Vestibular First

Vestibular First

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Our mission is to create simple, effective, affordable, and ubiquitous vestibular technologies.

Our mission is to create simple, effective, affordable, and empowering vestibular technologies to help improve the lives of those suffering from vestibular disorders.

09/19/2026

At ANPT or FPTA's conferences this weekend? Come find our booth and get free 3D printed otoconia, enter to win our giveaway, and get a 10% coupon good for a year on any of our products! Not here? v1st.co/events to find more opportunities to win, save, and connect with us!

Vestibular Rehab SIG Academy of Neurologic Physical Therapy Florida Physical Therapy Association (FPTA)

Photos from Vestibular First's post 09/18/2026

It is with great sadness we report the recent loss of an exceptional leader in our field, Dr. Alain Sémont, PhD, physiotherapist, + vestibular pioneer. May we always remember his many contributions + spirit of excellence in research, patient care, + education. v1st.co/Semont for more.

Photos from Vestibular First's post 09/17/2026

Have you seen patients with vestibular issues and diabetes, cognitive issues, or diabetes? It's Balance Awareness Week, so be in the know on how to help them with vestibular rehabilitation!

v1st.co/VIBE26 to sign up for a great opportunity with 360 Neuro Health to learn and share innovative vestibular rehab treatment ideas ($97 or $47 if you catch the early bird rate).

dz.care/vestibularfirst if you are seeking vestibular care in the U.S. near you, and dz.care/joinus if you're a U.S. clinician who can help patients with vestibular issues!

Vestibular Disorders Association (VEDA)

09/16/2026

🤸 The Foster Half Somersault is a self-administered home exercise for posterior canalithiasis BPPV, requiring agility and tolerance to symptoms.

🏠 Theoretically, it reduces the risk of conversion to horizontal canal BPPV. Dr. Carol Foster designed it for patients managing recurrences on their own (Foster et al., 2012).

📉 EFFECTIVENESS: In Foster’s trial, two self-performed half somersaults reduced nystagmus intensity by about 42%, versus about 68% for two self-Epley maneuvers.

🛟 Potentially benefit is tolerability: patients reported significantly less dizziness during the half somersault maneuver.

📝 STEP-BY-STEP PROTOCOL (RIGHT EAR): Ideally taught and observed by a clinician first, then self-performed at home.

🧎 Start: Kneel on floor or the middle of a large bed with head at midline.

1. Tip the head straight up quickly to look at the ceiling. Wait until dizziness subsides or 15 seconds if no dizziness provoked.
2. Place the head on the floor upside down, as if starting a forward somersault, so the top of the head contacts the floor. Wait until dizziness subsides or 15 seconds. Tapping firmly just behind the affected (right) ear is optional.
3. Turn the head about 45° to face the affected-side (right) elbow, and keep that (right) head turn through the rest of the exercise. Dizziness subsides or 15 seconds.
4. Keeping the head turned 45 degrees toward the affected side (right), raise quickly to back level (hands and knees position). Dizziness subsides or 15 seconds.
5. Raise to sit-kneel in a fully upright position, head still 45 degrees toward the affected (right) side. Come to sitting at the edge of bed or get up from the floor with head upright when dizziness subsides or 15 seconds.

⚠️ Always consult a qualified vestibular specialist before attempting any BPPV maneuvers. Educational purposes only.

🖊️ Post created in collaboration with Sonia Vovan, PT, PhD(c) (Sonia Vovan | Concussion + Vestibular Physiotherapist).

09/15/2026

Free concussion Question and Answer for patients AND clinicians. I’ll be moderating the panel. Join us for free this Thursday (will be available for viewing on Facebook after also). Register to get the link! v1st.co/CD26

Four specialists. One room. Ten years of NJ Concussion Awareness Day culminating on September 17.

Dr. Felicia Gliksman, DO (pediatric & adult concussion, HUMC), Dr. Bridget Mayer, Psy.D. (neuropsychology), Dr. Spiridoula "Doula" Riley, PT, DPT, ATC (athletic training, Kessler Rehabilitation), and our own Dr. Danit Macklin, PT, DPT will be together live — moderated by Cynthia Ryan (VeDA) and Dr. Helena Esmonde, PT, DPT, NCS (Vestibular First).

You don't have to be in the room to be part of it — this is a virtual event. Join from anywhere, ask your questions live.

Registration is free, but closing soon. Link in bio.

📍 Hackensack, NJ | Bergen County

09/15/2026

To keep the energy flowing for Balance Awareness Week, we're giving away 1 free online CEU course for clinicians and 1 free vestibular system canvas print from a painting done by our very own co-founder, Helena Esmonde, PT, DPT, NCS. Enter for your chance to win at v1st.co/BAW26, and keep sharing about your vestibular journey all week long. The winner will be chosen September 20, 2026, so enter for your chance to win today!



Vestibular Disorders Association (VEDA)

Photos from Vestibular First's post 09/14/2026

Recognizing Balance Awareness Week! Visit dz.care/FreeTrack for tips and a free template (see bottom of the page) for symptom tracking, and join the ABS email list at v1st.co/emailabs to get your Zoom link to a free Dysautonomia webinar that is set for Tuesday, Sept 15 at 12 PM Eastern.



American Balance Society
Vestibular Disorders Association (VEDA)

Photos from Vestibular First's post 09/10/2026

Have you had neck pain that was actually due to some form of migraine, not a neck problem? v1st.co/MVM to register for our free September Journal Club on Vestibular Migraine Updates, and dz.care/vestibularfirst if you need a skilled clinician to help with your dizziness and neck pain in the U.S.

09/09/2026

👁️ Have you used the direction of GAZE to clarify a peripheral torsional nystagmus, such as in classic long arm posterior canal BPPV?

⏭️ To enhance the torsional/horizontal component of the nystagmus, have the patient gaze toward the suspected horizontal component of the nystagmus (toward the affected side for posterior canal BPPV).

⏫ To enhance the vertical component of the nystagmus, have the patient gaze toward the unaffected side (away from the affected side).

Example as in the video: Suspected left torsional upbeat nystagmus.

✅ If a patient has LEFT POSTERIOR canal BPPV with left torsional upbeat nystagmus during the Dix-Hallpike test:
1. Left gaze: the left torsional/horizontal nystagmus component is enhanced (more obvious).
2. Right gaze: the upbeat component of the nystagmus will be enhanced (more obvious).

📚 Learn more about this topic in a great article written by North 49 Physical Therapy: v1st.co/gaze49, and become a nystagmus-interpreting expert by taking our online and in-person CEU courses at v1st.co/CEUforyou

🧠 Find a clinician to help you in the U.S. at dz.care/vestibularfirst

Photos from Vestibular First's post 09/08/2026

Happy World Physiotherapy Day to all of the physios out there, and check out v1st.co/MVM to register for our free September Journal Club on Vestibular Migraine. **Bonus: dz.care/freeseeds for a free printable pdf on SEEDS for vestibular migraine care!

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