Military Vestibular Assessment and Rehabilitation: Marine Forces Special Operations Command, 14 JUN 2023
Program Description
This live, in-person course will feature advanced didactic and laboratory instruction covering peripheral and central vestibular anatomy, physiology and pathophysiology; initial assessment of the dizzy patient (history and clinical examination), assessment and treatment of benign paroxysmal positional vertigo and other disorders of the peripheral vestibular system; general treatment and rehabilitation techniques for the dizzy patient
There is a need to clarify the underlying pathophysiology and optimize the clinical evaluation and management of mild traumatic brain injury-related dizziness and visual disturbances in service members. Training is needed for military healthcare providers to appropriately diagnose, evaluate, treat, and refer patients who experience these difficulties after vestibular impairment and/or brain injury. The vestibular training will include an introduction to underlying mechanisms and an introduction to basic assessment and treatment of impairments.
For instructional personnel disclosure information, click on the speaker’s bio link.
Target Audience
This activity provides continuing education for physicians, athletic trainers, audiologists, physical therapists, and physical therapist assistants. A certificate of attendance is available for other attendees.
Learning Objectives
- Describe the five clinical subtypes of concussion.
- Describe the two symptom modifiers for concussion.
- List two items from a sleep hygiene program.
- Explain the concept of multifactorial presentation in concussion.
- Identify key components of the vestibular system and their role in detecting motion.
- Describe normal vestibular ocular reflex (VOR).
- Describe impairments to the VOR and implications for symptoms.
- Describe the process by which the body can compensate for an impaired VOR.
- Perform a bedside screen for saccades.
- Perform a bedside screen for pursuit.
- Perform a beside screen for vergence.
- Perform a cover/uncover test for ocular alignment.
- Describe the components of the bedside vestibular exam.
- Recognize normal vestibular function as seen during bedside vestibular testing.
- Recognize signs of peripheral vestibular dysfunction as seen during bedside vestibular testing.
- Recognize signs of central dysfunction as seen during bedside vestibular testing.
- Perform all components of a vestibular ocular motor screen (VOMS) test.
- Interpret results of a VOMS test.
- Utilize info from VOMS test to categorize concussion subtype.
- Utilize info from VOMS test to determine when referrals are appropriate.
- List three subjective reports suggestive of benign paroxysmal positional vertigo (BPPV).
- Describe typical nystagmus pattern seen in posterior canal BPPV.
- Perform an appropriate Dix-Hallpike Test for posterior canal BPPV.
- Perform and appropriate Canalith Repositioning Maneuver for posterior canal BPPV.
Additional Information
Camp Lejeune, NC
Karen Lambert, P.T., D.P.T., N.C.S.
Presenter has no financial or non-financial relationships to disclose.
Karen Lambert, P.T., D.P.T., N.C.S.
Available Credit
- 6.50 ACCME Non-Physician CME CreditDHA 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 6.50 hours for completing this activity.
- 6.50 AMA PRA Category 1 Credit™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 activity for a maximum of 6.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 6.50 APTAAmerican 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 0.65 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.
- 6.50 ASHAAmerican Speech Language Hearing Association (ASHA)
Course # is ABIT2308
Intermediate LevelDefense Health Agency, J-7, Continuing Education Program Office is approved by the Continuing Education board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology, and audiology. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.
0.65 ASHA CEUs - 6.50 Certificate of Attendance
- 6.50 BOCBoard 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 6.50 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.
- 6.50 IPCEThis activity was planned by and for the healthcare team, and learners can receive up to 6.50 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.