Benign Paroxysmal Positional Vertigo (BPPV): Evaluation and Treatment
Benign paroxysmal positional vertigo (BPPV) is a common condition that can cause debilitating vertigo and contribute to increased fall risk and functional decline. This module outlines the symptoms of this condition and demonstrates how to perform clinical tests and treatment maneuvers for each type of BPPV. Modifications of the common tests and treatment positions are presented to enable clinicians to apply these techniques to the majority of their patients. Evidence-based recommendations for comprehensive care of individuals with BPPV are discussed.
The goal of this course is to provide physical therapy and occupational therapy professionals with an understanding of clinical assessment and treatment options for patients with BPPV.
Benign paroxysmal positional vertigo (BPPV) is a common condition that can cause debilitating vertigo and contribute to increased fall risk and functional decline. This module outlines the symptoms of this condition and demonstrates how to perform clinical tests and treatment maneuvers for each type of BPPV. Modifications of the common tests and treatment positions are presented to enable clinicians to apply these techniques to the majority of their patients. Evidence-based recommendations for comprehensive care of individuals with BPPV are discussed. The goal of this course is to provide physical therapy and occupational therapy professionals with an understanding of clinical assessment and treatment options for patients with BPPV.
Alabama State Board of Physical Therapy
The Alabama Board of Physical Therapy recognizes the completion of distance learning courses as maintenance of continuing competence. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Alaska Board of Physical Therapy
The Alaska State Physical Therapy and Occupational Therapy Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Arizona Board of Physical Therapy Examiners
Arizona State Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
CA Physical Therapy Board of California
Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.00 contact hours.
Colorado Physical Therapy Licensure
The Colorado State Physical Therapy Board accepts Continuing Education courses as relevant to the licensee’s practice as a physical therapist and pertinent to his/her Learning Plan and goals. This course meets the requirements for Category I credit. This activity is approved for 1.00 contact hours.
Connecticut Physical Therapy Licensing
The Connecticut State Board of Examiners for Physical Therapists accepts internet-based and distance learning opportunities provided such coursework is related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Delaware Examining Board of Physical Therapists and Athletic Trainers
The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Florida Board of Physical Therapy
The Florida Board of Physical Therapy accepts courses approved by any state chapter of the American Physical Therapy Association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Georgia State Board of Physical Therapy
The Georgia State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX.
This activity is approved for 1.00 contact hours.
Idaho Physical Therapy Licensure Board
The Idaho Physical Therapy Licensure Board accepts Continuing Education courses sponsored by any section or chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Illinois Division of Professional Regulation of Physical Therapists
Relias LLC is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.00 contact hours.
Indiana Physical Therapy Committee
The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Iowa Board of Physical and Occupational Therapy
The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Kansas Board of Healing Arts - Physical Therapy
Kansas Board of Healing Arts - Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Louisiana Physical Therapy Board
This course is approved by the Louisiana Physical Therapy Board for 1.00 Clinical hours.
Maryland Board of Physical Therapy Examiners
This course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.1 CEUs.
Massachusetts Board of Registration in Allied Health Professionals
This activity is approved for 1.00 contact hours.
Michigan Board of Physical Therapy
Michigan Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Mississippi State Board of Physical Therapy
The Mississippi State Board of Physical Therapy accepts Continuing Education hours accrued through participation in educational activities approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This course meets approval under the Mississippi Regulation Part 3103 Rule 5.4 (1) (b).
This activity is approved for 1.00 contact hours.
Missouri Advisory Commission for Professional Physical Therapists
The Missouri State Board of Registration for the Healing Arts accepts Continuing Education courses sponsored/approved by any state chapter of the American Physical Therapy Association (APTA). Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
Montana Board of Physical Therapy Examiners
The Montana Board of Physical Therapy Examiners accepts Continuing Education courses approved by any state physical therapy association as Category A activities. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval ## 2502008TX. This activity is approved for 1.00 contact hours.
Nebraska Board of Physical Therapy
The Nebraska State Board of Physical Therapy accepts Continuing Education courses relating to the theory or clinical application of theory pertaining to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Nevada State Board of Physical Therapy Examiners
This course has been approved by the Nevada State Board of Physical Therapy Examiners. This activity is approved for 1.00 contact hours.
New Hampshire Board of Physical Therapy
The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.00 contact hours.
New Jersey State Board of Physical Therapy
This course was approved by the New Jersey Board of Physical Therapy Examiners. Approval #: 2401-49. This activity is approved for 1.00 contact hours.
New Mexico Physical Therapy Board
The New Mexico Physical Therapy Licensing Board accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
New York Physical Therapy
The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.00 contact hours.
