah conducts training for the Black Dog Institute, mental health professionals, and Sydney University Centre for Continuing Education. Since 2008, Sarah’s private practice has focused on treatment of patients with dizziness, and she was primary investigator in a clinical trial of CBT treatment for patients with chronic subjective dizziness. She has published many articles in professional and mainstream journals, and is a frequent guest on ABC radio.  Her book, ‘Change your Thinking’, is a best seller in the self-help genre. She also co-authored ‘Good Thinking – a teenagers’ guide to managing stress and emotions using CBT’, and her third book on CBT for managing anxiety and worry was published in July 2019.

Dr Shaun Watson (Neurologist)

MBBS, FRACP, PhD

Dr Shaun Watson is a senior neurologist and neuro-otologist at Prince of Wales Public and Private Hospitals at Randwick in Sydney.  In the public hospital he has run the Dizziness and Balance Clinic since 2003, but also mainly sees dizzy patients in his private rooms at Randwick and Blacktown.  At his Blacktown rooms he performs over 600 vestibular function tests each year.  He was awarded a PhD (UNSW) in 1999 in vestibular neurophysiology, supervised by Prof James Colebatch, and has published over 30 peer reviewed papers.  However his strong focus is on clinical neuro-otology and he has a very large experience managing patients with complex and unusual vertigo and imbalance syndromes, especially vestibular migraine and mal de debarquement syndrome.

Dr Viviana Mucci (Vestibular Researcher)

Physiology, PhD

Dr. Viviana Mucci (Ph.D) is a postdoc researcher from University of Zurich and currently affiliated to the Swiss Concussion Centre, Schulthess Klinik in Switzerland. Viviana was awarded in November 2018 with the Future Science Early Career Research Award, following her work on Mal de Debarquement Syndrome performed during her Ph.D. She completed her Ph.D. program in the field of Neurotology in July 2018 from Antwerp University, Faculty of Medical Science.  Her background involves a BSc in Medical Physiology (University of East London, UK), which she completed with distinction in 2012 and a MSc in Space Physiology and Health from King’s College London (UK), where she graduated in 2013. Since her Ph.D. Viviana’s work has been focusing on continuing investigating Mal de Debarquement Syndrome. She currently continues treating MdDS patients in Switzerland (Zurich and Geneva). At the same time she is also brining forward a new frontiers of sensory integration in patients affected by post concussion syndrome. She is assessing specifically the presence of Visually Induced Dizziness and a visual sensitivity in professional athletes after multiple concussions, at the Swiss Concussion Centre. Although the vestibular knowledge has grown over the last few decades there are still many pieces of this remarkable system that remain to be addressed. This lack of knowledge is a strong drive for Viviana to continue pursuing research in this particular field.

ONLINE SEMINAR SESSIONS

SESSION OUTLINE

SESSION 1: Central Vestibular Pathways (Carlo Rinaudo)

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This introduction lecture provides a framework for the weekend, highlighting the main neurophysiology and neuroanatomy relating to the vestibular system, with special emphasis on brainstem, cerebellum and higher cortical regions.

Content on various reflexes and regions in the neuraxis involved with central vestibular disorders will be discussed, including connection and influence of the autonomic nervous system on many chronic dizziness conditions

SESSION 2: Tinnitus, PPPD and neuroplasticity (Joey Remenyi)

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An update on current theory, research and clinical approaches will be discussed, with emphasis on neuroplasticity for patients with persistent vertigo and tinnitus. These neuroplasticity techniques may be applied to any client with persistent symptoms who is unresponsive to traditional treatment methods.

Expanded discussion will centre on factors that delay or prevent healing with neuroplasticity, the role of education and an integrated daily practice, and why we need to go beyond generic prescription, physical exercises or diets

SESSION 3: Mal de Debarquement Syndrome (Viviana Mucci)

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MdDS is a complex neurological disorder where the perception of self-motion is accompanied by additional symptoms such as light sensitivities and fatigue. MdDS can develop as a result of disembarking from a vehicle (in most cases), but in some cases the same symptoms can develop spontaneously or without a clear trigger. The difficulties in recognizing this disorder results in a significant socio-economic burden for the patients and for the healthcare system. As a result, treatments are limited.

This talk aims to provide an overview about MdDS, including diagnostic criteria, co-morbidities, recent studies and potential treatments to ease MdDS symptoms. Secondly the course will offer practical tips for physicians and healthcare professionals about how to recognise MdDS and how to treat these patients.

SESSION 4: Visually Induced Vertigo (Viviana Mucci)

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Visually Induced Dizziness (VID) literarily defines a condition where visual stimuli such as computer screens, optic flow and visual motion in general can trigger dizziness. This condition has been named with different terms over the years. In 2009 the Barany Society adopted the term Visually Induced Dizziness (VID) to describe these symptoms and recently included them under the umbrella of Persistent Postural-Perceptual Dizziness (PPPD).

