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1. Perform assessment techniques for vestibular patients with proper technique and appropriate patient-specific modifications.
2. Analyze findings of a vestibular assessment to determine a therapy diagnosis.
3. Recognize key subjective reports to further enhance evaluation and differential diagnosis skills.
4. Evaluate findings that assist in differentiation of central, peripheral and cervicogenic dizziness.
5. Formulate a plan of care based on findings from assessments to improve functional outcomes.
6. Select proper treatment techniques from evidence-based guidelines for vestibular rehabilitation.
7. Evaluate prognosis based on accurate diagnostic procedures.
8. Develop appropriate goals for patients considering complete medical history and presenting factors that may modify rehab outcomes.

ASSESSMENT TECHNIQUES FOR DIFFERENTIAL DIAGNOSIS

• Position modifications for patients with mobility limitations or in environments with limited space such as home health or acute care
• Clinical decision-making large group activity to apply assessment techniques and interpret findings
• Recognize assessment findings that indicate central, peripheral, and cervicogenic dizziness diagnoses
• Determine a therapy diagnosis based on patient history, onset, symptoms and assessment

MEDICAL DIAGNOSES AND PROGNOSIS:
PERIPHERAL & CENTRAL ORIGIN

• Benign Paroxysmal Positional Vertigo
• Vestibular neuronitis, labyrinitis
• Meniere’s disease, endolymphatic hydrops, acoustic neuroma
• Central vertigo: CVA, multiple sclerosis, migraine-associated
• Cervicogenic vertigo
• Post-concussion syndrome
• Sensory integration/Multi-factorial balance dysfunction

EXAM LAB

• Clearing cervical spine: mVAT, Sharp-Purser test
• Occulomotor exam: Smooth pursuit, Saccades, Vergence and visual acuity
• Vestibular exam: Head thrust, Head-Shaking Nystagmus, Hallpike-Dix, Roll Test
• Assessing nystagmus: Horizontal, vertical, torsional
• Motion sensitivity quotient
• Balance assessment: mCTSIB, Dynamic Gait Index, Gait

VESTIBULAR REHABILITATION:
DEVELOPING A PATIENT-SPECIFIC TREATMENT PLAN

• Canalith repositioning maneuvers: Epley maneuver, BBQ roll / quick BBQ roll, Cassani, Appiani, Brandt-Daroff Exercises
• Gaze stabilization: Basic and advancements
• Balance progression
• Sensory integration in balance
• Evidence-based Functional Assessment Tools
• Vestibular EDGE recommendations from the Academy of Neurologic Physical Therapy
• Direct each of the 4 areas of treatment for vestibular rehabilitation

Colleen Sleik, PT, DPT, OCS, NCS, is a licensed physical therapist, specializing in the treatment of patients with vestibular disorders when other forms of medical management have failed. Dr. Sleik founded a private practice in 2010 with the primary focus of treating patients with vestibular conditions. She continues to work as a specialist at Dickenson Rehab Services where more than 90% of her caseload consists of patients with vestibular and balance disorders.

Dr. Sleik graduated from The College of St. Catherine with a Master’s in physical therapy. She earned a transitional Doctor of physical therapy degree through The University of St. Augustine, Florida, and completed the Competency-Based Vestibular Rehabilitation course through Emory University in Atlanta, Georgia. In addition to board-certification as an Orthopaedic Clinical Specialist and Neurologic Clinical Specialist, Dr. Sleik is a member of the American Physical Therapy Association, including the Academy of Neurologic Physical Therapists, and the Vestibular Special Interest Group.

She began teaching continuing education courses in vestibular rehabilitation with the purpose of improving clinicians’ knowledge in the specialty of vestibular rehabilitation and ultimately improving the quality of patient care. Dr. Sleik’s goal as a clinician is to provide her patients with the best care available for return to daily function with minimal limitations, while also providing the tools for long-term self-management of symptoms.

Speaker Disclosures:
Financial: Colleen Sleik is the owner of Focus on Function Physical Therapy, PC and has an employment relationship with Bellin Health and Aegis Therapies. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Colleen Sleik is a member of the American Physical Therapy Association, the Academy of Neurologic Physical Therapists, and the Vestibular Disorders Association.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Athletic Trainers
PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 6.25 hours of Category A continuing education.

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Audiologists - Credit Available Until: 7/31/2024

This course is offered for .6 ASHA CEUs (Intermediate level, Professional area). **ASHA CEUs are available on this course from 08/01/2019 to 07/31/2024. PESI, Inc. will submit ASHA CEU Requests to the ASHA CE Registry on a monthly basis; ASHA CEU Requests received before 08/01/2019 or after 07/31/2024 cannot be reported.

AUDIOLOGISTS ONLY: To be reported to ASHA, while completing the online post-test/evaluation, please answer YES to the question: “Are you a Speech-Language Pathologist and/or Audiologist requesting to have your credit hours reported to the ASHA CE Registry to earn ASHA CEUs?" and include your ASHA number. After completing and passing the online post-test/evaluation, your information will automatically be sent to cepesi@pesi.com to be reported. If you forget to answer yes, please send an email to cepesi@pesi.com with the following information: full title of the activity, speaker name, date of live broadcast, date you completed the post-test, and your name and your license number.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 6/13/2022
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.25 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.25 clock hours of continuing education instruction.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Physicians

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapist Assistants
• Audiologists
• Athletic Trainers
• Physicians