Vestibular First

😇🎉 Good! Right torsional upbeat nystagmus (fancy term: "orthotropic") in the 3rd position/part of the right modified Epley (nose down position) is 88.9% sensitive for indicating that a successful maneuver has been completed (Lou et al., 2020).
v1st.co/DK26 for more!
#bppv #vestibularrehabilitation

Have you tried the Sleep Maneuver for posterior canal BPPV? It's a gentle and easy follow-up option for a home maneuver after an in-clinic Epley, Semont, etc. v1st.co/sleep to get a free printable pdf handout! #vestibularrehab #bppv #dizzinessrelief

🎯🚧 Unsteady or dizzy while walking over uneven ground like grass or cobblestones?

v1st.co/resource to access so many free vestibular articles and printable pdfs, and check out our YouTube channel for many free vestibular rehab ideas!

#vestibularrehabilitation #balancetraining

❄️🛑 Dizzy with snow shoveling? Here are key tips:

🏋🏼‍♀️ 🛗 Squat a bit with your head forward rather than head down to bring the shovel to the ground..

💞🔁 Look from object to object (trees, light poles, etc.) in your environment as you turn.

#vestibularrehabilitation #snowday #dizzinessrelief

How do you provide patient education for those with dizziness? v1st.co/DF26 for PTs and PTAs to complete a quick survey to support research on this important topic! #vestibularrehabilitation #physicaltherapy #researchstudy

🙏 Farouk Praying Maneuver — an alternative to Bascule maneuver for refractory posterior canal BPPV.

📝 Only for a trained clinician after confirm posterior canal BPPV that has not responded to maneuvers like Epley. Collab with Sonia Vovan, PT, PhD(c) (@allinyourheadpt)

#BPPV #VestibularRehab

How do you treat vestibular migraine and Mal de Débarquement? Do you have tough vestibular patient cases like these? v1st.co/LBmentor to sign up for remote vestibular clinical mentorship with Dr. Lisa Brekke, PT, DPT! #vestibularrehabilitation #vestibularmigraine #maldedebarquement

Check out this free patient-focused vestibular education event!. Register v1st.co/veda2026. #vestibular #vestibularmigraine #pppd

⏬👁️Have you seen downbeat nystagmus (DBN) in response to a horizontal head shake test?

(1) 🚩Usually indicates central vestibular dysfunction (e.g., cerebellar lesion, MS, stroke)
(2) ✅Rarely may indicate posterior canal BPPV

Learn more at v1st.co/downbeat
#vestibularrehabilitation #vestibular

How do you maximize success with the Epley? v1st.co/Den26 to get your official Vestibular First certification, taught by Drs. Jen Stoskus, Sara Oxborough, and Helena Esmonde! #vestibularrehab #bppv #physicaltherapy

📱📚 Dizzy or headaches with reading, cell phone use, or alternating near and far viewing? Here are a few possible rehab options!

Check out our free recent Journal Club with Dr. Theis on "Treating Oculomotor Disorders after Mild TBI" and others at v1st.co/jclub.

#vestibularrehab #concussion

Have you seen posterior canal BPPV after acute unilateral vestibular damage? Don't be surprised if it's more stubborn to clear! v1st.co/Pitt26 to register for an amazing 4 hour complex vestibular case management webinar - live only on March 7, 2026! #bppv #vestibularrehabilitation

🧲🔓 Stubborn horizontal canal BPPV? It might be cupulolithiasis — and the Gufoni maneuver (apogeotropic variant) could help!

🟡 If nystagmus remains unchanged after treatment, try alternatives, and consider a central cause of nystagmus.

#BPPV #VestibularRehab #Vertigo #PhysicalTherapy #Vestibular

👟✏️ Dizzy bending down to put on shoes or pick up an object? Try this, with its bonus challenge of working on tolerance to visual motion!

v1st.co/DK26 to register for our free March Journal Club on positional nystagmus beyond BPPV.

