1. Explain recent Defense Technical Information Center (DTIC) report that describes vestibular coding within the active-duty population |
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2. Describe normal vestibular ocular reflex (VOR) and impairments to the VOR and implications for symptoms |
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3. Describe the process by which the body can compensate for an impaired VOR |
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4. Perform a bedside screen for saccades, pursuit and vergence. |
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5. Perform a cover/uncover test for ocular alignment |
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6. Identify and name the nystagmus associated with a unilateral vestibular hypofunction |
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7. Describe the components of the bedside vestibular exam |
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8. Identify normal vestibular function and signs of central dysfunction and peripheral vestibular dysfunction as seen during bedside vestibular testing |
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9. Perform all components of a Vestibular Ocular Motor Screening (VOMS) test |
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10. Utilize info from VOMS test to categorize concussion subtype and to determine when referrals are appropriate |
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11. List three subjective reports suggestive of benign paroxysmal positional vertigo (BPPV) |
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12. Describe typical nystagmus pattern seen in posterior canal BPPV |
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13. Perform an appropriate Dix-Hallpike Test and Canalith Repositioning Maneuver for posterior canal BPPV |
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14. Perform an appropriate Roll Test for horizontal canal BPPV and determine side of involvement given Roll Test findings. |
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15. Perform an appropriate Canalith Repositioning Maneuver for horizontal canal canalithiasis. |
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16. Discuss the current concepts of vestibular rehabilitation for peripheral disorders |
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17. Discuss the implication of vestibular testing results performed by audiologists |
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18. Discuss the implications of recent clinical practice guidelines for physical therapists |
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19. Perform dynamic visual acuity (DVA) testing and Functional Gait Assessment (FGA) |
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20. Describe the five clinical subtypes of concussion and the two symptom modifiers for concussion |
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21. List two items from a sleep hygiene program |
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22. Explain the concept of multifactorial presentation in concussion |
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23. Identify key features and domains of the Military Acute Concussion Evaluation 2 (MACE 2) |
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24. Describe modifications to treatment planning and communication style when treating patients with anxiety. |
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25. Describe the co-morbid and often self-perpetuating role of dizziness and anxiety. |
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