Day 1: 29 April 2024 (0730-1530 MT) (0530-1330 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: 30 April 2024 (0800-1600 MT) (0600-1400 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: 1 May 2024 (0800-1600 MT) (0600-1400 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)

Day 4: 2 May 2024 (0800-1600 MT) (0600-1400 ET)

1. Describe the five clinical subtypes of concussion and the two symptom modifiers for concussion.
2. List two items from a sleep hygiene program.
3. Explain the concept of multifactorial presentation in concussion.
4. Describe modifications to treatment planning and communication style when treating patients with anxiety.
5. Describe the co-morbid and often self-perpetuating role of dizziness and anxiety.
6. Identify patterns of eye movements that may indicate central involvement.
7. Describe migraine as the most common central disorder.
8. Interpret HINTS exam for central findings
9. Describe the basic concept behind caloric testing, video head impulse testing and rotational chair testing.
10. Identify key features and domains of the Military Acute Concussion Evaluation 2 (MACE 2)
11. Describe the growth in diagnostic and functional measures for vestibular disorders.
12. Assess and treat impairments of the vestibular ocular reflex and posterior canal Benign Paroxysmal Positional Vertigo (BPPV)