Vestibular Examination: Oculomotor Testing

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: 77 Minutes; Learning Assessment Time: 24 Minutes

This course will focus on instruction to enhance a clinician's ability to select, administer, and interpret oculomotor testing in individuals presenting with vestibular-related complaints. Content will include training on findings suggestive of unilateral vs. bilateral vs. central vestibular involvement. An emphasis will be placed on testing of the vestibulo-ocular reflex. Recognizing a deficiency in the vestibulo-ocular reflex can be an indication for the use of vestibular rehabilitation. Testing will include oculomotor screening, dynamic visual acuity, head impulse, head shake, hyperventilation, and mastoid vibration testing. Video case examples will be reviewed to facilitate application of content. This course will also include a question-and-answer session with Neil Shepard, PhD, regarding laboratory-based vestibular function testing. 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 assistant Professor of Physical Therapy in the Neuroscience Institute at Geisinger Commonwealth School of Medicine. He is an associate faculty…

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1. Oculomotor Examination

Instruction will focus on completion of essential oculomotor screening. Findings of central vs. peripheral vestibular involvement will be reviewed, which is critical for the purposes of differential diagnosis. Case-based video examples will be reviewed to reinforce content.

2. Vestibular-Ocular Reflex Testing: Part 1

Training will emphasize functional testing of the vestibulo-ocular reflex (VOR). Proper performance and interpretation of VOR testing will be reviewed. Identification of head-motion-induced oscillopsia is one of the chief indications for vestibular rehabilitation.

3. Vestibular-Ocular Reflex Testing: Part 2

4. Vestibular Function Tests

Content will focus on common laboratory-based vestibular function tests that can be helpful in defining the site of lesion in individuals with vestibular system disorders. This chapter will include a question-and-answer session with Neil Shepard, PhD.

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