Feel it to Heal it Physio/How to Diagnose Cervicogenic Dizziness Self-Guided Course

  • $89

How to Diagnose Cervicogenic Dizziness Self-Guided Course

  • Course
  • 106 Lessons

The comprehensive resource to better evaluate, treat, and resolve symptoms for complex Cervicogenic Dizziness patients. Our self-guided online program provides you the solution to evaluate Cervicogenic Dizziness. Our product contains the Optimal Sequence Algorithm to diagnose Cervicogenic Dizziness. Enjoy!

Contents

E-books

This sections includes a PDF of our published books and a disclaimer for usage.

Disclaimer.pdf

Welcome to the Cervicogenic Dizziness course!

Welcome Message.MOV
Learning Objectives.pdf
Instructor Biographies.pdf
CGD Diagnosis_ Optimal Sequence Algorithm copy.pdf
Lab Handout for participants copy.pdf

Introduction to Cervicogenic Dizziness

This 17 minute video introduces our Cervicogenic Dizziness Course!  
In this section, the participant will learn about:
  • The course instructors and the WHY we developed this course!
  • The two components of the course (hint: diagnostic AND treatment)
  • How we incorporate evidence into the course and not just from the physical therapy literature but ALL of the professions!  How comprehensive is that?!
Introduction.mov
intro powerpoint.pdf

Prevalence Rates - how common is it?!

This 17 minute video introduces our Cervicogenic Dizziness Course!  
In this section, the participant will learn about:
  • The concept of "overlap" in regards to musculoskeletal and neurological conditions
  • The concept of "single and double entity" in regards to the diagnosis of Cervicogenic Dizziness
  • The prevalence rates of Cervicogenic Dizziness in the following conditions:
    • Myofascial Pain
    • Spondylosis
    • Concussion
    • Whiplash-Associated Disorders

2. Prevalence Rates.pdf
2. Prevalence Rates.mov

The Pathway to Diagnosis: Basic Science

This 7 minute video discusses the basic science of Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • How basic science was needed initially to consider a possibility of Cervicogenic Dizziness
  • A short history of basic science studies to link the cervical spine to the vestibular system
3. Basic Science.mov
3. Basic Science.pdf

The Pathway to Diagnosis: Mechanisms and Pathophysiology

This 31 minute video discusses the mechanisms and pathophysiology of Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • The difference between pain related and proprioceptive related categories of cervical spine disturbance.
  • The 4 different hypothesis behind the pathogenesis of Cervicogenic Dizziness.
  • The role of proprioception in controlling balance and head and neck orientation.
  • The role of abnormal and impaired proprioception of the cervical spine.
  • The role of the upper cervical joints and suboccipital musculature in the pathogenesis of Cervicogenic Dizziness.
  • The sensory (neural) mismatch theory.
  • The efference copy and reafference principle.
4. Mechanisms and Pathophysiology.mov
4. Mechanisms and Pathophysiology.pdf

The Pathway to Diagnosis: Clinical Examination

This 13 minute video discusses the history of clinical examination of Cervicogenic Dizziness and introduces the Optimal Sequence Algorithm.    
In this section, the participant will learn about:
  • The clinical framework decision-making approach for Cervicogenic Dizziness.
  • The rule of diagnosis of exclusion for Cervicogenic Dizziness.
  • The history of Clinical Examination frameworks in the literature.
  • The introduction of the Optimal Sequence Algorithm to diagnose Cervicogenic Dizziness.
5. Clinical Examination.mov
5. Clinical Examination.pdf

How to use the Optimal Sequence Algorithm

This 5 minute video teaches you how to use the Optimal Sequence Algorithm combining the book and online course.    
6. how to use optimal sequence algorithm.pdf
6. How to use the Optimal Sequence Algorithm.mov
Optimal Sequence Algorithm.pdf

Appendix A: Cervical Fracture

This 9 minute video takes you through Appendix A: Cervical Fracture for diagnosing Cervicogenic Dizziness.
In this section, the participant will learn about:
  • The Canadian C-Spine Rules
  • The clinical metrics associated with the Canadian C-Spine Rules
Appendix A - Cervical fracture.pdf
Appendix A - Cervical Fracture.mov
Cervical Fracture Sequence - Appendix A.pdf

