Your visual system relays information to your nervous system, along with vestibular inputs, proprioceptive inputs, and more, to orientate oneself in this world. Symptoms such as visually induced dizziness, PPPD, and visual motion intolerance are common for patients suffering from visual-vestibular integration problems. Unfortunately, not enough clinicians are trained well enough to help these patients that are suffering. In this hands-on module, learn the neuroscience, exam skills and treatment approach of Dr. Jeremy Schmoe to help those with visual-vestibular integration issues.
Visual-Vestibular Integration: Optokinetics in Rehabilitation Course Objectives
- – What are Optokinetic eye movements?
- – Cortically Generated OKN
- – Reflexive OKN
- – What is Vection?
- – Clinical applications: OKN bedside assessment
- – Clinical applications: OKN VOG assessment
- – OKN stimulation in the real world
- – OKN stimulation in Sports Performance: Hockey Players.
- – Small Field vs. Large Field OKN
- – What is Optic Flow?
- – Clinical Flow of visual-vestibular examination
- – Clinical Assessment of the Cerebellum
- – Visual-Vestibular Mismatch
- – Proprioceptive System and Vestibular Integration
- – The VOR and OKN
- – Cerebellar Nodulus/Uvula and Cerebellar Flocculus/ ParaFlocculus
- – Clinical Applications: Improving Driving
- – Abilities in patients with VID
- – Motorist Disorientation Syndrome
- – Visually Induced Dizziness
- – PPPD Clinical Applications: Neuro Rehabilitation,Metabolic Assessment, Oxidative Stress
- – Chronic Subjective Dizziness: Maybe its Lyme or Mold?
- – What to look for on VOG in patients with PPPD, VID and Chronic Dizziness
- – VOG Clinical Applications: Challenges during VOG
- – What is Dynamic SVV?
- – SVV Rehabilitation Strategies.- Post Concussion VID: Posturography Visual Motion Assessment
- – Post Concussion VID: Torsional OKN challenge
- – Optokinetics in Sports Related Concussion
- – OKN after Nystagmus in Concussion
- – OKN: What Areas of the Brain are activated?
- – OKN: What areas of the brain are de-activated?
- – The Cerebellum and Optokinetics
- – The Basal Ganglia and Optokinetics
- – The Frontal/Parietal Lobe and Optokinetics
- – The Brainstem and Optokinetics
- – The Limbic System and OKN
- – The Otolithic System and OKN
- – Autonomics and OKN
- – Horizontal vs. Vertical OKN
- – Fixation Suppression of OKN
- – Stationary Anchoring Strategies in VID
- – Gait Rehab and OKN
- – E-Stim and OKN in Neglect
- – Virtual Reality OKN Rehabilitation
- – Low Tech Virtual Reality OKN Glasses
- – High tech visual and vestibular technologies: holographic visual rehab, virtual reality, rotational devices.
- – Low tech Neuro-Visual Therapies.
- – Situational Vertigo Questionnaire and Subjetive assessments
- – Documentation of Clinical Exam Findings in Functional Neurology
- – OKN Rehab Strategies: stroke, TBI. Concussion, PPPD, VID.
- – Normal Vs Abnormal OKN responses: clinical examples
- – Clinical Case Studies: 6 different complex cases with outcomes and strategies.
- – Practicals: 5 examination practicals and 5 neuro-rehab practical applications.
- – Flow Charts and Diagrams of Assessment and Clinical Thought Process.
