
Show Notes
In this special episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with two giants in the vestibular field: Jeff Walter, PT, DPT, NCS and Helena Esmonde, PT, DPT, NCS (Vestibular First). Jeff tries to stump the group with vestibular questions covering: -The history of John Epley and his contributions to the field -Alexander’s law, Brun’s nystagmus, and the origin of the word nystagmus -A precise definition of vertigo -Advanced use of the bow and lean test for horizontal canal BPPV -What happens when BPPV maneuvers go “wrong” (short arm, conversion, retesting) -Practical use of the Rinne test, recruitment, and tuning forks in vestibular practice -How to interpret CT scans that “show” superior canal dehiscence (SCD) -A rare case of cough-induced nystagmus -The reality that some dizzy patients don’t fit neatly into any diagnosis—and why that’s okay
Whether you’re a vestibular therapist, audiologist, ENT provider, or someone with dizziness hungry for answers, this episode is packed with clinical pearls, red flags, and pattern recognition tips for vertigo, BPPV, nystagmus, and beyond.
Episode Resources: Jeff Walter, PT, DPT, NCS -https://www.vestibular.today -MedBridge Courses: https://www.medbridge.com/educate/instructors/jeff-walter-dpt-ncs Helena Esmonde, PT, DPT, NCS -https://vestibularfirst.com -Journal Club: https://vestibularfirst.com/education/journal-club/ -Educational Resources/Handouts: https://vestibularfirst.com/education/resources/ -Vestibular First 's Journal Club- Clinical Pearls from an Unusual Case of Vertigo: https://youtu.be/ASjx5Yet1So?si=3qu5LkiD_pEDagHq
For more FREE resources, click here.
Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT
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Timestamps 00:00 – Intro 00:15 – Meet the Hosts & Guests 02:09 – Education Resources & Journal Club 03:08 – History Lesson: Dr. John Epley 06:21 – Alexander’s Law Explained 09:39 – Gustav Alexander’s Shocking Death 11:10 – Origin of the Term “Nystagmus” 13:31 – Brun’s Nystagmus & CPA Tumors 15:10 – Defining Vertigo (ICVD-Based) 18:22 – Bow & Lean Test: Angles, Mechanics & Clinical Pearls 23:24 – Short Arm / Anterior Arm BPPV & Tricks to Get Crystals Moving 27:34 – Retesting Posterior Canal BPPV: When You Re-Create the Problem 32:23 – Short Arm Debris & “Wimpy” Persistent Torsion 35:08 – Maneuver Names, Variations & Confusion in the Literature 38:53 – Tuning Forks in Vestibular & ENT Practice 45:19 – CT & Superior Canal Dehiscence: Might vs Definitely 49:22 – Cough-Induced Nystagmus 51:39 – Pattern Recognition, Edge Cases & Not Knowing Everything 56:15 – Reassuring Patients & “Doing the Next Right Thing”
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