HCE: MVAR, Beginner - Rehab Track

April 29, 2024 to May 3, 2024

Target Audience

This activity provides continuing education for 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: 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)
Course summary
Available credit: 
  • 26.00 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 2.6 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.
  • 26.00 Certificate of Attendance
  • 26.00 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 26.00 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.
  • 26.00 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 26.00 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: 
04/22/2024
Course expires: 
05/17/2024
Event starts: 
04/29/2024 - 6:00am EDT
Event ends: 
05/03/2024 - 2:00pm EDT
Part of: 
HCE: Military Vestibular Assessment and Rehabilitation (MVAR), Beginner
Add to calendar: 
Fort Carson, Colorado
United States

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.
Robin Pinto, Au.D., CCC-A. Presenter has no financial or non-financial relationships to disclose.
Devin McCaslin, Ph.D., F-ASHA. Presenter has no financial or non-financial relationships to disclose.
Alicia Souvignier, D.P.T., G.C.S. Presenter has no financial or non-financial relationships to disclose.
CDR Selena Bobula, P.T., D.P.T., N.C.S., O.C.S. Presenter has no financial or non-financial relationships to disclose.
MAJ Angela Weston, P.T., D.P.T., O.C.S., C.S.C.S., Ph.D. Presenter has no financial or non-financial relationships to disclose.

Available Credit

  • 26.00 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 2.6 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.
  • 26.00 Certificate of Attendance
  • 26.00 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 26.00 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.
  • 26.00 IPCE
    This activity was planned by and for the healthcare team, and learners can receive up to 26.00 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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Accommodations for Learners with Hearing Impairment

Captions and transcripts are available upon request for all CE/CME live events and on-demand courses delivered by J-7 CEPO.

Live events:
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For events delivered by CEPO’s partners, please contact the course instructor to inquire about 508 accommodations.

For more information, or to submit a request, please contact CEPO at dha.ncr.j7.mbx.cepo-cms-support@health.mil.