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Safe Strides: A Cmprehensive & Vestibular Curse 1 Offering Dcumentatin EDI Ttal number f cntact hurs: 19.5 hurs (14.5 ILT + 5 SP) Bard accreditatins: 19.5 AL PT, 19.5 AR PT, 1.95 CA PT, 19.5 CT PT, 19.0 FL PT, 1.95 GA PT, 19.5 IL PT, 13.75 KS PT, 19.5 KY PT, 19.5 LA PT, 1.9 MD PT, 14.5 MN PT, 19.5 MS PT, 19.5 NM PT, 1.5 NV PT, 19.5 OH PT, 19.5 OK PT (5.0 Categry B and 14.5 Categry A), 19.5 PA PT, 19.5 TX PT, 19.5 VA PT (14.5 Type 1, 5.0 Type 2), 19.5 WV PT, 19.5 WY PT, 23.4 FL OT, 1.95 AOTA Purpse: T prvide educatin t Physical Therapists and Physical Therapy Assistants abut the vestibular, smatsensry, and ther systems affect n balance, t enable them t prvide a cmprehensive treatment plan fr patients wh are at risk fr falls. List the educatinal bjectives Upn cmpletin f this activity, the learner will be able t: Explain the significance f balance in identifying and implementing effective treatments fr preventing falls in patients wh are at risk Identify the anatmical structures respnsible fr perceptin f mvement and recgnize their physilgical functins and affect n balance Cntent (Tpics) Prvide an utline f the cntent/tpic presented and indicate t which bjectives(s) the cntent/tpic is related. Intrductin/Overview f Safe Strides Specialty Imprtance f Bdy Systems that Affect and Treatment Mdalities f the Safe Strides Specialty Patient Outcmes Anatmy and Physilgy (A&P) f the Vestibular System Anatmy f the inner ear Vascular supply t the inner ear Vestibul-Ocular Reflex (VOR) Central Nervus System use f Vestibular Input A&P f the Vestibular System validatin and applicatin f knwledge Prvide a time frame fr the tpic/ cntent area List the presenter fr each tpic. 1 hur prfessinal minimum f ne year experience r 2.5 hurs ttal 1.5 hurs 1 hur apprved t the AVP f Neurlgical Specialties r List the teaching strategies by each presenter fr each tpic r cntent area. Micrsft Pwer Pint Presentatin delivered during an Instructr Led Pre-requisite t Wrkbk with activities and Cmprehensin Identify the Structure, Arrangement and Pairing, and Vestibular Pipe Cleaner Activities Gentiva Health Services, 2007 Safe Strides Offer Dc-Rev01/08

Safe Strides: A Cmprehensive & Vestibular Curse 2 Describe the etilgy f and findings fr balance disrders Classify BPPV and nystagmus, including hw they are diagnsed and treated List Cmmn Cmplaints in patients with BPPV Demnstrate apprpriate testing and treatments Perfrm an Oculmtr Exam and Interpret the results Cntent (Tpics) Disrder Etilgy What is? Dizziness vs. Vertig Central vs. peripheral rigins Clinical findings in patients with: Unilateral Vestibular Lss (UVL) Bilateral Vestibular Lss (BVL) Central Vestibular Lss (CVL) Disrder Etilgy validatin and applicatin f knwledge Benign Parxysmal Psitinal Vertig (BPPV) BPPV Defined Tw Theries f BPPV Cmmn Patient Cmplaints Nystagmus Hw BPPV is Diagnsed and Treated Oculmtr Exam Nrmal vs. Abnrmal Eye Mvements Cnducting and Interpreting an 2 hurs ttal 1 hur prfessinal minimum f ne year experience r apprved t the AVP f Neurlgical Specialties r A&P f Vestibular System Quiz Pre-requisite t Wrkbk with activities, jb aids and Cmprehensin 1 hur Disrder Etilgy Jepardy and Quiz 4 hurs DVD - used Instructr Led Micrsft Pwer Pint Presentatin BPPV Step-by- Step & Treatment Jb Aid Vides, demnstratin testing Cmprehensin 2.5 hurs DVD - used Instructr Led Micrsft Pwer Gentiva Health Services, 2007 Safe Strides Offer Dc-Rev01/08

