Dizzy Discussions: The Clinician's Guide to Vestibular Rehab

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The one-stop-shop for rehabilitation professionals to learn, discuss, and enhance their understanding of vestibular disorders and rehab.

Steven Tijerina


    • Mar 1, 2022 LATEST EPISODE
    • monthly NEW EPISODES
    • 28m AVG DURATION
    • 24 EPISODES


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    Latest episodes from Dizzy Discussions: The Clinician's Guide to Vestibular Rehab

    S2 Ep.4 - Persistent Postural Perceptual Dizziness (3PD) - Clinical Overview

    Play Episode Listen Later Mar 1, 2022 24:45


    Join us for this Dizzy Discussion Podcast by one of our Hosts Steven Tijerina, PT, DPT. Steven is a vestibular specialist and course instructor for EvidenceCEU. In this podcast Steven discusses Persistent Postural Perceptual Dizziness (3PD). Learn how to approach patients with 3PD, clinical diagnosis and where to start with vestibular rehab. Steven also shares some personal stories working with patients with 3PD. Hope you enjoy this episode! If you would like to learn more about vestibular rehab please visit EvidenceCEU.com or visit our private vestibular rehab study group on Facebook with over 2.5k clinicians https://www.facebook.com/groups/133444220578507 Interested in becoming a vestibular specialist or enhancing your vestibular rehab skill set? Visit EvidenceCEU.com to learn more about our upcoming Vestibular courses and our Certificate of Vestibular Rehab Program.

    Season 2 Episode 3 - Visual Motion Sensitivity - The who, the what, and the how to manage

    Play Episode Listen Later Feb 7, 2022 7:38


    Join us for this Dizzy Discussion Podcast by one of our Hosts Steven Tijerina, PT, DPT. Steven is a vestibular specialist and course instructor for EvidenceCEU. In this podcast Steven discusses visual motion sensitivity. Learn how to approach patients with visual motion sensitivity and how to approach vestibular rehab. He also gives some great exercise recommendations for patients struggling with visual motion sensitivity. Hope you enjoy this episode! If you would like to learn more about vestibular rehab please visit EvidenceCEU.com or visit our private vestibular rehab study group on facebook with over 2.5k clinicians https://www.facebook.com/groups/133444220578507

    Season 2 Episode 2 - BPPV Testing Modifications

    Play Episode Listen Later Jan 25, 2022 9:56


    Join us for this Dizzy Discussion Podcast by one of our Hosts Steven Tijerina, PT, DPT. Steven is a vestibular specialist and course instructor for EvidenceCEU. In this podcast Steven discusses the some common BPPV treatment modifications to improve your diagnostic accuracy. Learn how to avoid false positives or false negatives with your BPPV testing. Hope you enjoy this episode! If you would like to learn more about vestibular rehab please visit EvidenceCEU.com or visit our private vestibular rehab study group on Facebook with over 2.5k clinicians https://www.facebook.com/groups/133444220578507

    S2. Ep.1 - Vestibular Rehab Exercises - What are they and how do they work?

    Play Episode Listen Later Dec 27, 2021 11:05


    Join us for this Dizzy Discussion Podcast by one of our Hosts Steven Tijerina, PT, DPT. Steven is a vestibular specialist and course instructor for EvidenceCEU. In this podcast Steven discusses the difference between the common vestibular rehab exercises including Adaptation, Habituation, Substitution Exercises. He also gives some great exercise recommendations for each area. Hope you enjoy this episode! If you would like to learn more about vestibular rehab please visit EvidenceCEU.com or visit our private vestibular rehab study group on facebook with over 2.5k clinicians https://www.facebook.com/groups/133444220578507

    Dr Megan Beam, PT, DPT, PCS - Pediatric Vestibular Rehab - Constructing your exam and treatment plan!

