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Vestibular Rehabilitation Certificate

Advance your career in vestibular rehabilitation.

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About this Certificate Program

This certificate program is intended to enhance the clinician's ability to provide vestibular rehabilitation and identify indications for further medical/diagnostic consultation. This series of evidence-based courses uses a video case-based approach. Course content includes a review of detailed anatomy and physiology of the vestibular system, features of peripheral and central disorders, office based vestibular testing, treatment concepts to address vestibular loss and management of BPPV. Practical application to a variety of practice settings (outpatient, acute care, SNF, ER) will be discussed.

Target Audience

Physical Therapists
Physical Therapist Assistants
Occupational Therapists
Occupational Therapist Assistants

Goals & Objectives

  • Determine the appropriateness of vestibular rehabilitation and identify indications for further medical/diagnostic consultation.
  • Evaluate the appropriateness and effectiveness of canalith repositioning maneuvers.
  • Recognize and manage benign paroxysmal positional vertigo (BPPV) and other vestibular system disorders including unilateral vestibular disorders, unilateral vestibular disorders , bilateral vestibular disorders and central vestibular disorders.
  • Evaluate the patient with dizziness for vestibular dysfunction.
  • Recognize unilateral versus bilateral vestibular loss, BPPV and central etiology dizziness.
  • Design a treatment plan for vestibular loss and identify special considerations and “red flags” for peripheral vestibular loss, benign paroxysmal positional vertigo (BPPV) and central vestibular dysfunction.

What's Included in the Certificate Program

Courses
Accredited Online Courses*

16 hours of online video lectures and patient demonstrations.

Courses
Interactive Learning Assessments

Case-based quizzes to evaluate and improve clinical reasoning.

Courses
Case Study Interviews

Recorded Q&A sessions between instructors and practice managers.

Section 1: Vestibular Evaluation and BPPV

3 Chapters

Vestibular Rehabilitation: Vestibular Disorderskeyboard_arrow_down

Course
  • Introduction/Anatomy and PhysiologyChapter 1

    Become familiar with various sources of information regarding vestibular disorders. Identify common terminology utilized to describe vestibular related symptoms. Distinguish the structure and function of semicircular canal function from otolithic organs. Identify age related changes in otoconia. Recognize proper orientation of the vestibular organ, including semicircular canals, within the skull. Identify the vascular supply and neural innervations of the vestibular organ. Recognize central nervous system related eye movements.

  • BPPVChapter 2

    Recognize and discuss risk factors of BPPV. Describe the following BPPV subtypes: Canalithiasis, Cupulolithiasis. Recognize typical characteristics of BPPV. Identify patterns of nystagmus commonly related to BPPV. Recognize head positioning tests utilized to diagnose BPPV: Dix-Hallpike, Sidelying Test, Roll Test. Identify management options for BPPV.

  • Unilateral Vestibular Disorders (Fixed)Chapter 3

    Identify characteristics and management options for: Vestibular Neuritis, Anterior Vestibular Artery Ischemia, Labyrinthitis. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options for fixed unilateral vestibular disorders.

  • Unilateral Vestibular Disorders (Unstable)Chapter 4

    Identify characteristics and management options for: Meniere’s Disease, Vestibular Schwannoma, Superior Canal Dehiscence. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options for unstable unilateral vestibular disorders.

  • Bilateral Vestibular DisordersChapter 5

    Identify common etiology factors of bilateral vestibular disorders. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options.

  • Central Vestibular DisordersChapter 6

    Identify characteristics of: Posterior circulation TIA / CVA, Cerebellar Degeneration, Arnold Chiari Malformation, Multiple Sclerosis, Head Injury. Recognize common abnormal examination findings. Identify common laboratory findings. Identify management options.

  • View full course details »

Vestibular Rehabilitation: Office Examination of the Vestibular Systemkeyboard_arrow_down

Course
  • Introduction, Anatomy and PhysiologyChapter 1

    Recognize proper orientation of the vestibular organ within the skull. Identify relevant structure and function of the following: semicircular canals, otolithic organs. Identify canal-specific eye movements related to the vestibular ocular reflex. Recognize CNS related oculomotility/stability systems.

