Certificate of Competency in Vestibular Rehabilitation (CCVR) Course
The Certificate of Competency in Vestibular Rehabilitation (CCVR) Course, in partnership with Texas State University and the University of Wisconsin, is designed to build your understanding and know-how through practical application of the methodologies in vestibular rehabilitation – the same methodologies we use to assess and treat the vestibular population.
The CCVR Course provides you a convenient and flexible path to advanced training in vestibular rehabilitation through online coursework. Upon completion of the online coursework, participants will have the opportunity to demonstrate required clinical skills in the virtual lab. Not only is this a self-paced, on-demand course, but we do also have the option of following along with our guided lesson plan.
With this training, you are more consistently applying your working vocabulary and fundamental concepts into your practice. You begin to delve more deeply and confidently into your skillset. This is the level where your skills more closely match your experience and you’re ready to take an even deeper dive into cases that are best understood through a comprehensive understanding of vestibular-related anatomy and physiology, the advantages/disadvantages of vestibular-related diagnostics, and the uncertainties associated with more complex cases.
Practical, Problem-Solving Application
We’ve upgraded our digital learning experience to maximize your training potential and meet all of your on-demand needs. Our content features case studies with subject matter experts who deliver evidence-supported vestibular related topics. The case-study format is to provide a practical, problem-solving application of the more in-depth theoretical framework discussed in the videos.
Online Learning Platform
Weekly Coaching Calls
StartStart Here - CCVR Course Hub
StartCCVR Orientation Coaching Calls
StartCCVR Course Outline - Lessons 1-12
StartCoaching Calls - Link to Register
StartAbbreviations & Glossary of Terms
StartReference Guide Library
StartVideo Library (118:21)
StartCoaching Call Recordings_August 2022 Launch (392:37)
StartLesson 1 Summary (47:43)
StartVideo 1: A&P of the Central Vestibular System (27:01)
StartVideos 2-3 Practical Application of Vestibular A&P (63:27)
StartVideo 4: Practical Application of Vestibular A&P: An Update (12:43)
StartLesson 1: Supporting Materials (2:25)
StartLesson 1: Case Study
StartLesson 1: Quiz
To receive your Certificate of Competency in Vestibular Rehabilitation (CCVR), you must successfully demonstrate required clinical skills in the following areas:
- Clinical Exam - Nystagmus
- Oculomotor Exam
- Vestibular Ocular Reflex
- Cervical Exam and Treatment
- Positional Testing
- BPPV Treatment
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Upon completing this course, you'll be able to:
- Explain anatomy and physiology of the vestibular system to apply to peripheral and central vestibular disorders.
- Identify the primary roles of the vestibular system in eye coordination, postural control, and autonomic nervous system contributions.
- Be familiar with the guiding principles of nystagmus and physiology of vestibular compensation.
- Explain the clinical usefulness in vestibular diagnostics (VNG, VEMP, vHIT, ABR, and ECochG) and comprehensive audiograms for in patients suffering from dizziness and/or balance disorders.
- Utilize clues from the history and categorize dizziness with a comprehensive intake to create a working diagnosis.
- Identify descriptors during the intake to determine visual dysfunction
- Identify key components of a comprehensive clinical vestibular examination, utilizing reliable and valid bedside and functional vestibular tests.
- Identify the most common peripheral vestibular disorders and be familiar with the most appropriate management, including medical management.
- Identify key components of an abbreviated ocular screen and be familiar with criteria to recognize tropias and phorias.
- Identify upper motor neuro screening tests to identify potential central involvement as well as how to segmentally assess the upper and lower cervical spine for restrictions of mobility and describe specific strength testing to identify impairments of the cervical musculature.
- Be familiar with how to assess the integrity of the ligaments and stability of the upper cervical spine.
- Be familiar with the biomechanics of BPPV to apply in the differential diagnosis of both typical and atypical presentations, including differential criteria between horizontal canal BPPV vs Light Cupula vs central pathology.
- Identify patients who are good candidates for further referral and/or vestibular rehabilitation, including specific interventions for visual processing impairments and visually induced dizziness.
- Describe appropriate vestibular exercises to optimize adaptation or compensation, including targeted strategies for vestibular ocular reflex exercises.
- Describe exercises for ocular stretches, saccades training, smooth pursuits training, vergence training, central-peripheral visual integrations, and visual spatial processing.
- Identify the most appropriate canalith repositioning maneuver(s) for both typical and atypical BPPV.
- Describe targeted gait training activities to improve speed and stride length for minimizing risk for falls and optimizing efficiency in ambulatory tasks.
- Define evidence-based medicine and recognize the strengths and limitations of testing procedures and interventions in patients with dizziness and balance disorders.
- Identify at least 3 assessment and 3 treatment strategies to address impairments post-concussion.
- Understand basic principles for evaluating patients involved in litigation and role as an unbiased agent of the court.
- Identify the "red flags" that heighten concern for malingering and exaggeration.