Course curriculum
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1
Welcome
- Welcome!
- Terms and Conditions
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2
Anatomy of the Vestibular System
- Vestibular System Overview
- Anatomy of Peripheral Vestibular System
- Anatomy of Central Vestibular System
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3
Physiology of Vestibular System
- Physiology of Vestibular System
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4
Pathophysiology of Vestibular System
- Overview of Pathophysiology
- Pathophysiology of Mal de Débarquement syndrome
- Pathophysiology of Vestibular Migraine
- Pathophysiology of Vestibular Neuritis
- Pathophysiology of Labyrinthitis
- Pathophysiology of Peripheral Vestibular Hypofunction
- Pathophysiology of Persistent Postural Perceptual Dizziness (3PD)
- Pathophysiology of Meniere's Disease
- Differential Diagnosis - Orthostatic Hypotension
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5
Introduction to Vestibular Telehealth
- Vestibular Telehealth: Background, Epidemiology, and Evidence
- Patient appropriateness
- Structure of a Vestibular Telehealth Visit
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6
Preparation for a Vestibular Telehealth Visit
- Guidelines for use of Telehealth in PT practice
- Mandatory Safety Procedures and Emergency Response
- Preparing for the Vestibular Exam (Messaging)
- Pre-visit template
- Patient preparation video
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7
Vestibular Evaluation Flow/Template
- Vestibular Evaluation Template
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8
Subjective Examination
- Screening for Flags
- Pearls of Subjective Examination
- Application of Motivational Interviewing to Vestibular Exam
- Further reading (OPTIONAL)
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9
Red Flags
- Triage _ referral flow chart
- Triage_Referral Table
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10
Objective Examination
- VBI Testing
- Assessment of Nystagmus
- Spontaneous Nystagmus
- Gaze Evoked Nystagmus
- Eye Movement Range
- Smooth Pursuit
- Saccades
- Ocular Alignment: Cover Uncover and Cross Cover Tests
- Convergence
- HINTS
- Slow and Fast VOR
- VOR Cancellation
- Dynamic Visual Acuity
- Optokinetic Nystagmus
- Strategies for Virtual Examination of Eye Movements and Vestibular Function
- HINTS via Telehealth video
- BPPV testing via TH (Dix Hall Pike)
- BPPV testing: (Roll test)
- Oculomotor Exam via TH
- Cranial Nerve Exam via TH
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11
Acute vertigo : Screening and Differential Diagnosis
- Acute Vertigo: Introduction and Relevant Anatomy
- Misdiagnosis of Central Vertigo
- Acute vertigo (Screening Part 1)
- Acute Vertigo (Screening Part 2)
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12
Concussion
- Introduction to Concussion and its Subtypes
- Concussion Screening and Examination
- VOMS Testing via Telehealth
- Concussion Examination Template (Downloadable)
- Additional Recommended Readings for Concussion
- Leddy Article for Rehab for Concussion
- Leddy 2016 Article for rehab
- VOMS testing via TH
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13
Balance Examination
- Balance Subjective Examination
- Balance Subjective Exam Template
- Balance Objective Examination
- Balance Objective Exam Template
- Standardized Balance Outcome Measures
- Telehealth Pearls for Balance Examination
- 30 Sec Sit to Stand (video)
- 5 X Sit to Stand (video)
- Single leg stance test (video)
- mCTSIB (Video)
- FGA (Functional Gait Assessment) via TH
- DGI (Dynamic Gait Index)
- DGI- 4 via TH
- Berg Balance Scale via TH
- Multi-Directional Reach Test
- TUG - All 3 versions
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14
BPPV
- BPPV: BENIGN PAROXYSMAL POSITIONAL VERTIGO
- BPPV Examination
- BPPV: TH Clinical Pearls and Prognosis
- BPPV: Treatment
- BPPV CPG
- BPPV posterior canal test
- CRM R Posterior Canal
- DIx Hallpike test via TH
- Roll Test via TH
- Gufoni Maneuver
- Epley Maneuver via TH
- BBQ Maneuver
- Left CRM Post canal
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15
Cervicogenic Dizziness
- Cervicogenic Dizziness: Pathophysiology and typical patient presentation
- When do you refer for Imaging?
- Screening and differential diagnosis of cervicogenic dizziness
- Treatment of cervicogenic dizziness
- VBI testing via TH
- Cervical AROM
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16
Diagnostic Cluster (Downloadable for Clinicians)
- Diagnostic Criteria Resource List (Downloadable)
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17
Logs for patient
- Introduction to Patient Trackers
- Food tracker for patients
- Medication tracker for patients
- Symptom and Activity Tracker
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18
Patient Education Handouts
- Cervicogenic Dizziness
- Vestibular Migraine
- BPPV
- Myth Busting in the Vestibular World
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19
Standardized Outcome Measures
- ABC Scale
- DHI
- Motion Sensitivity Quotient (MSQ)
- Situational Vertigo Questionnaire
- Visual Vertigo Analogue Scale
- The Rivermead Post-Concussion Symptoms Questionnaire
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20
Case Studies
- Cervicogenic Dizziness
- Cervicogenic Dizziness Commentary
- Posterior Canal BPPV Case Study
- Posterior Canal BPPV Commentary
- Concussion Case Study
- Concussion Commentary
- Vestibular Hypofunction Case Study
- Vestibular Hypofunction Commentary
- Horizontal Canal BPPV Case Study
- Horizontal Canal BPPV Commentary
- Acute vertigo
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21
Post Test
- Written Exam - Vestibular Telehealth
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22
Abnormal Asynchronous Oculomotor videos (examples)
- Oculomotor video 1: vestibular neuritis
- Left Dix Hall Pike video
- Direction changing nystagmus