Vestibular First

Great to be at Denver with the awesome @ptpintcast, @blazepod, and @fyzicalshavanopark amongst others for the @fyzical_therapy_and_balance conference. v1st.co/events to see where you can meet up with us next! #vestibularrehabilitation #balance Gaylord Hotels Helena Esmonde, PT, DPT, NCS Jimmy McKay PT, DPT Brian Werner, PT, MPT, Cert. MBR-L3, Cert. BPPV Allie G.

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? Answer in the poll! #vestibularrehabilitation FYZICAL Therapy & Balance Centers

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 - posterior, horizontal, or anterior? #vestibularrehabilitation FYZICAL Therapy & Balance Centers

Have you seen a person with 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

??Life goal achieved: teaching at the Denmark Physiotherapist Association conference was amazing! I’m filled with gratitude for the incredible support I received there. 100 people on a wait list for the 80 person mini-class! I always learn as much as I share when I teach, and I made wonderful friends for life. Can’t wait to go back someday! #denmark #vestibularfirst Bodil Tilma

Ready for ?? vestibular updates? v1st.co/VS2025 to enter to win a free ticket to the Midwest Vestibular Symposium in Chicagoland (1 day of awesome speakers with latest updates on vestibular topics). It's an in-person-only event not to be missed! #vestibularrehabilitation

Would you send this person immediately to the emergency department (ED)? Here’s why I did: This 84 year old male was seen previously on two separate occasions over the last 3 years for classic posterior canal BPPV that resolved with canalith repositioning maneuvers. He returned to vestibular therapy with complaints of positional vertigo, but his presentation was concerning. Some red flags (when taken all together): ??persistent downbeat nystagmus throughout positional testing that did not suppress with visual fixation light on in infrared video goggles; ??patient was not able to walk or stand independently - he arrived in a wheelchair despite being independent with mobility prior to this episode; ??patient demonstrated NEW right eye miosis (pupil constriction) and ptosis (eyelid drooping) – concerning for brainstem stroke; ?? age and extensive cardiovascular risk factors. These signs/symptoms warranted a referral to the ED for further evaluation. Per my recommendation, he was able to undergo a stroke workup quickly upon arrival. Interestingly, his initial head CT and brain MRI came back normal. But did you know that imaging can be unreliable in acute onset dizziness? ????CT has shown sensitivity as low as 7% for posterior fossa strokes who present to the emergency department; ????MRI is preferred over CT, but can miss acute infarctions (<48 hrs), especially in the posterior fossa. Upon re-test of MRI of the head hours later, this patient was found to have a posterior fossa stroke. What’s the takeaway message? Your bedside vestibular assessment skills may be MORE sensitive than early imaging in patients with acute onset dizziness! v1st.co/DizzyED for upcoming Dizziness in the ED courses, and v1st.co/BSee25 to register for a free April Journal Club on BPPV and Brain Injury. #vestibularrehabilitation #bppv #neurology Kerber K, Newman-Toker D. Misdiagnosing the dizzy patient: common pitfalls in clinical practice. Neurol Clin. 2015;33: 565-viii.

?? Win a FREE Ticket to the May 2025 Midwest Vestibular Symposium! ?? We’re thrilled to partner with Helena Esmonde, PT, DPT, NCS and Vestibular First to give one lucky clinician a FREE ticket to the Midwest Vestibular Symposium on May 3, 2025, in Oak Lawn, IL! ?? What’s included? A full FREE ticket to the symposium ($350 value!) ?? Who can enter? Licensed clinicians treating vestibular patients, including PTs, PTAs, OTs, OTAs, chiropractors, physicians, NPs, PAs, and MDs ?? What’s NOT included? Travel, lodging, and any other expenses ?? Giveaway closes: March 26, 2025 ?? Winner announced: March 29, 2025 ?? Enter Now! ?? https://lnkd.in/gtH8ZY-8 Symposium information: https://lnkd.in/gD_kFNZb ? Don’t Miss Out on These Expert-Led Sessions! Featuring Dr. Michael Schubert, PT, Ph.D., plus leading experts on BPPV, cervicogenic dizziness, concussion management, PPPD, and more! ?? Earn 9 Contact Hours! ?? Share and Tag a colleague who should enter! #VestibularRehab #MidwestVestibularSymposium #PTCEUs #PhysicalTherapy

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, and physicians. #vestibular #johnshopkins #likeandshare

Honored to speak on vestibular rehab to an eager group of Danish physiotherapists at their annual conference! Should I do more international teaching? #vestibularrehab