HCE: Military Vestibular Assessment and Rehabilitation, Beginner

July 15, 2024 to July 19, 2024

This Beginner course is appropriate for clinicians with limited (<2 years) vestibular experience evaluating and treating individuals with dizziness.

This course will feature didactic and laboratory instruction covering: introduction to peripheral and central vestibular anatomy, physiology and pathophysiology; assessment of the patient with dizziness; vestibular function testing; assessment and treatment of benign paroxysmal positional vertigo and other disorders of the peripheral vestibular system; clinical and instrumented tests and measures; rehabilitation techniques for the patient with dizziness; and special considerations and return to duty decision making for the military population.

Target Audience

This activity provides continuing education for occupational therapists, occupational therapy assistants, athletic trainers, physical therapists, and physical therapy assistants treating military beneficiaries and Veterans in Defense Health Agency and Department of Veterans Affairs health care facilities. A certificate of attendance is available for other attendees.

Learning Objectives

Day 1: 15 July 2024 (0730-1530 CEST) (0130-0930 ET)

  1. Explain recent Defense Technical Information Center (DTIC) report that describes vestibular coding within the active-duty population
  2. Describe normal vestibular ocular reflex (VOR) and impairments to the VOR and implications for symptoms
  3. Describe the process by which the body can compensate for an impaired VOR
  4. Perform a bedside screen for saccades, pursuit and vergence.
  5. Perform a cover/uncover test for ocular alignment
  6. Identify and name the nystagmus associated with a unilateral vestibular hypofunction

Day 2: 16 July 2024 (0800-1600 CEST) (0200-1000 ET)

  1. Describe the components of the bedside vestibular exam
  2. Identify normal vestibular function and signs of central dysfunction and peripheral vestibular dysfunction as seen during bedside vestibular testing
  3. Perform all components of a Vestibular Ocular Motor Screening (VOMS) test
  4. Utilize info from VOMS test to categorize concussion subtype and to determine when referrals are appropriate
  5. List three subjective reports suggestive of benign paroxysmal positional vertigo (BPPV)
  6. Describe typical nystagmus pattern seen in posterior canal BPPV
  7. Perform an appropriate Dix-Hallpike Test and Canalith Repositioning Maneuver for posterior canal BPPV
  8. Perform an appropriate Roll Test for horizontal canal BPPV and determine side of involvement given Roll Test findings.
  9. Perform an appropriate Canalith Repositioning Maneuver for horizontal canal canalithiasis.

Day 3: 17 July 2024 (0800-1600 CEST) (0200-1000 ET)

  1. Discuss the current concepts of vestibular rehabilitation for peripheral disorders
  2. Discuss the implication of vestibular testing results performed by audiologists
  3. Discuss the implications of recent clinical practice guidelines for physical therapists
  4. Perform dynamic visual acuity (DVA) testing and Functional Gait Assessment (FGA)
  5. Describe the five clinical subtypes of concussion and the two symptom modifiers for concussion
  6. List two items from a sleep hygiene program
  7. Explain the concept of multifactorial presentation in concussion
  8. Identify key features and domains of the Military Acute Concussion Evaluation 2 (MACE 2)

Day 4: 18 July 2024 (0800-1600 CEST) (0200-1000 ET)

  1. Describe modifications to treatment planning and communication style when treating patients with anxiety.
  2. Describe the co-morbid and often self-perpetuating role of dizziness and anxiety.
Course summary
Available credit: 
  • 21.50 AOTA
    The Defense Health Agency, J-7, Continuing Education Program Office is an AOTA Approved Provider of professional development. Course approval ID# 09615. This Live course is offered at 2.15 CEUs, introductory, OT service delivery, foundational knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
  • 21.50 APTA
    American Physical Therapy Association (APTA)
    The DHA, J-7, CEPO is an American Physical Therapy Association (APTA) Approved Provider of continuing education. This activity was planned by and for the health care team, and learners will receive 2.15 APTA CEUs. The assignment of APTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by APTA. APTA CEUs are accepted by most state PT licensing boards. Learners are encouraged to check with their local chapter or state board to ensure that they accept APTA accredited courses for licensure renewal.
  • 21.50 Certificate of Attendance
  • 21.50 BOC
    Board of Certification for the Athletic Trainer (BOC)
    The Defense Health Agency, J-7, Continuing Education Program Office (BOC AP #: P12034) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of 21.50 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.
  • 21.50 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 21.50 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.
Course opens: 
07/08/2024
Course expires: 
08/02/2024
Event starts: 
07/15/2024 - 1:30am EDT
Event ends: 
07/19/2024 - 10:00am EDT
Add to calendar: 
Garmisch
Germany

Disclosures:

DHA J-7 staff, Planning Committee Members and content reviewers have no financial or non-financial interest to disclose. All faculty members have no financial or non-financial interest to disclose.

Karen Lambert, P.T., D.P.T., N.C.S. Presenter has no financial or non-financial relationships to disclose.
LTC Carrie W. Hoppes, P.T., Ph.D., N.C.S., O.C.S., A.T.C., C.S.C.S. Presenter has no financial or non-financial relationships to disclose.

 

    Available Credit

    • 21.50 AOTA
      The Defense Health Agency, J-7, Continuing Education Program Office is an AOTA Approved Provider of professional development. Course approval ID# 09615. This Live course is offered at 2.15 CEUs, introductory, OT service delivery, foundational knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
    • 21.50 APTA
      American Physical Therapy Association (APTA)
      The DHA, J-7, CEPO is an American Physical Therapy Association (APTA) Approved Provider of continuing education. This activity was planned by and for the health care team, and learners will receive 2.15 APTA CEUs. The assignment of APTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by APTA. APTA CEUs are accepted by most state PT licensing boards. Learners are encouraged to check with their local chapter or state board to ensure that they accept APTA accredited courses for licensure renewal.
    • 21.50 Certificate of Attendance
    • 21.50 BOC
      Board of Certification for the Athletic Trainer (BOC)
      The Defense Health Agency, J-7, Continuing Education Program Office (BOC AP #: P12034) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of 21.50 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.
    • 21.50 IPCE
      This activity was planned by and for the healthcare team, and learners can receive up to 21.50 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.
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