Join us (and our lucky giveaway winners) for an amazing Vestibular Symposium this May in Chicagoland: v1st.co/Chicago to register. Can't make it (or want more chances to win)? v1st.co/BSee25 to register for our April Journal Club! #bppv#tbi#vestibularfam
Have you seen bilateral BPPV after traumatic brain injury? In one study 34% of patients w/ acute mod-to-severe TBI developed BPPV, and 39.6% of those were bilateral (Smith et al., 2024). 😱 v1st.co/BSee25 to register for upcoming Journal Club on BPPV after TBI. #bppv
Got a tough apogeotropic horizontal canal BPPV case? Try the Square Wave Maneuver! 93% success rate in single-session treatment in one study (Yacovino et al., 2021). v1st.co/BSee25 to register for our upcoming Journal Club on BPPV. #bppv@allinyourheadpt
What's your favorite effective option to treat posterior cupulolithiasis? v1st.co/NeuroCog for a free 1.5 hour on-demand course on neuroplasticity of cognition in patients with various neurologic and vestibular conditions. #bppv#vestibularrehabilitation@mikestuderPT
This person's eyes are demonstrating a normal physiologic response to rotation, showing that each vestibular apparatus is firing when stimulated. Which canal is primarily activated with rotation in the demonstration? #vestibularrehabilitation
Have you seen vestibular epilepsy? Frequency of early seizures after severe head injuries is often higher (10%–15% adults; 30%–35% children - Ding et al., 2016). v1st.co/BSee25 to register for our Journal Club on BPPV after Brain Injury. #bppv#epilepsy@ImperialNHS
Looking for a strong hybrid intro/intermediate vestibular course? v1st.co/Hopkins2025 taught by experts like Drs. David Zee, Michael Schubert, and Dan Gold, just to name a few! Open to PTs, OTs, NPs, PAs, Audiologists, + physicians. #vestibular@RehabHopkins@hopkinsmedicine
Honored to speak on vestibular rehab to an eager group of Danish physiotherapists at their annual conference! Should I do more international teaching? #vestibularrehabilitation
HECOstix for reaction time, dual task, balance!
Option: Add cognitive components such as calling out numbers and having the patient catch the red for an odd number and the blue for an even number.
Give us some other ideas in the comments below! #vestibularrehabilitation
Could the Li Quick maneuver help your patients? v1s.co/LiH to download your free handout on this great alternative to treat horizontal canalithiasis. #bppv#vestibularrehabilitation
Indicators that this nystagmus NOT likely due to horizontal cupulo #BPPV:
⚠️ nystagmus slow/sustained
⚠️ nystagmus not suppress when fixation light was turned on
⚠️ nystagmus not follow rules in Bow/Lean
⚠️ symptoms/nystagmus not change after appropriate repositioning maneuvers
Once upon a time, I got lost #APTACSM, trying to reach my hotel. Greeted by lovely Misses Houston + Bayou City. Next thing I know, I'm explaining migraine care to avid questions. They're ambassadors to their great state, and I'm a proud vestibular ambassador! #vestibularmigraine
Epic exercise for reaction time + dual task...all you need are colored bean bags!
Blue - UP head turn, Green - DOWN head turn, Red - RIGHT head turn, Yellow - LEFT head turn #vestibularrehabilitation
Which side is the neuritis? Must use goggles to catch this!
Peripheral neuritis nystagmus:
✔️ Direction-fixed (typically horizontal), here right beat
✔️ Follows Alexander’s Law
✔️ Suppress with fixation (room light or visual fixation light on)
#vestibularrehabilitation
BPPV and nausea - how can we help? v1st.co/BT25 to learn more and register for intro or advanced Canada-based courses available online or in-person, plus in China, Malaysia, and India! #bppv#nausea#vestibularrehabilitation
Why use 2 targets and not VORx1? It’s a great place to start for someone with impaired saccades or when VOR/gaze stability exercises aren’t tolerated.
Add vertical, diagonal, clockwise/counterclockwise; add cognitive challenge by finding specific letters! #vestibularrehab
Have you tried the Li Maneuver for posterior canalithiasis? v1st.co/LiPost for your free handout. Great option for those with a stiff neck or cervical precautions, and I've had it clear a tough posterior cupulo that Semont didn't clear! #bppv#vestibularrehabilitation
Vestibular migraine vs. PPPD? It's complicated, and sometimes both! v1st.co/case is the Zoom link to a live-only event on PPPD by the Vestibular Special Interest Group this Wed, Feb 26, 8 PM Eastern. See you then! #pppd#vestibularrehabilitation@VestibularRehab
NOT posterior BPPV. In Dix-Hallpike, nystagmus was geo horizontal> horizontal canal BPPV. ID’d involved side (side with stronger nystagmus and beat toward the affected side in the Bow Test) and successfully treated. Join @VestibularFirst and @theeddpt for a March 30 course! #BPPV
Up/down, up/down, up/down… ♠️ ❤️ 🍀 ♦️
This activity is focusing on habituation to up and down movement and dual task. START SLOWLY or even seated, cuing the person to spot objects as they move to decrease dizziness with movement. #vestibularrehabilitation
Coming in HOT! First clinical pearl from #APTACSM: Easy way to memorize Gufoni maneuver for geotropic or apogeotropic horizontal canal BPPV. Let your PA + NP friends in the ENT field know about this conference v1st.co/entPA2025 too! #bppv@APTA_official@UUtah@RehabHopkins
Happy Valentine's Day to all of the great vestibular clinicians and persons with vestibular conditions out there. We admire and support you! #vestibular#fridayfun
Headed to #aptacsm in Houston! If you’ll be there, come say hi at booth 2417. If not, I’ll be posting plenty of vestibular clinical pearls, so watch for that goodness, just for you! #physicaltherapy#choosept#vestibularrehabilitation
Want to habituate turning but in a gradual and fun way? This one’s for you!
