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1. Identify and implement treatment strategies for dizziness caused by BPPV
2. Evaluate and diagnose central and peripheral vertigo
3. Demonstrate steps to conduct a detailed oculomotor analysis
4. Perform manual canalith repositioning techniques
5. Perform functional balance assessment and treatment
6. Understand the epidemiology of dizziness and falling
7. Develop personalized treatment regimens to address specific vertiginous and imbalance systems
8. Understand the pathophysiology of common vestibular disorders
9. Apply anatomy and physiology principles as they relate to the vestibular complex and balance systems

INTRODUCTION TO VESTIBULAR REHABILITATION

• Epidemiology of dizziness and falling
• Role of the vestibular system and its contribution to daily activity

ANATOMY & PHYSIOLOGY OF THE VESTIBULAR SYSTEM

• Vestibular complex
  • Peripheral and central components
• Balance systems
  • Proprioceptive, visual, and vestibular
  • Motor control and strategies

PATHOPHYSIOLOGY & CLINICAL PRESENTATION OF VESTIBULAR DISORDERS

• Unilateral/bilateral vestibular loss
• Benign paroxysmal positional vertigo (BPPV)
• Perilymphatic fistula
• Superior semicircular canal dehiscence
• Meniere’s disease and migraines
• Concussion
• Transient ischemic attack (TIA)/cerebrovascular accident (CVA)
• Cervical vertigo
• Orthostatic hypotension

DIAGNOSTIC TESTS & EVALUATION PROCEDURES

• Differentiate central vs. peripheral vestibular pathology
• Oculomotor exam
  • Spontaneous and gaze-holding nystagmus
  • Smooth pursuit and saccades
  • Visual acuity
  • VOR cancellation
• Vertical and horizontal nystagmus
• Torsional nystagmus 
• Positional testing
  • Roll test
• Vestibular function testing
  • ENG and VNG
  • Cervical and ocular VEMPs
  • Subjective visual vertical
  • Caloric and rotary chair testing
• Balance testing

TREATMENT PROGRESSION LAB 

• Berg and DGI
• TUG (standard, manual, cognitive)
• Gait assessment
• Gaze stabilization
  • X1 and X2 viewing
  • Vestibular adaptation and habituation
  • Canalith repositioning techniques
    • Anterior, posterior, and horizontal canals
    • Apiani and Cassani maneuvers
    • Liberatory and Brandt-Daroff maneuvers
  • Cervical exercises
  • Static and dynamic balance exercises
  • Functional retraining
  • Self-treatment and HEP

CASE STUDIES

Chris Carpino, MPT, is a licensed physical therapist practicing in southern New Jersey, and specializes in Vestibular Rehabilitation. Mr. Carpino has completed Vestibular Competency training at Emory University and achieved certification in Vestibular Rehabilitation from the American Institute of Balance in Largo, Florida. He is currently developing the vestibular program at Bayada Home Health, with staff training and marketing. Mr. Carpino is an adjunct instructor at Burlington County College, where he teaches Anatomy and Physiology. He received his Bachelor of Science degree in Exercise Science from James Madison University in Harrisonburg, Virginia. He obtained his Master of Physical Therapy degree from Richard Stockton College in Pomona, New Jersey. Currently, Mr. Carpino practices in southern New Jersey, where he treats patients of various orthopedic and neurological diagnoses. His strengths in rehabilitation include orthopedics, vestibular rehabilitation and manual therapy. Mr. Carpino’s goal as a clinician is to utilize all of his skills to treat the patient as a whole, not just the symptoms.

Speaker Disclosures:

Financial: Chris Carpino has an employment relationship with Bayada Home Health Care. He receives a speaking honorarium from PESI, Inc.

Non-financial: Chris Carpino is a member of the America Physical Therapy Association, Neurology Section.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.1 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.1 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Speech-Language Pathologists & Audiologists
This course contains 5.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

Kansas Speech-Language Pathologists: Approved for 6.0 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.

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Other Professions
This self-study activity qualifies for 5.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Audiologists
• Physicians