There are a lot of great suggestions and good discussions in this thread. My suggestion might not fall into that category... but - if a course lends itself to it, you can drag the current topic to the top of the page. Removes the necessity of scrolling down. Or try the "Highlight topic" option - it does really make it easier to find a specific topic while scrolling up and down the course.
Teaching with Moodle
Avoiding the Scroll of Death - Best Practices - Current Techniques
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