Course curriculum

  • 1

    Welcome

    • Welcome!
    • Terms and Conditions
  • 2

    Anatomy of the Vestibular System

    • Vestibular System Overview
    • Anatomy of Peripheral Vestibular System
    • Anatomy of Central Vestibular System
  • 3

    Physiology of Vestibular System

    • Physiology of Vestibular System
  • 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
  • 5

    Introduction to Vestibular Telehealth

    • Vestibular Telehealth: Background, Epidemiology, and Evidence
    • Patient appropriateness
    • Structure of a Vestibular Telehealth Visit
  • 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
  • 7

    Vestibular Evaluation Flow/Template

    • Vestibular Evaluation Template
  • 8

    Subjective Examination

    • Screening for Flags
    • Pearls of Subjective Examination
    • Application of Motivational Interviewing to Vestibular Exam
    • Further reading (OPTIONAL)
  • 9

    Red Flags

    • Triage _ referral flow chart
    • Triage_Referral Table
  • 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
  • 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)
  • 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
  • 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
  • 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
  • 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
  • 16

    Diagnostic Cluster (Downloadable for Clinicians)

    • Diagnostic Criteria Resource List (Downloadable)
  • 17

    Logs for patient

    • Introduction to Patient Trackers
    • Food tracker for patients
    • Medication tracker for patients
    • Symptom and Activity Tracker
  • 18

    Patient Education Handouts

    • Cervicogenic Dizziness
    • Vestibular Migraine
    • BPPV
    • Myth Busting in the Vestibular World
  • 19

    Standardized Outcome Measures

    • ABC Scale
    • DHI
    • Motion Sensitivity Quotient (MSQ)
    • Situational Vertigo Questionnaire
    • Visual Vertigo Analogue Scale
    • The Rivermead Post-Concussion Symptoms Questionnaire
  • 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
  • 21

    Post Test

    • Written Exam - Vestibular Telehealth
  • 22

    Abnormal Asynchronous Oculomotor videos (examples)

    • Oculomotor video 1: vestibular neuritis
    • Left Dix Hall Pike video
    • Direction changing nystagmus