    Play Episode Listen Later Apr 21, 2021 88:07


    In this episode we interview Dr Megan Beam, PT, DPT, PCS. Dr. Megan is a physical therapist with the Balance and Vestibular Program, Minds Matter Concussion Program, Center for Bone Health and the The Trisomy 21 Program at Children's Hospital of Philadelphia. We have an engaing discussion related to all things pediatric vestibular rehab! Dr. Megan educates us on the completing the examination for pediatric vestibular disorders, differential diagnosis, and treatment ideas. She shares some amazing clinical pearls on how to adapt your exam from infants to peds to young adults. Dr. Beam has a strong background in Pediatric Vestibular Physical therapy. She is also a Board Certified Clinical Specialist in Pediatric Physical Therapy. Board Certification APTA Credentialed Clinical Instructor Board Certified Clinical Specialist in Pediatric Physical Therapy Undergraduate Degree BA in Biological Foundations of Behavior (Animal Behavior concentration) - Franklin & Marshall, Lancaster, PA Graduate Degree Doctorate of Physical Therapy - University of the Sciences, Philadelphia, PA

    Vestibular Clinical Discussion Central Vs Peripheral

    Play Episode Listen Later Apr 15, 2021 22:11


    Enjoy a recording of our Weekly Wednesday Clinical Discussion: Central Vs Peripheral Vestibular Disorders from our recent Facebook live on March 17, 2021. New Weekly Vestibular Clinical Discussions each week on our Facebook group - https://www.facebook.com/groups/VestibularStudyGroup/

    Vestibular Clinical Discussion - Acoustic Neuromas + Case Study

    Play Episode Listen Later Apr 7, 2021 14:16


    Enjoy a recording of our Weekly Vestibular Clinical Discussion - Acoustic Neuromas + Case Study from March 10th, 2021. This discussion was inspired by a recent Facebook Study Group Vestibular clincal discussion about treament following neuroma resection. Join us on Facebook Live each week for a new Weekly Vestibular clincial Discussion. Join Here: https://www.facebook.com/groups/VestibularStudyGroup/

    Dr. Morgan Kriz, PT, DPT - Progressing as a vestibular therapist & Vestibular Telehealth practice!

    Play Episode Listen Later Mar 22, 2021 59:35


    In this episode we interview Dr. Morgan Kriz. We have an engaing discussion related to all things vestibular rehab and even telehealth. Dr. Kriz holds a Doctorate in Physical Therapy, focusing her career in managing patients with vestibular disorders. She earned her degree from the University of St. Augustine for Health Sciences in San Marcos, California, in 2012. She completed her Emory University vestibular rehabilitation competency certification program endorsed by APTA in 2014. Dr. Kriz has a strong background in orthopedic physical therapy, providing a foundation for general musculoskeletal conditions that may contribute to balance limitations and appreciates the overlap of neurological, orthopedic as well as the psychological aspects in assessment and management of patient care. In her career as a physical therapist, Dr. Kriz has worked with patients in several different clinical settings, including high-level military service personal during her experience at the San Diego Naval Medical Hospital Comprehensive Combat and Complex Casualty Care (C5); pre and post-surgical management and acute vestibular conditions in a hospital setting, managing individuals with acute and chronic vestibular impairments in outpatient and teletherapy services. Her primary focus of care is in vestibular migraines, cervical spine impairments, temporomandibular joint and facial palsy dysfunction and optimizing brain health from a central perspective with vestibular disorders. Additionally, Dr. Kriz owns and operates Vestibular Therapy Specialists ( https://www.vestibularspecialists.com/about) an online vestibular telehealth company helping patients throughout the US.

    Vestibular Clinical Discussion - Vestibular Adapation, Modifications, and case study!

    Play Episode Listen Later Mar 9, 2021 32:58


    Please enjoy a recording of our recent Wednesday Clincal Discussion on 3/2/21. Dr. Steven Tijerina, PT, DPT discusses Adaptation Training and VOR Modifications and an interesting Case Study of how he applied these modifications. Each week on Wednesday on Facebook live we discuss vestibular rehab, cases studies and updates in research on our Facebook Vestibular Rehab Study Group. Join one of the largest vestibular rehab facebook groups with over 2k clinicians at https://www.facebook.com/groups/VestibularStudyGroup. Recordings of the Facebook live vestibular dicussions will be posted weekly for your listening convenience!