Appendix B: Central Disorders - Cranial Nerves

This 10 minute video discusses cranial nerve tests for Cervicogenic Dizziness to assist in ruling out Central Disorders.
In this section, the participant will learn about:
  • The top down approach for cranial nerve testing
  • How to perform Cranial nerves 12, 11, 10, 9, 8, 7, 5 and 1
Central Disorders Sequence - Appendix B.pdf
Central Disorders Cranial Nerve.mov

Appendix B: Central Disorders - Eye Examination

This section entails two videos : a 34 minute and 16 minute video that takes you through Appendix B: Central Disorders - Eye Examination for diagnosing Cervicogenic Dizziness.
In this section, the participant will learn how to perform and examine:
  • Spontaneous Nystagmus
  • Cranial Nerve 2 Test
  • Cranial Nerve 3, 4 and 6 : H Test
  • Smooth Pursuits
  • Saccades 
  • Cover / Uncover Test
  • Cross Cover Test
  • Convergence/Divergence Test
  • Head Thrust Test
  • HINTS Examination
Central Disorders Sequence - Appendix B.pdf
Central Disorders Eye Examination.mov
Appendix B - Central Part 2 .pdf
HINTS.mov
HINTs and Head Thrust.pdf

Appendix C - Cervical Artery Dysfunction, Part 1: The influence of vascular factors in differential diagnosis

This 18 minute video introduces the vascular concept associated with Cervicogenic Dizziness and goes along with Appendix C of the Optimal Sequence Algorithm.     
In this section, the participant will learn about:
  • The two most common confused diagnoses associated with Cervicogenic Dizziness.
  • The relationship of vascular influences and BPPV.
  • Vascular insufficiency concerns of the vertebrobasilar system and entire cervical artery system.
  • The overlap of location of symptoms of headache/neck pain between vascular, soft tissue and joint systems.
  • The definition of cervical artery dysfunction (CADF).
CAD Part 1.mov
7. Cervical Artery Part 1.pdf
Harper et al. Proposing a new algorithm for premanipulative testing in physical therapy practice.pdf
Cervical Artery Dysfunction - Appendix C.pdf

Appendix C - Cervical Artery Dysfunction, Part 2: Why not the VBI test and subjective factors in CAD

This 20 minute video discusses the flaws of the VBI test and start of the Optimal Sequence Algorithm for vascular dissection. 
In this section, the participant will learn about:
  • Why not to use the VBI test first in your screen
  • The history of linking manual therapy to a stroke
  • Current understanding of spontaneous dissection
  • Intrinsic subjective examination factors in regards to cervical artery dysfunction, including recent events, past medical history and age
8. CAD part 2.pdf
CAD part 2.mov
Cervical Artery Dysfunction - Appendix C.pdf

Appendix C - Cervical Artery Dysfunction, Part 3: Characteristics of dizziness between CGD, BPPV and VBI

This 7 minute video discusses characteristics of dizziness associated with Cervicogenic Dizziness, BPPV and VBI.
In this section, the participant will learn about:
  • Characteristics of dizziness that warrant referral. 
  • Symptom latency, duration and fatiguability definitions.
  • Different characteristics of dizziness latency, duration and fatiguability between Cervicogenic Dizziness, BPPV and VBI.
CAD part 3.mov
9. CAD part 3.pdf
Cervical Artery Dysfunction - Appendix C.pdf

Appendix C - Cervical Artery Dysfunction, Part 4: Physical Examination for Spontaneous Dissection

This 10 minute video discusses and demonstrates the physical examination for spontaneous dissection.
In this section, the participant will learn about:
  • The role of indirect assessment of the hemodynamics of the cervical artery system, including: 
    • blood pressure
    • heart rate
    • ausculation
    • cranial nerve examination
Indirect Assessment of Spontaneous Dissection.mov
Indirect assessment for spontaneous dissection.pdf
Cervical Artery Dysfunction - Appendix C.pdf

