Rehabkurser

Hem
Sverige
Sturefors
Rehabkurser

Rehabkurser är ett utbildningsföretag & drivs av leg. sjukgymnast Daniel Petersson. Ej patientkontakt

12/11/2025

🌀 Cervical Dizziness: Myth or Reality?

📍 The Bárány Society reviewed the evidence behind “cervical dizziness”—the idea that neck problems cause dizziness.

🔬 Key Takeaways:
✔ No strong evidence links neck pain directly to vertigo or dizziness.
✔ Most cases are better explained by vestibular migraine, BPPV, or central vestibular disorders.
✔ Neck tension is often a result of reduced head movement due to dizziness—not the cause.

💡 What’s recommended?
Future studies must be placebo-controlled, double-blinded, and exclude confounding diagnoses like migraine. Until then, no diagnostic criteria or treatments for cervical dizziness are officially endorsed.

🧠 Sometimes the neck is a passenger, not the driver.

11/11/2025

📢 The Unreasonable Demands of Self-Treatment in BPPV

I’ve said it before and I’ll say it again: we must talk about how poorly BPPV is sometimes handled in primary care.

👵 Recently, I met an 80+ year-old patient diagnosed with BPPV by a GP. Instead of offering treatment, the doctor told her to treat herself at home.

📋 Here’s the kicker:
She was instructed to perform the maneuver 3 times in a row, 3 times a day for 4 weeks

That’s:
🧮 12 times/day × 28 days = 336 treatments. 😳 Let that sink in. 336 times.

⚖️ Compare that to the average of 2 treatments by a skilled clinician to resolve BPPV.
💔 This is not just inefficient—it’s heartbreaking.

The patient told me:
🗣️ “I get so scared doing it at home. I feel so nauseous I don’t dare.”

Even though 336 home treatments may sound extreme, the principle of shifting responsibility to the patient is sadly far too common in Sweden.
🏥 Many are told to treat themselves—regardless of whether they have:
💪 the physical ability to perform the maneuvers
😟 the courage to do something that makes them dizzy, nauseous, or scared

This is not patient empowerment.
This is abandonment.

We must ask ourselves:
🔍 Are we truly helping, or are we just handing over instructions and hoping for the best?

11/11/2025

🕯️ Bedömdes som kristallsjuka - var en stroke

Med all respekt för både anhöriga och att jag inte vet mer än det som återgivits i tidningen men:

📄 Anders, 69, kom in till akuten med tydliga strokesymtom:
– Sluddrigt tal
– Trötthet
– Motorikpåverkan

Trots detta fick han diagnosen kristallsjuka (BPPV).
Efter 11 dygn på IVA avled han.

🧠 En Lex Maria-anmälan visar att en tidigare diagnos kunde ha räddat hans liv.

❗️Det ska vara i princip omöjligt att blanda ihop BPPV med stroke – om man följer diagnoskriterierna:

✅ BPPV ska ha:
• Karakteristisk nystagmus vid positionstester
• Ingen spontannystagmus
• Inga motoriska eller neurologiska fynd

❌ BPPV är inte en uteslutningsdiagnos.
Det är en diagnos med positiva diagnoskriterier – den kräver tydliga fynd.

10/11/2025

When multiple professions collaborate without hierarchy or prestige, something powerful happens: 👉 the patient gets the care they truly need.

👩‍⚕️👨‍⚕️ Physiotherapists, doctors, audiologists, nurses and psychologists (and more)—each brings a vital piece of the puzzle. Together, we build a complete picture that leads to better outcomes.

💬 Open communication
🤝 Mutual respect
🎯 Patient-centered focus

🙇Dizziness and balance disorders are complex conditions that often require a multifaceted and precise diagnostic approach. To provide the highest quality care, healthcare must be delivered through a team-based model—where the expertise of various professionals is utilized collaboratively, without hierarchies or prestige.

In such a team, physiotherapists, physicians, audiologists, nurses, and psychologists each contribute unique perspectives and skills. When every profession is given equal voice and their knowledge is respected, a comprehensive understanding of the patient’s condition emerges—one that might otherwise be missed.

It is not uncommon for dizziness to have multiple, overlapping causes. This is where the collective competence of the team becomes indispensable.

Working without prestige means prioritizing the patient’s needs above professional boundaries. It requires open communication, mutual respect, and a culture where questions and critical thinking are encouraged. When hierarchies are removed and all professions are valued equally, opportunities for learning and development within the team increase—ultimately benefiting the patients.

Team-based care is not just an organizational strategy—it is a mindset. It is a way to address complex conditions with equally complex solutions, where every team member is a key contributor and the shared goal is always the same: to provide each patient with safe, accurate, and effective care.

🔁 Share if you believe in team-based care without prestige.

07/11/2025

Tack till alla 30 kursdeltagare och ett extra stort tack till Falkenberg kommun som arrangerade kursen. Väldigt härligt gäng med högt till tak i många diskussioner.

