HCE: Military Vestibular Assessment and Rehabilitation (MVAR), Beginner

December 9, 2024 to December 12, 2024

Program Description: 

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: December 9, 2024 (0730-1530 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: December 10, 2024 (0800-1600 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: December 11, 2024 (0800-1600 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: December 12, 2024 (0800-1700 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: 
  • 23.25 Physician Assistants (AAPA)
    DHA J-7 CEPO has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 23.25 hours of AAPA Category 1 CME credits. Approval is valid until Tuesday, December 31, 2024 - 11:59pm ET. PAs should only claim credit commensurate with the extent of their participation.
  • 23.25 ACCME Non-Physician CME Credit
    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 23.25 hours for completing this Course activity.
  • 23.25 Physicians (ACCME)

    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    DHA, J-7, CEPO designated this Course for a maximum of 23.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 23.25 Nurses (ANCC)
    DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Course for a maximum of 23.25 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 23.00 Occupational Therapists and Occupational Therapy Assistants (AOTA)
    The DHA, J-7, CEPO is an American Occupational Therapy Association (AOTA) Approved Provider of professional development (PD). PD activity approval ID# 09615. This Live course is offered at 2.3 CEUs, OT service delivery, foundational knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
  • 23.00 American Physical Therapy Association (APTA)
    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 2.3 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.
  • 23.25 Certificate of Attendance
  • 23.25 Athletic Trainers (BOC)

    Board of Certification for the Athletic Trainer (BOC)

    DHA, J-7, CEPO (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 23.25 Category A hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program

  • 23.25 Interprofessional Continuing Education (IPCE)

    In support of improving patient care, DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team. This activity was planned by and for the healthcare team, and learners will receive 23.25 Interprofessional Continuing Education (IPCE) credits for learning and change.

Course opens: 
12/02/2024
Course expires: 
12/31/2024
Event starts: 
12/09/2024 - 7:30am EST
Event ends: 
12/12/2024 - 5:00pm EST
Add to calendar: 

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

Speaker(s)

Carrie Hoppes, PT, PhD

has no relevant financial relationships to disclose at this time.

Karen Lambert, P.T., D.P.T., N.C.S.

has no relevant financial relationships to disclose at this time.

Available Credit

  • 23.25 Physician Assistants (AAPA)
    DHA J-7 CEPO has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 23.25 hours of AAPA Category 1 CME credits. Approval is valid until Tuesday, December 31, 2024 - 11:59pm ET. PAs should only claim credit commensurate with the extent of their participation.
  • 23.25 ACCME Non-Physician CME Credit
    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 23.25 hours for completing this Course activity.
  • 23.25 Physicians (ACCME)

    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    DHA, J-7, CEPO designated this Course for a maximum of 23.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 23.25 Nurses (ANCC)
    DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Course for a maximum of 23.25 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 23.00 Occupational Therapists and Occupational Therapy Assistants (AOTA)
    The DHA, J-7, CEPO is an American Occupational Therapy Association (AOTA) Approved Provider of professional development (PD). PD activity approval ID# 09615. This Live course is offered at 2.3 CEUs, OT service delivery, foundational knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
  • 23.00 American Physical Therapy Association (APTA)
    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 2.3 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.
  • 23.25 Certificate of Attendance
  • 23.25 Athletic Trainers (BOC)

    Board of Certification for the Athletic Trainer (BOC)

    DHA, J-7, CEPO (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 23.25 Category A hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program

  • 23.25 Interprofessional Continuing Education (IPCE)

    In support of improving patient care, DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team. This activity was planned by and for the healthcare team, and learners will receive 23.25 Interprofessional Continuing Education (IPCE) credits for learning and change.

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Access Codes: Some courses require an access code to register. Please reach out to the point of contact at the organization providing the activity for the registration code. The Continuing Education Program Office (CEPO) does not provide access codes.

Accommodations: CEPO provides captions and transcripts to hearing-impaired learners upon request. For real-time closed captioning, contact CEPO at least three (3) business days before the event. If we cannot arrange for live captioning, a video recording and audio transcript will be provided after the event, typically within ten business days. For events delivered by CEPO’s partners, please contact the course instructor to inquire about accommodations.

For more details, or to submit a request, email [email protected].