Appendix C - Cervical Artery Dysfunction, Part 5: Physical Examination for Mechanical Dissection

This  minute video discusses and demonstrates the physical examination for mechanical dissection.
In this section, the participant will learn about:
  • The role of direct assessment of the hemodynamics of the cervical artery system, including: 
    • full physiological cervical rotation test
    • modified vertebral artery test
    • vertebral artery test
    • premanipulative hold test
Cervical Artery Dysfunction - Appendix C.pdf
direct assessment mechanical dissection.pdf
Cervical Artery Direct Assessment.mov

Appendix D: Cervical Myelopathy

This 11 minute video discusses tests for Cervicogenic Dizziness to assist in ruling out cervical myelopathy.
In this section, the participant will learn about:
  • Clinical Prediction rule of 
    • Gait Deviations
    • Inverted Supinator Sign
    • Hoffman's Sign
    • Babinski Test
Appendix D - Cervical Myelopathy.mov
Appendix D - Cervical Myelopathy.pdf
Appendix D - Myelopathy.pdf

Appendix E: Cervical Instability

This 22 minute video discusses appropriate tests for Cervicogenic Dizziness to assist in ruling out cervical instability. 
In this section, the participant will learn about:
  • Modified Sharp Purser Test
  • Anterior Translation Test
  • Alar Ligament Test
  • Upper Cervical Flexion Test
Appendix E - Cervical Instability.pdf
Appendix E - Cervical Myelopathy.pdf
cervical instability.mov

Appendix F: Peripheral Disorders

This sections contains two lessons: a 26 minute video and 37 minute video.  Both of them take you through Appendix F: Peripheral Disorders for diagnosing Cervicogenic Dizziness.
In this section, the participant will learn about:
  • The SOSTONED criteria for:
    • Vestibular neuritis
    • Meniere's disease
    • BPPV
  • BPPV risk factors and symptoms
  • Alexander's Law
  • Oculomotor exam for peripheral and central disorders
  • Head Thrust Test
Appendix F - Peripheral Disorders.pdf
Peripheral Lecture 1 Appendix F.mov
Lecture - Peripheral Disorders.pdf
Peripheral Lecture 2 Appendix F.mov
Appendix F - Peripheral Disorders Canalith Repositioning.pdf

How to Diagnose Proprioceptive Cervicogenic Dizziness: Subjective Features

This 25 minute video discusses and demonstrates the subjective examination for diagnosing Cervicogenic Dizziness.
In this section, the participant will learn about:
  • The different inclusion criteria for Cervicogenic Dizziness in the literature
  • Problems associated with a diagnosis of Cervicogenic Dizziness.
  • The use of the Dizziness Handicap Inventory to assist in ruling in or ruling out Cervicogenic Dizziness.
  • The risk factors most commonly seen in Cervicogenic Dizziness, including
    • comorbidities
    • patient characteristics
    • historical events
    • common descriptors of what patients say
  • SO STONED mnemonic to assist in diagnosing Cervicogenic Dizziness
  • TiTrate model to assist in diagnosing Cervicogenic Dizziness
how to diagnose cgd subjective.pdf
How to Dx CGD subjective.mov

How to Diagnose Proprioceptive Cervicogenic Dizziness: Objective Features

how to dx cgd objective.pdf
How to Dx CGD objective.mov

Appendix G: Cervical Origin - Part 1: Active range of motion

This 16 minute video discusses the active range of motion physical examination for Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • The "data points" that are taken from a seated active range of motion examination.
  • The 8 range of motion tests to perform on your patients.
  • Which range of motion test(s) are most common to reproduce symptoms in Cervicogenic Dizziness.
  • Where most patients "feel" the movements who have Cervicogenic Dizziness.
  • Seated C1-2 mobility test as a screen for AA mobility.
Appendix G - Cervical part 1.pdf
Appendix G - Cervical Origin Part 1.mov
Cervical Origin Dysfunction - Appendix G.pdf

Appendix G: Cervical Origin - Part 2: Passive/therapist generated range of motion

