Diagnostic Maneuvers for BPPV

presented by Jeff Walter, DPT, NCS

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Disclosure Statement:

Financial: Jeff Walter receives compensation from MedBridge for this course and Education Resources, Inc. There is no financial interest beyond the production of this course.

Nonfinancial: Jeff Walter has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 46 Minutes; Learning Assessment Time: 34 Minutes

This course will review positioning tests utilized in the differential diagnosis of positional dizziness and will include testing for posterior and horizontal canal canalithiasis and cupulolithiasis. Instruction will emphasize proper performance and interpretation of diagnostic maneuvers. Training in the following diagnostic maneuvers will be included: loaded Dix-Hallpike test, sidelying test, half Dix-Hallpike, reverse Dix-Hallpike, supine roll test, and bow and lean test. Testing-related management guidelines will be reviewed. Modification of testing for individuals with mobility restrictions will be discussed. Demonstration of maneuvers and case-based videos will be utilized to reinforce teaching objectives. The course is appropriate for audiologists and occupational/physical therapists and assistants.

Meet Your Instructor

Jeff Walter, DPT, NCS

Jeff Walter, DPT, NCS, is the director of the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, Pennsylvania. His clinical practice focuses on vestibular diagnostic testing and vestibular rehabilitation. He is an adjunct faculty member at Misericordia University's Department of Physical Therapy and a graduate of the University of Wisconsin with a…

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1. Testing for Posterior Canal Canalithiasis

Instruction will emphasize optimal testing maneuvers for posterior canal canalithiasis. Proper performance of diagnostic maneuvers is essential to optimize test sensitivity for identification of BPPV. Training in the following diagnostic maneuvers will be included: loaded Dix–Hallpike and sidelying test.

2. Testing for Posterior Canal Cupulolithiasis

This chapter will review suggested testing maneuvers for posterior canal cupulolithiasis. Proper performance of diagnostic maneuvers is essential to optimize test sensitivity for identification of BPPV. Training in the following diagnostic maneuvers will be included: half Dix–Hallpike and reverse Dix–Hallpike.

3. Testing for Horizontal Canal Canalithiasis and Cupulolithiasis

Suggested testing maneuvers for horizontal canal canalithiasis and cupulolithiasis will be reviewed. Proper performance of diagnostic maneuvers is essential to optimize test sensitivity for identification of BPPV. Training in the following diagnostic maneuvers will be included: supine roll test and bow and lean test.

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