Safe Strides: A Cmprehensive & Vestibular Curse 3 Cntent (Tpics) Evaluate patients with Peripheral Neurpathy and implement apprpriate treatment mdalities Differentiate amng the mechanisms f vestibular recvery and hw these impact selectin f treatment Oculmtr Exam Peripheral Neurpathy Definitin and Causes Tests used t diagnse Pharmaclgical Interventins Therapy Treatment Mdalities Patient Educatin Mnfilament Transcutaneus Electrical Nerve Stimulatin (TENS) Sensry Integratin Substitutin Alternative Therapies Mnchrmatic Infrared Light Energy (MIRE) Peripheral Neurpathy validatin and applicatin f knwledge Scientific Basis f Vestibular Rehabilitatin Mechanism f Vestibular Recvery Treatment Principles in Vestibular Rehabilitatin Adaptatin Habituatin 2 hurs ttal 1 hur 1 hur prfessinal minimum f ne year experience r apprved t the AVP f Neurlgical Specialties r 1.5 hurs prfessinal minimum f ne year experience r Pint Presentatin OE Jb Aid Vides, demnstratin testing Cmprehensin Pre-requisite t Wrkbk with activities, jb aid and Cmprehensin Mnfilament Prcedure Jb Aid and Activity, Guidelines fr use f MIRE, Quiz, Demnstratin exercises DVD - used Instructr Led Micrsft Pwer Pint Presentatin Eye Exercise Gentiva Health Services, 2007 Safe Strides Offer Dc-Rev01/08

Safe Strides: A Cmprehensive & Vestibular Curse 4 Cntent (Tpics) mdalities and the patient s rehabilitatin Substitutin fr each treatment principle apprved t the AVP f Neurlgical Specialties r Jb Aid Demnstratin Cmprehensin List types f balance tests available Select the apprpriate test based n assessment data Accurately perfrm and interpret balance tests Dysfunctin Types f testing Cre Tests Tinetti Gait and Assessment Berg Scale (BBS) Dynamic Gait Index (DGI) Mdified Clinical Test f Sensry Interactin n (m-ctsib) Activities-Specific Cnfidence Scale (ABC) d Up and G Test (TUG) 2 hurs prfessinal minimum f ne year experience r apprved t the AVP f Neurlgical Specialties r DVD - used Instructr Led Micrsft Pwer Pint Presentatin Mtin Sensitivity Qutient Psitins, m- CTSIB, TUG and ther Jb Aids, Chse the Apprpriate Test Activity DVD Demnstratin Cmprehensin Optinal Tests d Single Leg Stand (Eyes Open) Sharpened Rmberg Functinal Reach Test Fur Square Step Test Fukuda Step Test Mtin Sensitivity Qutient Gentiva Health Services, 2007 Safe Strides Offer Dc-Rev01/08

Safe Strides: A Cmprehensive & Vestibular Curse 5 Cntent (Tpics) Identify central cnnectins f the balance system and their interrelatinship with pstural cntrl Interpreting results Central Cnnectins and Pstural Cntrl Define Relevant Terms Systems f Central Prcessing Adaptive Mechanisms Anticipatry Mechanisms Cnscius/Cgnitive Behaviral Cmpnents Pstural Cntrl Vestibular Reflexes Invlved in Pstural Cntrl Effects f Aging n Pstural Cntrl Central Cnnectins and Pstural Cntrl validatin and applicatin f knwledge 2 hurs ttal 1.5 hurs.5 hurs prfessinal minimum f ne year experience r apprved t the AVP f Neurlgical Specialties r Pre-requisite t Wrkbk, jb aid and Cmprehensin m-ctsib test Jb Aid and Central Cnnectins Quiz Demnstratin Nte: Pre-wrk = 1.5 hur + 1.0 hur + 1.0 hur + 1.5 hur = 5.0 hurs Gentiva Health Services, 2007 Safe Strides Offer Dc-Rev01/08