    Eddie and Steven Chat - Part 2

    Play Episode Listen Later Jan 15, 2021 21:04


    On the last 2 episodes of Season 2, Eddie and Steven chat about different difficult cases they've had and if they've been able to come to a resolution or solution for those patients. Eddie talks about getting his first student as a CI and how its super easy to forget information you've learned in school if you haven't brushed up on it in awhile. Thanks for listening to season 2! We look forward to learning more, and sharing more, in Season 3. Be sure to like, subscribe, and share the podcast with family, friends, and patients! Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com

    Steven and Eddie chat - Part 1

    Play Episode Listen Later Jan 8, 2021 27:48


    On the last 2 episodes of Season 2, Eddie and Steven chat about different difficult cases they've had and if they've been able to come to a resolution or solution for those patients. Eddie talks about getting his first student as a CI and how its super easy to forget information you've learned in school if you haven't brushed up on it in awhile. Thanks for listening to season 2! We look forward to learning more, and sharing more, in Season 3. Be sure to like, subscribe, and share the podcast with family, friends, and patients! Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com

    Shana Townsend, BSPT - Part 2

    Play Episode Listen Later Jan 1, 2021 44:03


    Happy New Year!! Here's to hoping 2021 isn't the sh** show that 2020 was. On to newer and better things! On the 9th and 10th episode of Season 2, Steven goes solo and talks to Shana Townsend. Shana talks about her background in the hospital and how she started learning about the vestibular world on her own before branching out her knowledge and teaching at her hospital. They talk about the importance of collaborating with other therapists when you're stuck on what to do with a patient. They then follow through on that importance by discussing some patient cases that Shana has been struggling with recently and discuss possible solutions and things to consider. A few things that Shana pointed out: Chris Carpino at PESI, VEDA (https://vestibular.org/healthcare-directory/), EvidenceCEU Vestibular Study Group (https://www.facebook.com/groups/VestibularStudyGroup/) Want to get in touch with Shana? Reach out at Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com

    Shana Townsend, BSPT - Part 1

    Play Episode Listen Later Dec 25, 2020 21:15


    Merry Christmas! On the 9th and 10th episode of Season 2, Steven goes solo and talks to Shana Townsend. Shana talks about her background in the hospital and how she started learning about the vestibular world on her own before branching out her knowledge and teaching at her hospital. They talk about the importance of collaborating with other therapists when you're stuck on what to do with a patient. They then follow through on that importance by discussing some patient cases that Shana has been struggling with recently and discuss possible solutions and things to consider. Hope you all have a safe and fun holiday season and new year, we'll see you in 2021! A few things that Shana pointed out: Chris Carpino at PESI, VEDA (https://vestibular.org/healthcare-directory/), EvidenceCEU Vestibular Study Group (https://www.facebook.com/groups/VestibularStudyGroup/) Want to get in touch with Shana? Reach out at Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com

    Dr. Helena Esmonde, PT, DPT, NCS - Part 2

    Play Episode Listen Later Dec 18, 2020 32:28


    On the next 7th and 8th episode of the Dizzy Discussions, Eddie goes solo to talk to Dr. Helena Esmonde, PT, DPT, NCS. Dr. Esmonde goes over her experience as a neuro and vestibular PT, including starting a formal vestibular program in an Emergency Department and working with Physicians to ensure that all patients coming in after a fall are screened and tested for vestibular dysfunction, specifically BPPV. We talk about her NCS and how much actual Vestibular training goes into it and in the NCS test as well as voice our opinions on why there isn't a VCS (Vestibular Clinical Specialist) separate from the NCS. We also discuss Dr. Esmonde's current ventures with her husband at Vestibular First (vestibularfirst.com).** They are working on an FDA cleared, AFFORDABLE set of infrared goggles that won't set a clinic back $10K. They also have premade models of the vestibular system for patient/clinician education with accurate fall rates for the crystals. LOTS of good info in these two episodes. A few things that Helena pointed out: Dizzy Enthusiasts, EPT Facebook page, Audiology Vestibular Science Academy, Sharon Cushing, Medbridge: Rick Vandaniel, Kregg Ochitwa at North 49 Therapy, NOVEL.utah.edu (Neuro-Ophthalmology Virtual Education Library) Want to get in touch with Helena? Reach out at helena@vestibularfirst.com Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com **At the time of posting this episode, EvidenceCEU and Dizzy Discussions have no vested or financial interests with Vestibular First.