  • Systems Review and Introduction to Lab TestingChapter 2

    Recognize indications for lab based labyrinthine function testing. Describe the following tests and recognize the implications of the following: audiogram, videonystagmography, vestibular evoked myogenic potential testing, sensory organization test.

  • History of the Dizzy PatientChapter 3

    Recognize key features to discern regarding the patient’s symptoms. Identify “red flags” from a patient’s history which may indicate CNS related dizziness.

  • Oculomotor ExaminationChapter 4

    Perform appropriate history intake. Identify necessary testing equipment including tools that promote fixation block. Appropriately perform and interpret the following tests: oculomotility/stability battery, head thrust, head heave, post-head shake induced nystagmus, hyperventilation induced nystagmus, dynamic visual acuity. Identify features of peripheral vs central nervous system related nystagmus.

  • Balance/ Postural Control TestingChapter 5

    Appropriately perform and interpret the following tests: CTSIB testing, Fukuda Step Test, gait assessment.

  • BPPV Related TestingChapter 6

    Appropriately perform and interpret the following tests for identification of Benign Paroxysmal Positional Vertigo (BPPV): Dix-Hallpike, sidelying tests, roll test.

  • View full course details »

Vestibular Rehabilitation: Identification and Management of BPPVkeyboard_arrow_down

Course
  • IntroductionChapter 1

    Become familiar with various sources of information regarding BPPV management. Identify common terminology utilized to describe vestibular related symptoms. Recognize demographic/ prevalence data regarding BPPV.

  • Anatomy and PhysiologyChapter 2

    Recognize proper orientation of the vestibular organ within the skull. Identify relevant structure and function of the following: semicircular canals, otolothic Organs. Discuss age-related changes in otoconia.

  • PathophysiologyChapter 3

    Recognize and discuss risk factors. Describe the following BPPV subtypes: canalithiasis, cupulolithiasis. Recognize typical characteristics of: BPPV, central nervous system related positional dizziness.

  • ExaminationChapter 4

    Identify patterns of nystagmus commonly related to BPPV. Appropriately perform head positioning tests: Dix-Hallpike, sidelying test, roll test, bow and lean test. Recognize modifications to examination based on patient-related movement / position limitations. Recognize alternative causes of positional dizziness.

  • Treatment Maneuvers/Management GuidelinesChapter 5

    Appropriately perform canalith repositioning maneuvers: modified Epley’s Maneuver, Liberatory (Semont’s) Maneuver, Gufoni’s Maneuver. Recognize modifications to treatment based on patient related movement / position limitations. Recognize positive prognostic indicators of an effective maneuver.

  • Management Guidelines/EfficiencyChapter 6

    Recognize post-treatment guidelines. Identify special considerations for testing and treatment modification. Identify prevention strategies. Instruct patient in appropriate self-treatment guidelines.

  • View full course details »

Section 2: Vestibular Case Studies

1 Chapters

Vestibular Rehabilitation: Case Studies, Rehabilitative Treatment Design and Advanced Conceptskeyboard_arrow_down

Course
  • Case Study 1Chapter 1

    Identify differentiating features regarding patient history. Recognize common abnormal examination findings. Identify management options based on patient history and examination findings.

  • Treatment ConsiderationsChapter 2

    Design appropriate treatment exercises to promote compensation for lost vestibular function, including oscillopsia and imbalance.

  • Case Study 2Chapter 3

    Identify differentiating features regarding patient history. Perform and interpret testing maneuvers appropriately. Identify patterns of nystagmus commonly related to BPPV. Instruct individuals in self-treatment maneuvers.

  • Case Study 3Chapter 4

    Recognize abnormal examination findings. Discuss management options based on patient history and examination findings.

  • BPPV CasesChapter 5

    Recognize examination findings that may mimic BPPV. Identify examination features of horizontal canal and cupulolithiasis type. Administer appropriate treatment maneuvers for horizontal canal BPPV and cupulolithiasis type.

  • Special Considerations & Red FlagsChapter 6

    Recognize abnormal examination findings, which may indicate abnormal central vestibular function or limit investigation of the peripheral vestibular system.

  • View full course details »
Instructors
Jeff Walter

PT, DPT, NCS

CEU Approved

16 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central

       MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services

    MedBridge has created a cost-effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.

When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.

*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.

Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.

How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.

Sample Certificate

Sample Certificate

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Certificate Program
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