This minute video discusses the passive/therapist generated range of motion for Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • The use of overpressure, if necessary, after active range of motion in cardinal planes seated. 
  • The examination of C1-2 mobility with the flexion-rotation test.
  • The examination of C0-1 mobility with the "nod" test.
Cervical Origin Dysfunction - Appendix G.pdf
Passive generated ROM.mov

Appendix G: Cervical Origin - Part 3: Passive accessory mobility testing

This 20 minute video discusses the passive accessory mobility testing for Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • Passive accessory mobility of the upper cervical spine (C0-2)
  • The lateral glide test of the mid-cervical spine (C2-7)
Cervical Origin Dysfunction - Appendix G.pdf
Passive Accessory Mobility Testing.mov

Appendix G: Cervical Origin - Part 4: Palpation of soft tissue structures

This minute video discusses palpation of soft tissue structures for Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • Myofascial trigger points in the sternocleidomastoid muscle. 
  • Myofascial trigger points in the suboccipital muscles. 
  • Myofascial trigger points in the paraspinal muscles. 
  • Myofascial trigger points in the upper trapezius muscle. 
Cervical Origin Dysfunction - Appendix G.pdf
Soft Tissue Palpation.mov

Appendix G: Cervical Origin - Part 5: Kinesthetic sensibility tests

This 30 minute video discusses kinesthetic sensibility tests for Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • The head on neck differentiation test.
  • Cervical torsion test
  • Clinical version of the smooth pursuit neck torsion test (SPNNT)
  • Cervical relocation tests, including joint position error testing.
  • Cervical movement sense tests.
Cervical Origin Dysfunction - Appendix G.pdf
Appendix G Cervical Part 5.pdf
Cervical origin Kinesthetic Sensibility Tests.mov

Appendix G: Cervical Origin - Part 6: Motor control tests

This 15 minute video discusses motor control tests for Cervicogenic Dizziness.    
In this section, the participant will learn about:
  • The neck flexion endurance test for deep cervical flexor testing. 
  • The neck endurance test for deep cervical extensor testing. 
  • The head steadiness test for motor control testing of the cervical spine.
  • Additional 4 minute video describing other strategies that can be used clinically in screening for cervical motor function
Cervical Origin Dysfunction - Appendix G.pdf
Cervical Motor Testing.mov
Other simple strength testing methods.MOV

How to Treat Cervicogenic Dizziness

This 18 minute video discusses how to Treat Cervicogenic Dizziness.
In this section, the participant will learn about:
  • Non-invasive management as first choice 
  • Bottoms-up approach to treating Cervicogenic Dizziness.
  • The 4 stages of Cervicogenic Dizziness Management.
How to Treat Cervicogenic Dizziness.mov
How to Treat Cervicogenic Dizziness.pdf
4 stages of CGD Management.pdf

Introduction to the Physio Blend - Highest Level Evidence for Manual Therapy

This 8 minute video discusses the highest level of evidence for treating Cervicogenic Dizziness.
In this section, the participant will learn about:
  • The 4 big questions needed to answer to treat a specific diagnoses of Cervicogenic Dizziness.
  • The multiple systematic reviews demonstrating usage of manual therapy for management of Cervicogenic Dizziness.

Physio Blend Intro.mov
Physio Blend Intro.pdf

Evidence-Based Manual Management Approach Part 1: The Joints!

This 24 minute video discusses the evidence-based manual management approach of treating the upper cervical spine joints. 
In this section, the participant will learn about:
  • The evidence for which type of joint procedures have been studied to effectively treat Cervicogenic Dizziness. 
  • The evidence for which joint (C0-1, C1-2, C2-3, C4-7) have been studied to effectively treat Cervicogenic Dizziness. 
  • Detailed analysis of the most popular study on treatment of Cervicogenic Dizziness.
  • Detailed analysis of the manual assessment of Carrasco-Uribarren et al 2020 with reasoning to why we recommend treating Cervicogenic Dizziness with the Physio Blend. 
Manual Management and Evidence for treating Joints.mov
Physio Blend - Manual Management Approach.pdf

Evidence-Based Manual Management Approach Part 2: The Muscles!

