This modular course explores various aspects of vestibular assessment. Part one introduces Computerized Dynamic Posturography as a tool audiologists can use to objectively quantify a patient’s balance. Part two covers the basics of vHIT testing as well as the test’s sensitivity and specificity to central and peripheral impairments. Part three reviews key elements to the administration, interpretation and clinical application of rotational vestibular testing. Part four reviews the fundamentals of VEMP testing - the physiology underlying the cervical and ocular VEMPs as well as testing protocols that provide the most useful information for various pathologies.
Course created on July 31, 2015
- After this course learners will be able to explain how to interpret the performance results of the Sensory Organization Test, Motor Control Test, and Adaptation tests and explain how to integrate the performance results of Computerized Dynamic Posturography into clinical decision making.
- Participants will be able to describe the clinical implications for performing head impulse testing and explain clinical findings and their interpretation from various vHIT results.
- As a result of this Continuing Education Activity, participants will be able to discuss the administration and interpretation of two primary tests of rotational vestibular testing as well as its clinical application.
- After this course, participants will be able to describe the different modalities currently available to perform VEMP testing including different types of stimuli, different measurement sites and outcome parameters and explain how to determine if a patient needs a different type of information than what the routine VEMP testing provides.
|0-60 Minutes||Computerized Dynamic Posturography|
|60-120 Minutes||Update on Vestibular Head Impulse Testing (vHIT)|
|120-180 Minutes||Fundamentals of Rotational Vestibular Assessment|
|180-240 Minutes||Vestibular Evoked Myogenic Potential (VEMP) Testing|
Major Carrie Hoppes is an Active Duty Army Physical Therapist. She graduated from Lock Haven University of Pennsylvania in 2003 and the U.S. Army Baylor-University Doctoral Program in Physical Therapy is 2006. Dr. Hoppes is a Board Certified Clinical Specialist in both Neurologic and Orthopaedic Physical Therapy, a Certified Athletic Trainer, and a Certified Strength and Conditioning Specialist. She has served as the Chief of Inpatient Physical Therapy at Walter Reed Army Medical Center, National Naval Medical Center – Bethesda, and San Antonio Military Medical Center. She has also served as the Chief of Amputee Physical Therapy at the Military Advanced Training Center and as the Officer in Charge of Physical Therapy at the Center for the Intrepid. In 2007-2008, she served in support of Operation Iraqi Freedom in Taji, Iraq. Major Hoppes is currently pursuing a PhD in Rehabilitation Science from the University of Pittsburgh.
Devin L. McCaslin, PhD
Assistant Professor, Department of Hearing and Speech Sciences, Vanderbilt University
Devin McCaslin completed his doctoral work at The Ohio State University and is currently the co-director of the Vanderbilt Balance Disorders Clinic and Associate Director of Adult Audiology at the Vanderbilt Bill Wilkerson Center. Dr. McCaslin’s major academic, clinical and research interests relate to clinical electrophysiology, tinnitus and vestibular assessment. He is currently the Deputy Editor-in-Chief of the Journal of the American Academy of Audiology, and has served on the American Academy of Audiology Board of Directors.
Dr. Chris Zalewski received his undergraduate from The Pennsylvania State University, his Masters in Audiology from The University of Maryland, and his Ph.D. in Audiology from Gallaudet University. Chris has served as a clinical research audiologist with the National Institutes on Deafness and Other Communication Disorders (NIDCD) at the National Institutes of Health (NIH) since 2002. His primary focus is the investigation of the auditory and vestibular phenotype of rare diseases. Chris has also maintained a regular appointment as an adjunct faculty member at the University of Maryland since 2000. He has been a board member of the American Balance Society since 2013 and is completing a 3-year term as a board liaison to the SAAA committee for the American Academy of Audiology. His primary interest is in vestibular physiology and balance disorders with an emphasis on rotational testing, otolith assessment and the genetics of rare diseases. In addition, Chris also has a personal interest in the historical perspectives of medicine and, in particular, vestibular science.
Geraldine Zuniga, MD
Devin McCaslin: Financial: Devin McCaslin is currently the co-director of the Vanderbilt Balance Disorders Clinic and Associate Director of Adult Audiology at the Vanderbilt Bill Wilkerson Center. He has participated in research related to clinical electrophysiology, tinnitus and vestibular assessment. Dr. McCaslin has received an honorarium for presenting this course. Non-Financial: Dr. McCaslin has served on the American Academy of Audiology Board of Directors.Karen Lambert: Financial: Karen Lambert has no relevant financial relationships to disclose. Non-Financial: Karen Lambert was a member of the VEDGE task force (Vestibular Evaluation Database to Guide Effectiveness), Neurology Section of the American Physical Therapy Association.
Chris Zalewski: Financial: Chris Zalewski received an honorarium for presenting this course. He has participated in research activities investigating auditory and vestibular phenotype of rare diseases. Non-financial: Chris Zalewski is a board member of the American Balance Society, and board liaison to the Student American Academy of Audiology Committee.
Geraldine Zuniga: Financial: Geraldine Zuniga received an honorarium for presenting this course. Non-financial: Geraldine Zuniga has no non-financial relationships to disclose.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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American Academy of Audiology
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Australian College of Audiology
AudiologyOnline courses are approved for Continuing Education Points by the Australian College of Audiology. Automatic ACAud Approval Number 20000. This course is offered for 4 CEP.
British Academy of Audiology
This course has been accredited with 4 CPD point/s by the British Academy of Audiology.
Canadian Academy of Audiology
The Canadian Academy of Audiology (CAA) supports and assists its members in the attainment of continuing education towards an individual professional development plan as required by their Provincial Regulatory Colleges and Provincial Associations. Audiology Online is an approved provider of educational activities for CAA members. Each hour of activity may be counted as one Continuous Learning Activity Credit (or equivalent) as allowed by the applicable regulatory college or association.
California Speech-Language Pathology & Audiology Board
AudiologyOnline.com is approved by the California Speech-Language Pathology and Audiology Board as a Continuing Professional Development Provider, approval number PDP 267. This course may meet the requirements for 4 hours of continuing education credit for audiologists as required by the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board. The responsibility for determining whether or not this specific course counts toward an individual's requirements for license renewal is up to the individual. Please refer to the CA state board rules regarding allowable topics and self-study limits: http://www.speechandhearing.ca.gov/licensees/ce_req.shtml
International Hearing Society
This program is approved by the International Hearing Society and its educational committee, the International Institute for Hearing Instruments Studies. To learn more about earning IHS CE Credit, click here.
Kansas Department for Aging and Disability Services
Kansas Department of Health and Environment: Approved for 4 continuing education clock hours for Kansas licensed Audiologists by the Kansas Department for Aging and Disability Services. Long-Term Sponsorship number LTS-S0035.
New Zealand Audiological Society
This course is offered for 3.0 Continuing Education points through the New Zealand Audiological Society.
Speech-Language & Audiology Canada
Clinically certified members of Speech-Language & Audiology Canada (SAC) can accumulate continuing education equivalents (CEEs) for their participation with AudiologyOnline. One hour of coursework equals 1 CEE. All SAC members are encouraged to participate in on-going education.
American Board of Audiology
This Continuing Education activity represents 4 Tier 1 continuing education hours toward the American Board of Audiology recertification requirements.