Understanding the Vestibular System to Improve Balance and Reduce Falls in Older Adults, Part 1 - PT28

Understanding the Vestibular System to Improve Balance and Reduce Falls in Older Adults, Part 1

by Allison Lieberman, PT, MSPT, GCS and Rupangi Vyas, PT, DPT, GCS and Melissa Chung, PT, DPT, NCS
(4.3 / 2235 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


Because the first of the baby boomers reached 65 years in 2011, healthcare practitioners can expect a greater number of older patients referred to therapy for dizziness, falls, or fall-related injuries. When completing healthcare screens, it is important for practitioners to identify patients who have a history of falls or are at risk for falls, as many have experienced multiple fall episodes. The strongest risk factors for patient falls are a history of previous falls or strength, gait, or balance impairments. In addition, the number of medications that a patient takes or the use of specific classes of medications are considered to be strong risk factors. A patient’s balance confidence also influences the risk for falls. Balance is defined as the ability to control and maintain one’s center of mass within one’s base of support. Three major systems are involved in the control of balance: the somatosensory, visual, and vestibular systems.


The goal of this vestibular system continuing education program is to improve physical therapists’ knowledge about vestibular dysfunction and balance retraining with older adults. After you study the information presented here, you will be able to:
  • Identify the body’s systems that contribute to static and dynamic balance
  • Describe the anatomy of the somatosensory, visual, and vestibular systems
  • Compare and contrast various types of vestibular dysfunction

Approval Information
OnCourse Learning is an approved sponsor by the NY State Education Department of CE for PT and PTA from 10/21/09 to 10/20/21.
This activity is provided by the TX Board of PT Examiners Accredited Provider GED012010TPTA2012004 for 01/01/2010 to 01/31/2013; 1601004 for 02/01/2013 to 01/31/2016; and 1902004TX for 02/01/2016 to 01/31/2019 and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
OnCourse Learning is recognized by the Physical Therapy Board of CA as an approved reviewer and provider of continuing competency courses for the state of CA.
OnCourse Learning is a licensed PT CE sponsor (#216.000275) with the IL Department of Financial and Professional Regulation from July 2013 through 9/30/2018.
This course has been approved as meeting the continuing education requirements for PTs and PTAs by:
The OH PT Association (approval no. 11S1345 for 09/19/11 to 09/19/12, 12S1704 for 09/20/12 to 09/20/13; 13S1895 for 09/21/13 to 09/21/14; 14S1721 for 09/22/14 to 09/22/15; 15S2267 for 09/23/15 to 09/23/16; 16S1937 for 09/24/16 to 09/24/17; 17S6275 9/25/17 to 9/25/18)
The FL PT Association (approval no. CE110017503 for 09/15/11 to 12/31/11; CE120017775 for 01/01/12 to 12/31/12, CE130019718 for 01/01/13 to 12/31/13; CE140021506 for 01/01/14 to 12/31/14; CE150023657 for 01/01/15 to 12/31/15; CE16-26907for 01/01/16 to 12/31/16; CE17-328075 for 01/01/17 to 12/31/17; CE18-538075 for 01/01/18 to 12/31/18); Approval of this course does not necessarily imply the FL PT Association supports the views of the presenter or the sponsors.
The TN PT Association for Class 1 CE Requirement (approval no. 3937 for 09/19/11 to 09/18/12, 4544 for 09/19/12 to 09/18/13; 5238 for 09/19/13 to 09/18/14; 5803 for 09/19/14 to 09/18/15; 2138 for 09/19/15 to 09/18/16; 2016-405 for 09/19/16 to 09/18/17)
The PA Board of PT (approval no. PTCE002568 for 10/11/11 to 12/31/12; PTCE004239 for 01/26/13 to 12/31/14; PTCE006374 for 01/01/15 to 12/31/16; PTCE010092 for 01/01/17 to 12/31/18)
The NJ Board of PT Examiners (approval no. 1085-2010 for 09/19/11 to 01/31/12, 126-2012 from 02/01/12 to 01/31/14; 249-2014 for 02/01/14 to 01/31/16; 2016-735 for 02/01/16 to 01/31/18)
This course has been approved by:
The MD State Board of PT Examiners for 0.1 CEU for 09/01/11 to 09/01/15; 06/01/15 to 06/01/19
The NV State Board of PT Examiners for 0.1 units of CE for 09/13/11 to 07/31/13; 07/31/13 to 07/31/15; 07/31/15 to 07/31/17; 11/29/17 to 7/31/19.
The IL Chapter CE Committee has certified that this course meets the criteria for approval of CE offerings established by The IL PT Association (approval no. 437-3950 for 09/01/11 to 09/01/12, 437-4515 for 09/01/12 to 09/01/13). According to the Rules for the Administration of the IL PT Act (section 13460.61) published by the IL Department of Professional Regulation, a PT or PTA applying for re-licensure in IL can earn a maximum of 50 percent of their required CE hours from self-study. The hours awarded of this course are designated for self-study CE credit.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.

Course Originally Released on: 9/19/2011
Date of Most Recent Review: 9/9/2016
Course Termination/Update Date: 9/9/2019


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at AreYouRenewalReady.com and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Darleen Z - North Tonawanda, NY  ·  Nov 16, 2018
very detailed...and difficult
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Isaiah W - Sheffield, PA  ·  Nov 14, 2018
This was a great course. There was info in this course that I haven't encountered in other vestibular courses.
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Debbie S - Hickory, NC  ·  Nov 13, 2018
great course would recommend
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Hassan M - Hamilton, NJ  ·  Nov 10, 2018
i will be able to provide the right aproch for treatment
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Amanda R - Stockton, KS  ·  Nov 04, 2018
It was very informative
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Price: $19.00
CE-PRO Price: $9.50