    Dr. Helena Esmonde, PT, DPT, NCS - Part 1

    Play Episode Listen Later Dec 11, 2020 37:22


    On the next 7th and 8th episode of the Dizzy Discussions, Eddie goes solo to talk to Dr. Helena Esmonde, PT, DPT, NCS. Dr. Esmonde goes over her experience as a neuro and vestibular PT, including starting a formal vestibular program in an Emergency Department and working with Physicians to ensure that all patients coming in after a fall are screened and tested for vestibular dysfunction, specifically BPPV. We talk about her NCS and how much actual Vestibular training goes into it and in the NCS test as well as voice our opinions on why there isn't a VCS (Vestibular Clinical Specialist) separate from the NCS. We also discuss Dr. Esmonde's current ventures with her husband at Vestibular First (vestibularfirst.com).** They are working on an FDA cleared, AFFORDABLE set of infrared goggles that won't set a clinic back $10K. They also have premade models of the vestibular system for patient/clinician education with accurate fall rates for the crystals. LOTS of good info in these two episodes. A few things that Helena pointed out: Dizzy Enthusiasts, EPT Facebook page, Audiology Vestibular Science Academy, Sharon Cushing, Medbridge: Rick Vandaniel, Kregg Ochitwa at North 49 Therapy, NOVEL.utah.edu (Neuro-Ophthalmology Virtual Education Library) Want to get in touch with Helena? Reach out at helena@vestibularfirst.com Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com **At the time of posting this episode, EvidenceCEU and Dizzy Discussions have no vested or financial interests with Vestibular First.

    Tom Boismier, MPH - Part 2

    Play Episode Listen Later Nov 20, 2020 18:43


    On the 3rd and 4th episodes of the Dizzy Discussions Podcast Season 2, we talk to Tom Boismier, MPH: a Diagnostician by trade who now works as a Clinical Product Support Specialist with Neurolign. Tom has an extensive background in doing vestibular diagnostic testing, multi-disciplinary collaborative clinical care, and is working on some awesome new products for vestibular clinicians with Neurolign*. Want to get in touch with Tom? Reach out at tom.boismier@neurolign.com Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com *At the time of posting this episode, EvidenceCEU and Dizzy Discussions have no vested or financial interests with Neurolign.

    Tom Boismier, MPH - Part 1

    Play Episode Listen Later Nov 13, 2020 42:20


    On the 3rd and 4th episodes of the Dizzy Discussions Podcast Season 2, we talk to Tom Boismier, MPH: a Diagnostician by trade who now works as a Clinical Product Support Specialist with Neurolign. Tom has an extensive background in doing vestibular diagnostic testing, multi-disciplinary collaborative clinical care, and is working on some awesome new products for vestibular clinicians with Neurolign*. Want to get in touch with Tom? Reach out at tom.boismier@neurolign.com Have feedback or know someone we should interview? Reach out to us at dizzydiscussions@gmail.com *At the time of posting this episode, EvidenceCEU and Dizzy Discussions have no vested or financial interests with Neurolign.

