(AZBALPROP) Managing Patients Balance & Proprioceptive Issues

(AZBALPROP) Managing Patients Balance & Proprioceptive Issues


Two Part Series — 6 CEUs for Part 1 & 6 CEUs for Part 2




According to the Vestibular Disorders Association, over 90 million Americans age 17 and older, have experienced a dizziness or balance problem at some point in their lives. Almost 8 million people in the US have a problem with balance that has lasted over 3 months and 2.5 million report a chronic dizziness problem. With the large amount of baby boomers entering “retirement age”, there is increased concern about falling. Most people over the age of 70 report some problem with dizziness and balance and balance-related falls account for more than one-half of the accidental deaths in the elderly. In addition, individuals with a diagnosed vestibular problem who also exhibit symptoms have an incidence of falling that is 12 times that of the general population. Overall, the cost of medical care for patients with balance disorders exceeds $1 billion per year in the US. Getting effective treatment is frequently complicated by the challenge of diagnosing the specific source of the problem and finding clinicians with the knowledge and experience to treat these problems.

This workshop will cover the anatomy, physiology and function of the vestibular system and the vestibular system’s important role in balance and mobility. It is designed to give basic essential information needed to assess and treat uncomplicated vestibular dysfunction as well as incidence, diagnosis and treatment of balance related disorders. Attendees will learn the various types of vestibular disorders, how they affect different populations and basic clinical tools for appropriate evaluation and treatment strategies.


Proprioception is an important bodily neuromuscular sense. It falls under our “sixth sense”, more commonly known as somatosensation. The term somatosensation is an all-encompassing term which includes the sub-categories of mechanoreception (vibration, pressure, and discriminatory touch), thermoreception (temperature), nociception (pain), equilibrioception (balance) and proprioception (sense of positioning and movement). The feedback from all these different sensory components arise from our PNS feeding information to our CNS, both at the level of the spinal cord (reflexive) and sent to the cerebral cortex for higher processing. People experiencing proprioceptive challenges are coming to chiropractic clinics with conditions related to MVAs, sports injuries, falls, developmental, or neurological issues.

This course will cover how to determine, and what may help with patients suffering from many types of proprioceptive conditions.

Proprioception is the perception of body position and movements in three-dimensional space, and overall proprioceptive performance is determined by the quality of both the available proprioceptive information and an individual’s proprioceptive ability. Thus, the hardware (peripheral mechanoreceptors) provides proprioceptive information to the brain for the software (central processing) to integrate and use.

This course is designed to give basic essential information needed to diagnosis and treat uncomplicated proprioceptive dysfunction and related disorders. After completing the seminar, we believe you will be equipped with the information needed to identify common clinical signs and symptoms of proprioceptive issues with your patients and incorporate an appropriate treatment.


Participants will leave having a better understanding of the incidence and etiology of proprioceptive issues. They will be able to demonstrate better understanding of the proprioceptive system, the various disorders and the subsequent implications on a patient’s ability to perform ADLs. We will identify various fundamental assessment tools for testing proprioception and begin to learn how to use them hands-on. Enrollees will be better able to describe the proprioceptive system and the interdependence of gaze and postural stabilization on maintaining balance that this system provides. They will leave and be able to take back to their practices the enhanced ability to identify common clinical signs and symptoms of proprioceptive issues and how to incorporate appropriate treatment.

Each part is a 6-hour continuing education course.  Each lesson takes 50 minutes to complete.  An assessment of your subject mastery will be tested with a short quiz after each lesson.  Upon completion of each part (6 lessons per part), you will earn 6 CEU’s each and a certificate will be provided to verify your completion of the program.