Place various sticky notes with different letters and/or numbers on walls or surfaces directly in front of and to either side of the patient as shown. #vestibularrehabilitation
What BPPV treatment do you find best to use in the emergency department? v1st.co/DizzyED to register for an awesome in-person 1-day Dizziness in the ED course in Seattle. Want more? We have a Musculoskeletal in the ED course too! #bppv#vestibularrehab@TheEDDPT
Have you tried the sitting lateral canal maneuver? It's a reasonable option for persons w/ functional neck mobility but limited tolerance to lying supine or on their side. v1st.co/Pitt2025 for an amazing online 2-day advanced vestibular update course in May! #bppv@PittPT
Let’s get that vestibular nerve firing for balance! Progress head turns while having fun while matching with Spot-it cards. Have the patient look for an item called out by the PT on 1 wall and find its match on the opposing wall. #vestibularrehabilitation
Want an update on differential diagnosis of BPPV and other vestibular issues? This beginner to intermediate course by Dr. Sara Oxborough, PT, is for you! v1st.co/education for on-demand courses with approved PT CEUs in most U.S. states.! #vestibularrehabilitation#bppv
Are POTS, EDS, and vestibular issues connected? Sometimes! v1st.co/zebra to register for a FREE sensory webinar for clinicians and patients alike. Recorded to view after if you like! #vestibular#pots#eds@re_activePT
Do you feel alone? Find support among others who are on a similar journey, as I had the privilege of meeting with other entrepreneurs in the rehab product sphere near me last week. We can all help each other to grow! #entrepreneur#medtech@rundna@Necks_Level@mymtrigger
Cervicogenic dizziness is a complex and controversial diagnosis.
Doctors struggle without a single confirmatory test.
The human body is beautifully complex, not always a simple equation.
We must put on our thinking caps to piece together the puzzle.
#CervicalDizziness#Co
Positional nystagmus – is it BPPV?
🔎DIRECTION: Look for upward torsion toward affected ear.
⏳ LATENCY: Notice short delay before nystagmus kicks in.
⏰ TIME: Watch for brief burst following a crescendo-decrescendo. If symptoms persist despite treatment, explore other diagnoses.
BPPV - why treat early? Do you see it more on the right? v1st.co/advpitt25 to see if you qualify to apply starting Feb 28 for the Advanced Vestibular Certificate Program at U of Pittsburgh. #bppv#vestibularrehabilitation
Can you differentiate cerebellar stroke from progressive ataxia? v1st.co/ataxia25 to register for a FREE webinar on ataxia treatment for PTs and OTs Tuesday, Jan 28 at 830 PM Eastern. Recorded for post-event viewing too! #stroke#ataxia#neuro
Hey PTs, AuDs, ENTs, and other licensed vestibular clinicians! Grow your professional skills - join the American Balance Society. v1st.co/ABS to join for free educational webinars and a fantastic yearly conference in beautiful Scottsdale, Arizona! #vestibular
Have cones and bean bags? v1st.co/studer25 to register for this week's free Journal Club for MORE dual task treatment ideas.
1. Foot taps 2. Bend down tap 3. Foot tap + opposite hand tap 4. Say a word matching the first letter of the colored bean bag
5. Same as 4 on foam
Did you know weak nystagmus in the dark persists for >30 days in 77.8% of patients after acute unilateral vestibular loss, like this person with a left hypofunction? With visual fixation, 0% demonstrated nystagmus >30 days after unilateral loss. Don't miss it! #vestibular
v1st.co/biz25 to register for Mon, January 27 APTA Vestibular SIG member meeting. Learn what's new with the org, network, and have your chance to win raffle giveaway items. Not sure if you are (or can be) a member? Email linch14@ecu.edu to learn more! @VestibularRehab
😨 Scared of stroke! Luckily, saw these findings, consistent w/ peripheral issue:
o Direction fixed nystagmus
o Nystagmus reduces with fixation
o Positive head impulse test
Keys: able to (1) understand nystagmus patterns; (2) eliminate fixation w/ infrared goggles. #vestibular
🎉 🎉 🎉 Proud to say that our fluid model was recently featured in published research, showing increased med student perception of understanding the vestibular system when used in classroom education. v1st.co/store to get yours! #bppv#medstudentlife@LSUHS
Presenting an optimized treatment for anterior canal BPPV: Modified Yacovino. This maneuver can also be done as a part of addressing short arm posterior canal BPPV (Helminski, 2025). DOI: 10.3389/fneur.2021.740599 Collaboration with: Sonia Vovan, PT, PhD (Candidate) #bppv
Feeling "pulled" to one side in the dark or thinking of what you need at the grocery store (dual task)? Check for BPPV! v1st.co/studer25 to register for next week's Journal Club for great insights and a chance to win a lovely vestibular model! #bppv@VestibularRehab