Flera kommuner gjorde större satsningar med denna kurs, väldigt roligt!

05/11/2025

📣 Är du redo att ta nästa steg inom diagnostik och behandling av yrsel och balansrubbningar?

Har du redan grundläggande kunskap om yrsel och balansrubbningar – men vill bli en kliniker med spetskompetens? Då är vår digitala fördjupningskurs hos Rehabkurser perfekt för dig.

🎯 Varför fördjupningkurs:
✔ Fördjupning ger dig evidensbaserade strategier för avancerad diagnostik och behandling
✔ Du blir trygg i att hantera patienter som inte följer standardmönster – och minskar risken för felbehandling

📅 Datum: 29 november 2025
💰 Pris: 2 390 kr (exkl. moms)
📚 Ingår: Omfattande kursmaterial som du kan använda direkt i kliniken

📈 Rehabkurser har redan utbildat tusentals deltagare över hela Sverige och utomlands – nu är det din tur att ta steget mot specialiserad kompetens inom yrseldiagnostik och rehabilitering.

👉 Anmäl dig idag och bli en kliniker som gör skillnad – helt digitalt
🔗 [https://www.rehabkurser.se/shop/fordjupningskurs-digitalt-1-dag/]

04/11/2025

🌀 Which maneuver works best for BPPV?

A new randomized clinical trial compared two popular treatments for posterior canal BPPV:

🔹 Semont-Plus Maneuver (SM-plus)
🔹 Epley Maneuver (EM)

📊 Results:
SM-plus led to recovery in 2.0 days on average
EM took 3.3 days on average
Both were safe, but SM-plus worked faster 💨

💡 Why?
The SM-plus uses deeper head/body angles, helping the crystals move more effectively out of the canal.

✅ Conclusion:
SM-plus is superior in speed of recovery.

📖 Source:
Strupp M, Mandala M, Vinck AS, Van Breda L, Salerni L, Gerb J, Bayer O, Mavrodiev V, Goldschagg N. The Semont-Plus Maneuver or the Epley Maneuver in Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Clinical Study. JAMA Neurol. 2023 Aug 1;80(8):798-804. doi: 10.1001/jamaneurol.2023.1408. PMID: 37358870; PMCID: PMC10425825.

🤷Personal reflection: While Semont-Plus is impressively effective, it’s not for everyone. The maneuver requires rapid, coordinated movements, a 60° head-overextension, and enough mobility and confidence to execute it without hesitation.

04/11/2025

The Hidden Connection Between Anxiety and Dizziness

Did you know that dizziness and anxiety often reinforce each other? Here’s why this link is so powerful:

🔹 Shared neural pathways—The balance system and the brain’s emotional centers are closely connected. When the brain senses instability, it activates the stress response.

🔹 Physiological changes amplify symptoms – Anxiety triggers a faster heart rate, altered breathing, and muscle tension. These changes can worsen the perception of dizziness and imbalance.

🔹 The vicious cycle—Dizziness causes worry, and worry intensifies dizziness. Over time, this cycle can lead to avoidance behaviors, reduced activity, and even social isolation.

🔹 Common in PPPY and chronic dizziness—Persistent Postural-Perceptual Dizziness (PPPY) and other long-term vestibular disorders often involve psychological factors alongside physical symptoms.

💡 Breaking the cycle is possible! Effective treatment combines education, vestibular rehabilitation, and sometimes psychological support. With the right approach, patients can regain confidence and improve quality of life.

🌐 www.rehabkurser.se

03/11/2025

A new meta-analysis shows vestibular rehab therapy (VRT) works! 🎯

🔍 What’s PPPD?
Persistent Postural-Perceptual Dizziness = chronic dizziness & imbalance lasting ≥3 months.

📊 Study highlights:
✔ VRT significantly reduces dizziness handicap scores (DHI)
✔ Customized programs outperform VR-based therapy
✔ Improvements in physical, functional & emotional domains
✔ Safe, non-invasive, and boosts quality of life

💡 Bottom line:
Personalized vestibular rehab is a game-changer for PPPD. More RCTs needed, but evidence is strong!

📖 Source: Li Y, Pei X, Ding R, Liu Z, Xu Y, Wang Z, Li Y, Li L. Effect of vestibular rehabilitation therapy in patients with persistent postural perceptual dizziness: a systematic review and meta-analysis. Front Neurol. 2025 Sep 24;16:1599201. doi: 10.3389/fneur.2025.1599201. PMID: 41069431; PMCID: PMC12504085.

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02/11/2025

Why is PPPD so challenging to live with?

PPPD is a long-term condition that affects both body and mind. Here’s why it can feel so difficult:

🔹 Persistent imbalance—A constant feeling of rocking or unsteadiness that can improve when lying down but often returns during upright activities.

🔹 Triggered by everyday situations—Standing, walking, head movements, or environments with visual stimuli can make symptoms worse.

🔹 Impact on quality of life – Many avoid shopping malls, crowds, and narrow spaces, leading to social isolation.