    Dr. Melissa Newell, Au.D - Part 2

    Play Episode Listen Later Nov 6, 2020 31:55


    On the first and second episode of Dizzy Discussions Season 2, we talk to Dr. Melissa Newell an Audiologist by trade who is now a Clinical Assistant Professor in the Department of Speech, Language, & Hearing Sciences at Purdue University. We Talk about VNG/Calorics testing, scope of practice for AuD. Collaborative care for PTs, PTAs, and Audiologists, why hearing and hearing tests are important, and more. Want to get in contact with Melissa? Reach out at newell7@purdue.edu Be sure to like, subscribe, and share the podcast with your friends and family! Got someone we should interview? Reach out to us at dizzydiscussions@gmail.com

    Dr. Melissa Newell, Au.D. - Part 1

    Play Episode Listen Later Oct 30, 2020 39:28


    On the first and second episode of Dizzy Discussions Season 2, we talk to Dr. Melissa Newell an Audiologist by trade who is now a Clinical Assistant Professor in the Department of Speech, Language, & Hearing Sciences at Purdue University. We Talk about VNG/Calorics testing, scope of practice for AuD. Collaborative care for PTs, PTAs, and Audiologists, why hearing and hearing tests are important, and more. Be sure to like, subscribe, and share the podcast with your friends and family! Got someone we should interview? Reach out to us at dizzydiscussions@gmail.com

    Why should you take CEU courses as a student? What entails a Vestibular Course?

    Play Episode Listen Later Nov 25, 2019 11:31


    On this episode, 3 DPT students review the VRS 1 course from Evidence CEU and discuss why it is a good idea to take CEU courses while still in school (#StudentDiscountsFTW). At the time of recording, all interviewees were students, however all have since graduated with their DPT. Dr. Trace McClintock, PT, DPT Dr. Dylan Pieper, PT, DPT **Disclosure: Dr. Steven Tijerina has financial interests in the Evidence CEU courses. Join our Vestibular Study group on Facebook: https://www.facebook.com/groups/VestibularStudyGroup/

    What does a Vestibular Clinical Rotation look like? Vestibular EDU in school

    Play Episode Listen Later Nov 18, 2019 19:28


    On this episode, Steven talks to 2 of his previous DPT students (Mike - Midwestern University 3rd year SPT & Ghilaine - Governors State University 3rd year SPT) that did clinical rotations at his clinic in The Windy City. What kind of experience does someone have if they were able to receive extra coursework in vestibular vs having the generic info? Can you still be successful if you just scratch the surface of vestibular before your rotation? (Hint: Absolutely) Join our Vestibular Study group on Facebook: https://www.facebook.com/groups/VestibularStudyGroup/

    Self-Learning Vestibular Rehab with Dr. Jared Burch, PT, DPT

    Play Episode Listen Later Nov 4, 2019 29:30


    Welcome back! On this episode, Dr. Jared Burch talks about his journey in self learning Vestibular Rehab as a new grad, the Herdman Vestibular Bible, and how he stays up on research and Steven and Jared go over some case studies. Join our Vestibular Study group on Facebook: https://www.facebook.com/groups/VestibularStudyGroup/

    Dr. Bart Tulicki, PT, DPT - Chicago Dizziness and Hearing

    Play Episode Listen Later Oct 28, 2019 28:35


    On our first episode, Dr. Tijerina talks w/ Dr. Bart Tulicki, PT, DPT about his job and current education in PT school regarding vestibular rehab. At the time of the recording, Dr. Bart Tulicki was working at Chicago Dizziness and Hearing and is now a Clinic Director at FYZICAL in Chicago. Join our Vestibular Study group on Facebook: https://www.facebook.com/groups/VestibularStudyGroup/

    Welcome to The Dizzy Discussions

    Play Episode Listen Later Oct 28, 2019 19:01


    WELCOME! On this first episode, Dr. Steven Tijerina, PT, DPT and Eddie Ernst, PTA, Cert VRS discuss what this podcast is and what we hope to accomplish and the type of value we would like to provide. Vestibular Rehab is blowing up and we're hoping to get on the forefront (so you don't have to) of research, clinical case studies, and the Vestibular Masters themselves who have paved the way for us to get to this point. (Just think, almost 2 decades ago, the Epley Maneuver and BPPV was thought to be pseudoscience. Welcome to The Dizzy Discussions Podcast. Join our Vestibular Study group on Facebook: https://www.facebook.com/groups/VestibularStudyGroup/

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