Vestibular patients with either a central or peripheral disorder are likely to develop VID symptoms due to an overweighting of their visual inputs. Patients suffering from VID are becoming visually dependent and therefore they are susceptible to complex visual stimuli, such as looking at passing trains or flickering lights, repetitive visual patterns, walking in supermarket aisles, watching movies or scrolling phones and laptop screens. When dizziness is triggered by visual inputs, avoidance behaviours are often observed and patients are unable to conduce a normal lifestyle.

This talk will provide an overview on what is VID, the current research findings, and pathophysiology. Treatment options to ease VID symptoms based on optokinetic rehabilitation will also be presented.

SESSION 5: Psychological treatment for central vestibular conditions (Sarah Edelman)

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This session will provide an overview of the two-way relationship between dizziness and psychiatric disorders.  The syndrome most frequently associated with functional dizziness (now called ‘persistent postural perceptual dizziness’- PPPD), and it key identifying features will be described.  Personality style and common precipitants of the disorder, as well as signs suggesting a role for psychological factors will be described.  Evidence-based therapies, with a particular focus on cognitive behaviour therapy will be reviewed.  Useful components of CBT that can be readily administered by the non-psychologist will be identified, and psychoeducational material that can be given to patients will be provided.

SESSION 6: Vestibular Migraine – a Neurologist view (Shaun Watson)

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An update on the pathophysiology of VM with various theories discussed. Assessment and management from a Neurologist will be shared including typical patient presentations, medications commonly used, as well as red flag for practitioners to be on the look-out for.

SESSION 7: Functional applications for Vestibular Migraine (Joey, Viviana, Carlo)

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A not-to be missed session involving 3 engaging multi-disciplined practitioners and researchers will be sharing clinical gems utilising novel functional clinical applications to help manage VM. These will include a visual-motion desensitization technique, an application of neuroplasticity, as well as discussion of hormonal links to patient cases.

SESSION 8: Virtual Reality in Clinical Practice (Hamish MacDougall)

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Virtual reality is no longer limited to science fiction movies or video games. Rapid advances in technology in the past ten years have made it available for everyone. With its increasing affordability, this technology has opened the door to novel ways to teach, measure cognition and behaviour, and to design tailored interventions to treat various disorders and deficits. Virtual reality now provides opportunities to examine behaviours in ways that would otherwise be impossible in real life. Virtual reality can be used in training to gain new skills, such as surgery, and in the diagnosis and treatment of disorders, such as phobias. We use virtual reality to visualising complex 3D data for anatomy, physiology and virtual surgical planning, and to improve understanding and empathy through exposure to simulated vestibular attacks for those that support patients.

SESSION 9: How to setup a balance and vestibular testing, and rehabilitation clinic (Elodie Chiarovano)

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In the Virtual Reality OpenLab at the University of Sydney we have developed devices and applications for vestibular testing and rehabilitation. For vestibular testing, we have developed virtual versions of the subjective visual vertical test, visual perturbations useful in balance testing, etc. We also developed a simple and portable VEMP test device which we call the μVEMP. For rehabilitation, we have made visual stimuli including optokinetic clouds (for balance training), striped rotating drums (potentially useful in the treatment of MDDS) and modelled various environments that vestibular patients find challenging (to develop coping mechanisms and strategies with gradual and controlled exposure). In this presentation we will demonstrate, with live testing and virtual reality, many of these exciting applications. It is now possible to assess the function of all ten vestibular end-organs and balance (posturography) in less than 30 minutes using simple, portable and affordable equipment including vHIT, μVEMP, and BalanceRite with Virtual Reality.

SESSION 10: Neuromodulation with Galvanic Vestibular Stimulation (Carlo Rinaudo)

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We’ll discuss the neurophysiological effects of GVS and its neuromodulating effects on the central nervous system. Expansion on its putative effect on restoring balance impairments, as well its ‘neuro-priming’ effects on traditional vestibular rehabilitation therapy will be discussed

SESSION 11: Neuromodulation with Trans Cranial Direct Stimulation (Viviana Mucci)

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A discussion on the exploratory field of tDCS for the management of central vestibular including tinnitus. Research and clinical applications will be highlighted with opportunities for enhanced results for challenging cases

DON’T MISS THIS AMAZING CONFERENCE AND OPPORTUNITIES!

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Online Learning Module: Advanced Applications for Central Vestibular Conditions (Early Bird) AUD745
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Online Learning Module: Advanced Applications for Central Vestibular Conditions (Regular) AUD895
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frequently asked questions

It may be. The content and information is aimed at training practitioners to help manage people with dizziness and poor balance conditions.  We have a 1 day patient-centred online program that you will find helpful, called “How To Heal Persistent Dizziness”

No, the notes and re wordings are copyright to the authors and Brain Hub Academia. They’re  not to be shared, privately or publicly (online, social media, broadcast etc). People found  to do so (via their ISP and IP address)

We recommend paying with credit card through our online payment portal (Stripe). If you would prefer, you may pay via bank EFT. Please make payment to:  Carlo Rinaudo, NAB,  BSB: 082-356 Acct No: 57-101-8036. Once you have made payment, please send an email to seminar@brainhubacademia.com.au with a screenshot of payment

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Advanced Vestibular Neuro-Rehabilitation

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