🔹 Linked to stress and anxiety—Dizziness increases worry, and worry amplifies dizziness – a vicious cycle that’s hard to break.

🔹 Difficult to diagnose – PPPD is a functional disorder without clear damage to the balance organ, so diagnosis often takes time, leaving patients feeling misunderstood.

💡 There is help! Treatment combines education, vestibular rehabilitation, and sometimes psychological support – and the right approach can make a big difference.

👉 Want to learn more about helping patients with PPPD?
Staab JP. Persistent Postural-Perceptual Dizziness: Review and Update on Key Mechanisms of the Most Common Functional Neuro-otologic Disorder. Neurol Clin. 2023 Nov;41(4):647-664. doi: 10.1016/j.ncl.2023.04.003. Epub 2023 Jun 1. PMID: 37775196.

01/11/2025

✅ Vill du bli en mer patientsäker och effektiv kliniker – helt digitalt?
Yrsel är en av de vanligaste orsakerna till vårdkontakt, men också en av de mest komplexa. Som naprapat, fysioterapeut, kiropraktor eller läkare möter du sannolikt patienter med yrsel. Frågan är: har du rätt kunskap för att ge bästa möjliga vård?

🎯 Därför ska du gå digital grundkurs i yrsel och balansrubbningar hos Rehabkurser:
✔ Lär dig diagnostik och behandling av de vanligaste yrselorsakerna
✔ Öka patientsäkerheten och minska risken för felbehandling
✔ Få praktiska strategier som fungerar direkt i kliniken
✔ Bli trygg i att hantera både akuta och långvariga yrselbesvär

📈 Vi har redan utbildat tusentals deltagare över hela Sverige och utomlands– och hjälpt kliniker att bli mer evidensbaserade, säkra och effektiva i sitt arbete. Nu är det din tur att ta steget!

❓Gått kurs hos Rehabkurser tidigare? ⭐ Om du vill lämna en kommentar vad du tyckte om kursen eller hjälpa till att dela inlägget 🙏

📅 Datum: 21–22 mars
💰 Pris: 4 990 kr (ex moms)
📚 Ingår: Mängder av kursmaterial som du kan använda direkt i din kliniska vardag

👉 Anmäl dig idag och bli en del av Sveriges största satsning på yrselkompetens inom vården – helt digitalt. https://www.rehabkurser.se/shop/digital-yrselkurs-21-22-mars-2026/

För fler kurser och webshop: www.rehabkurser.se

31/10/2025

Clinical patterns in primary care management of BPPV: What does the data show?

A study of 458 patients across 26 clinics in the U.S 🇺🇸 revealed:

🔍 Diagnostics:
45.6% received recommended positional tests (Dix-Hallpike or Supine Roll)
54.4% had no documented diagnostic maneuver. Imaging was rarely used (0.9%)

💊 Treatment:
11.1% received the Epley maneuver in clinic
57.4% were prescribed vestibular suppressants
53.5% got instructions for at-home Epley maneuvers
Only 12.4% were referred to a specialist

📊 Equity Check:
No significant differences in care based on s*x, race, or insurance status

📌 Conclusion:
Despite clear guidelines, BPPV is often undermanaged in primary care.
Better education, documentation, and access to proper maneuvers are needed.

📖 Del Risco A, Cherches A, Smith SL, Riska KM. Guideline Adherence to Benign Paroxysmal Positional Vertigo Treatment and Management in Primary Care. Otolaryngol Head Neck Surg. 2023 Oct;169(4):865-874. doi: 10.1002/ohn.315. Epub 2023 Mar 8. PMID: 36884006; PMCID: PMC10782547.

Adress

Hjortronvägen 7
Sturefors
58961

Telefon

+46736754786

Webbplats

http://www.rehabkurser.se/

Aviseringar

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Om Rehabkurser

Rehabkurser drivs av leg. sjukgymnast Daniel Petersson. Fröet till Rehabkurser sattes omkring 2012. Jag behövde dock ett par år på mig att skriva och bearbeta det material som jag nu stolt kan erbjuda er. Rehabkurser vänder sig framför allt till vårdpersonal och organisationer som vill lära sig mer om undersökning, differentialdiagnostik och behandling inom områdena yrsel och balansrubbningar. Yrsel och balansrubbningar är, i mina ögon, områden där patienter allt för ofta riskerar falla mellan stolarna inom vården. En anledning till detta kan vara att personalen inte har tillräckligt fördjupad kunskap inom dessa områden vilket medför att det blir svårt att få rätsida på både anamnes och att kunna prioritera vilka undersöknings- och behandlingsmetoder som är relevanta för patienten.Jag vill att fler patienter ska få möjlighet till rätt diagnos inom en rimlig tid utan att patienten skall behöva handläggas på specialistklinik. Jag hoppas att jag snart får chansen att träffa just dig och berätta vad jag kan inom dessa områden.

Vänliga hälsningar

Daniel Petersson

leg.sjukgymnast och yrselnörd