North Carolina Board of Physical Therapy Examiners
The North Carolina Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
North Dakota Board of Physical Therapy
North Dakota Board of Physical Therapy (CEBroker Provider #50-290)
This activity is approved for 1.00 contact hours.
Ohio Physical Therapy Association
This course is approved by the Ohio Physical Therapy Association, approval number 24S1851. This activity is approved for 1.2500 contact hours.
Oregon Physical Therapist Licensing Board
The Oregon Physical Therapist Licensing Board accepts Continuing Education courses approved by any state physical therapy licensing board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Pennsylvania State Board of Physical Therapy
Pennsylvania State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Rhode Island Board of Physical Therapy
The Rhode Island Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. This activity is approved for 1.00 contact hours.
South Carolina Board of Physical Therapy
The South Carolina Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX.
This activity is approved for 1.00 contact hours.
South Dakota State Board of Medical and Osteopathic Examiners
South Dakota State Board of Medical and Osteopathic Examiners accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
Tennessee Board of Physical Therapy (General)
The Tennessee Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval ##2502008TX.
This activity is approved for 1.00 contact hours.
Texas Physical Therapy Association
This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #2502008TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.
This course is not approved as meeting the ethics and professional requirements for Texas physical therapists or physical therapist assistants.
The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This activity is approved for 1.00 contact hours.
US Virgin Islands Board of Physical Therapy
The US Virgin Islands Board Of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX.
This activity is approved for 1.00 contact hours.
Utah Board of Physical Therapy
The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.00 contact hours.
Vermont Board of Physical Therapy
The Vermont Office of Professional Regulation - Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Virginia Board of Physical Therapy
The Virginia Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association as Type 1 courses. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Washington Board of Physical Therapy
The Washington Board of Physical Therapy accepts Continuing Education courses that are specifically related to the practice of physical therapy, with specified goals and objectives. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
West Virginia Board of Physical Therapy
This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-R24-012. Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor. This activity is approved for 1.00 contact hours.
Wisconsin Department of Regulation and Licensing - Physical Therapy
The Wisconsin Physical Therapy Examining Board accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2502008TX. This activity is approved for 1.00 contact hours.
Wyoming Board of Physical Therapy
The Wyoming Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias LLC is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval ##2502008TX. This activity is approved for 1.00 contact hours.
Determine the pathophysiology of BPPV and how it contributes to vertigo.
Determine the steps of the Dix-Hallpike and Horizontal Roll tests for BPPV.
Select at least three treatment techniques for BPPV and modifications for individuals who are unable to achieve the common treatment positions.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Anatomy and Physiology of the Vestibular System
Why it Matters
Anatomy
BPPV
Review
Vestibular Physiology
Signs and Symptoms of BPPV
Review
Summary
Section 3: Clinical Exam
Comprehensive Approach
Dix-Hallpike Maneuver
Side-Lying Test
Roll Test for Horizontal Canal
Review
Summary
Section 4: Treatment
Treatment for BPPV
Canalith Repositioning for Posterior and Anterior Canalithiasis
Canalith Repositioning for Horizontal Canalithiasis
Liberatory (Semont) Maneuver
Brandt-Daroff Exercises
Meet Mary
Vestibular Rehabilitation
Summary
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Subject Matter Expert: Kayla (Boespflug) Hamilton, PT, DPT, NCS, CLT
Writer: Nicole Fogarty, PT, DPTKayla holds a Bachelor of Science degree from North Dakota State University in Exercise Science and received her Doctor of Physical Therapy degree from The University of Michigan – Flint. Kayla holds additional certifications as an ABPTS Board Certified Neurologic Clinical Specialist and Certified Lymphedema Therapist. She has been a practicing PT for over 8 years and has spent most of her career working in inpatient rehabilitation with various neurological populations. She most enjoys mentoring students, working with those with spinal cord injury, completing specialty wheelchair and seating evaluations, and working with amputees as they learn how to use their prosthetics. Kayla currently is working in an outpatient clinic as the resident lymphedema specialist.
Nicole Fogarty holds a Doctor of Physical Therapy degree from Northeastern University. She has experience treating patients with cardiopulmonary, orthopedic, and neurological impairments in the inpatient setting. She also has experience in outpatient orthopedics. She has additional training in medical screening, lumbopelvic examination and treatment, and treatment of patients with cardiopulmonary diseases. Nicole enjoys using her clinical experience and interest in current rehabilitation research as a Physical Therapy writer for Relias.
The target audience for this course is: Occupational Therapists; Physical Therapists; in the following settings: Rehabilitation Settings.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
