174: Mastering The Vestibular System With Helena Esmonde, PT, DPT, NCS
Aug 14, 2023
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Vestibular expert Helena Esmonde discusses common vestibular disorders, importance of cervical spine in function, and use of infrared video goggles for assessment. She shares insights on addressing vestibular issues in elderly women, journey into vestibular therapy, and empowering clinicians to treat vestibular disorders. The podcast also explores auditory learning, challenges in vestibular therapy education, and enhancing patient care through vestibular training.
People with Parkinson's are prone to latent vestibular hypofunction, requiring specific exercises for improvement.
Incorporating varied head movements and multi-plane exercises can optimize vestibular system stimulation.
Early vestibular assessments using diagnostic tools are essential for formulating effective treatment plans.
Deep dives
Helena Esmond's Extensive Expertise in Vestibular Rehabilitation and Technology Innovation
Helena Esmond, a neurologic clinical specialist with over 18 years of experience, co-founded Vestibular First, a company that produces cost-effective infrared video goggles and education tools. Helena's focus on vestibular training and education has led to her teaching at universities and national conferences, along with hosting an online journal club with distinguished guests. Her dedication to enhancing vestibular care demonstrates her passion for supporting individuals with neurologic conditions.
Parkinson's Disease and Vestibular Hypofunction Link Discussed
Helena discusses the correlation between Parkinson's disease and vestibular hypofunction, emphasizing the importance of addressing vestibular issues within this population. People with Parkinson's are more prone to latent hypofunction due to movement issues that reduce rotation, stimulating the vestibular system. By incorporating rotation exercises, individuals with Parkinson's can enhance their vestibular systems, promoting improved balance and overall function.
Effective Strategies for Vestibular System Stimulation and Rehabilitation
Strategies such as incorporating head and neck movements, alternating directions, and engaging in multi-plane movements are highlighted for optimal vestibular system stimulation. The responsiveness of the vestibular system to varied head movements underscores the importance of tailored exercises to promote vestibular health. By implementing fun and engaging activities like memory games and music-based exercises, individuals can enhance their vestibular function and overall well-being.
Comprehensive Vestibular Examination and Diagnostic Insights
A detailed explanation of vestibular evaluations including ocular motor screening, head thrust tests, and dynamic visual acuity assessments is provided. These diagnostic tools aid in identifying hypofunction and gaze stability issues, crucial for formulating effective treatment plans. By emphasizing the significance of early screening and assessment for vestibular conditions, clinicians can address balance concerns and enhance patient outcomes.
Empowering Clinicians Through Education and Innovation in Vestibular Care
Helena's commitment to empowering clinicians through education and innovation in vestibular care is evident in her development of educational resources, journal clubs, and courses. By sharing knowledge and expertise, she aims to equip clinicians with the necessary tools to provide optimal vestibular rehabilitation. Helena's endeavors in advocating for affordable technology and educational resources underscore her dedication to advancing vestibular care for improved patient outcomes.
On today’s show we were excited to have a discussion with Dr. Helena Esmonde, PT, DPT, NCS. She is a vestibular expert and shares her journey as a vestibular therapist in multiple settings, including the ED, as well as the very interesting course her career has taken. Helena has over 18 years of clinical experience as a neurologic clinical specialist, was vestibular trained at Emory's vestibular competency course, and co-founded Vestibular First, a company which makes affordable infrared video goggles and educational tools. Helena has taught vestibular topics at universities, national conferences, and continuing education courses as well as hosting an online Journal Club with renowned vestibular experts serving as her special guests each month, because she loves discussing all things vestibular!
In this episode you’re going to learn:
A little known fact about people with Parkinson’s and hypofunction and what to do about it
How common vestibular disorders are
The best screening assessments to perform
The importance of the cervical spine and rotational movement in vestibular function
Why infrared video goggles are crucial to vestibular assessment
Where to get a 3D printed vestibular system for educational purposes
Where to get resources you need in order to help your patients with vestibular dysfunction
Learn more about Helena and all of the resources she has here:
@VestibularFirst (Instagram, Facebook, Twitter, and LinkedIn)