Diagnostic Maneuvers for BPPV
Presented by Jeff Walter
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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
Jeff Walter 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…
Chapters & learning objectives
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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