#vestibularrehabilitation #vestibular #physiotherapy

Will you be our Vestibular Valentine? v1st.co/resource to find SO many continuing ed courses, free printable pdfs, special topic information, and more! #vestibularrehabilitation #vestibular #valentinesday

❄️ Dizzy or unsteady when walking in winter? Here are some vestibular rehab ideas to build confidence for navigating snowy, slippery surfaces. #VestibularRehab #NeuroRehab #VestibularTherapy #ConcussionRehab #BalanceTraining

🌹⏫ Off balance or dizzy when reaching or stepping? Here are options to improve these skills, with strong use of VOR cancellation training. v1st.co/education for our on-demand continuing education course "Interventions for Vestibular Disorders."

#vestibularrehabilitation #vestibular #physiotherapy

What does Apogeotropic nystagmus mean in BPPV? v1st.co/atypical for free information on this, and v1st.co/JH26 to refer patients with bilateral vestibular loss for a study at Johns Hopkins on vestibular implants to improve balance and quality of life! #vestibular #vestibularrehabilitation #bppv

Do you see patients with chronic dizziness in the U.S.? Please consider participating in this essential research to improve the best evidence for diagnosis and treatment of chronic dizziness. Email jennifer.burus@uky.edu to participate! #vestibularrehabiliation #chronicdizziness #researchstudy

⏫ 👁️ Have you seen upbeat nystagmus in return to sit from a Dix-Hallpike test, when there was no nystagmus in the Dix-Hallpike itself? 💪Upbeat or upbeat/torsion towards involved ear upon sitting up may be attributed to short arm posterior canalithiasis BPPV (Helminski 2025). #bppv #vestibular

Are you an OT looking to improve vestibular knowledge, or do you know someone who is? v1st.co/education to sign up TODAY for these Vestibular First continuing education vestibular courses: Anatomy and Physiology, Differential Diagnosis, and Vestibular Migraine vs. Meniere's #otlife #vestibular

🫨 ⭕️ Off balance or dizzy when someone bumps into you or you trip? Here some options to improve tolerance to perturbations.

v1st.co/resource for tons of free educational resources!

#vestibularrehabilitation #vestibular #physiotherapy

Do you included neck assessment (and if needed treatment) for your patients with dizziness or balance issues? You should! v1st.co/CS26 to check out some great course offerings by Dr. Colleen Sleik, PT. Brilliant! #vestibularrehabilitation #vestibularmigraine #bppv

What are people saying about our continuing education courses? Lots of good things! Check them out and enhance your practice today! v1st.co/CEUforyou #vestibularrehabilitation #vestibular

What helps or harms otolith organ health? High "good cholesterol" (HDL) is a definite help. v1st.co/abs to register for an awesome in-person only vestibular conference for all the latest research, networking, and more in beautiful Arizona. Hurry - early bird pricing ends Jan 31! #vestibular

⬆️ ⬇️ ✅ Why work on up and down movement in vestibular rehab?
🎯 Trains functional movements;
🛗 Stimulates the saccule;
🥇 Enhances balance, core strength, and proprioception. 🧠 v1st.co/edu-faq to learn about our NEW hybrid intro vestibular certificate program.

#vestibularrehabilitation

Vestibular migraine, PPPD, or both? v1st.co/falls26 is a live Zoom link for a live-only educational event this Wednesday, January 28, 8 PM Eastern, about the relationship between vestibular issues and falls risk. Hope to see you there! #vestibularmigraine #chronicdizziness #vestibularrehabilitation

Last chance to register for tonight's Journal Club "Diagnosing Acute Dizziness - Beyond Stroke and Acute Unilateral Vestibulopathy" with the talented Dr. Alexander Tarnutzer. v1st.co/AT26 to register and you're entered to win a giveaway for a large functional inner ear model! #vestibularrehab

🏔️ 🧰 Need more options for uneven surface balance training? Use a foam beam, or if you don’t have one, line up a few foam pads.

🧠 v1st.co/edu-faq to learn about our NEW hybrid intro vestibular certificate program. Level up in 2026!

#vestibularrehabilitation #balancetraining #physiotherapy

How do you treat atypical posterior canal BPPV? The Farouk Praying Maneuver is a new option to add to your toolbox! v1st.co/Pitt26 to register for a FANTASTIC 4 hour live-only advanced webinar (for CEUs) on Saturday, March 7, 2026. Not to be missed! #bppv #vestibularrehab