This 30 minute video discusses the evidence-based manual management approach of treating the soft tissue structures of the upper cervical spine. 
In this section, the participant will learn about:
  • The evidence for which type of soft tissue procedures have been studied to effectively treat Cervicogenic Dizziness. 
  • The evidence for which soft tissues/muscles have been studied to effectively treat Cervicogenic Dizziness. 
  • 4 aspects to consider when choosing muscles to treat in Cervicogenic Dizziness, including:
    • Muscle Spindle Density
    • Analysis of Muscles at the Occiput level 
    • Anatomically and biomechanically defining the muscles of interest
    • Acupuncture relationship to soft tissue points
  • Detailed analysis of the randomized control trial by Wang et al 2018with reasoning to why we recommend treating Cervicogenic Dizziness with the Physio Blend. 
Evidence-Based Manual Management Approach Part 2 - The Muscles.mov
Physio Blend - Soft Tissue Management Approach.pdf

Lab Portion: Soft Tissue Points

This section entails several videos. The student will learn soft tissue mobilization for patients with Cervicogenic Dizziness, including
  • Epicranial Aponeurosis / Galea Aponeurotica point
  • Sternocleidomastoid, Splenius Capitis, Longissimus Capitis point
  • Semispinalis Capitis point
  • Instrument assisted soft tissue mobilization in prone
  • Ischemic compression techniques in prone
  • Soft tissue mobilization techniques in supine
suboccipital release technique.MOV
Pincer and stripping technique SCM.MOV
IASTYM to clavicular head.MOV
Epicranial Aponeurosis.mov
SternocleidomastoidSplenius Capitis Longissimus Capitis.MOV
Semispinalis Capitis.MOV
IASTYM to mid cervical spine.MOV
BONUS - IASTYM to upper cervical spine.MOV
BONUS - IC to upper trap.MOV

Lab Portion: Joints

This section entails several videos that take you through joint mobilization and manipulation techniques for treating Cervicogenic Dizziness.
In this section, the participant will learn how to perform joint techniques focusing on the following segments:
  • C0-1
  • C2-3
  • T2-7
C2-3 mob.MOV
OA mob.MOV
Thoracic Manipulation.MOV

Lab Portion: Exercise

This section entails two videos: a 8 minute and a 32 minute video that takes you through Therapeutic Exercise for treating Cervicogenic Dizziness.
In this section, the participant will learn how to perform:
  • Functional rotation mobilization
  • Functional extension mobilization
  • Sample exercise programs and considerations for deep cervical flexor re-training
  • Sample exercise programs and considerations for deep cervical extensor re-training
Functional Self-Mobilizations.mov
Motor Control Exercises DCF and DCE.pdf
Motor Control.mp4

Lab Portion: Vestibular Rehabilitation

This 26 minute video takes you through Vestibular Rehabilitation for treating Cervicogenic Dizziness.
In this section, the participant will learn how to perform:
  • Smooth Pursuit
  • Saccades
  • VOR 1 and VOR 2
  • Optokinetic Training
  • Cervical considerations with vestibular rehabilitation 
Vestibular rehab.mov

Sensorimotor Rehabilitation - Lecture & Lab

This section entails two videos: a 33 minute lecture and a 34 minute treatment video that takes you through Sensorimotor Rehabilitation for treating Cervicogenic Dizziness.
In this section, the participant will learn the:
  • Sensorimotor processes and how it relates to the cervical spine
  • Postural stability and how it relates to the cervical spine
  • Science and research behind Sensorimotor Training 
  • Sample programs and sensorimotor exercise considerations for patients with Cervicogenic Dizziness
Sensorimotor lecture.mov
Sensorimotor Lecture.pdf
Sensorimotor Training.mov
Sensorimotor Training.pdf

Concluding Message & Competency Test on Cervicogenic Dizziness

In order to receive credit for the course, a certificate and your name/location on our directory at www.cervicaldizziness.com, you must complete the competency test in this section.
Good luck!
Concluding message.MOV
Cervicogenic Dizziness Test