Advanced course: PPPD, Hamburg 27

Your advanced course in dizziness and vestibular therapy

Introduction

Persistent postural-perceptual dizziness (PPPD) is the most common cause of chronic dizziness. In international dizziness clinics, PPPD accounts for about 30% of all cases, making it the most frequent diagnosis. Millions of people worldwide suffer from this disorder, which is characterized by severe distress and significant limitations in daily life.

Patients with PPPD belong to the most severely affected groups in dizziness therapy – and are therefore very frequently encountered in physiotherapy practices. However, they are often misdiagnosed or incorrectly treated, which can further increase uncertainty and contribute to the chronification of symptoms.

Even experienced therapists often reach their limits when treating this complex patient group. A specialized, structured approach is therefore crucial for achieving sustainable therapeutic success.

Course content

This practice-oriented advanced course provides modern therapeutic approaches for persistent postural-perceptual dizziness (PPPD), based on current neurobiological and cognitive-behavioral research findings.

The focus is on the structured application of the INVEST model for the systematic assessment and treatment of PPPD.

Key topics of the course include:

Fundamentals and neurobiological mechanisms of PPPD
Psychological factors in dizziness and their therapeutic relevance
Structured diagnostic assessment and case formulation
Goal-oriented work with patients affected by PPPD
In-vivo behavioral experiments (practical instruction and application)
Integration of cognitive strategies into dizziness therapy
Balance exercises and attention guidance
Relapse management and prevention

Course instructors

Firat Kesgin

Physiotherapist, B.Sc., M.Sc.

2009-2013: Bachelor's degree in physiotherapy at the HAN University of Applied Sciences in the Netherlands
2012: Internship at the "Pacific Balance" vertigo center in the USA
2013-2015: Neurology units in multiple hospitals, Hamburg
2015-2018: Master's degree in physiotherapy at the University of Brighton in England
Since 2015: Private practice for vestibular rehabilitation in Hamburg
Since 2015: Instructor on the topic of “Vestibular rehabilitation” (initially in Germany, now also in Austria, Switzerland, the Netherlands, Belgium, Luxembourg, and Denmark)
Since 2016: Founding of the Institute for Vestibular Rehabilitation Therapy®
Since 2023: He has been the first and so far only physiotherapist in the entire DACH and BENELUX region to be nominated and accepted as member by the renowned Bárány Society
Since 2025: PhD student at Maastricht University Medical Center+ in the research team of Prof. Dr. Dr. Raymond van de Berg, an ENT surgeon and internationally recognized expert in vestibular research

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