Vesticam

09/12/2025

Early vestibular rehab post-concussion: valuable emerging evidence

This systematic review (Babula et al., 2023) highlights the potential value of early vestibular rehab in post-concussion athletes, especially those presenting with vestibular, oculomotor or cervical symptoms.

Key takeaways:
– Multimodal approaches that include gaze stability, VOR, saccadic/pursuit exercises and cervical manual therapy may help reduce time to return-to-sport when introduced between 10–30 days post-injury.
– Relying on balance training alone is not well supported.
– “Early” needs to be guided by symptom severity, clinical stability, and patient readiness.

While the evidence is still evolving, it’s timely. Many vestibular clinicians already apply these principles. This review strengthens the rationale but reminds us to continue using individualised assessment and clinical judgement.
An encouraging read for clinicians supporting return-to-play decisions with evidence-informed care.

Ref: Babula G et al. (2023) Int J Sports Phys Ther, 18(3):577–586. doi: 10.26603/001c.75369
https://pubmed.ncbi.nlm.nih.gov/37425112/

02/12/2025

Poor Sleep and Chronic Vestibular Hypofunction: Is There a Link Worth Noting?

Thanks to Katzenberger et al for their 2023 study published in the Journal of Clinical Medicine suggesting that patients with chronic vestibular hypofunction may experience poorer sleep quality.

The study found a modest but statistically significant association between vestibular symptoms lasting ≥2 years and worse scores on the PSQI. While the cross-sectional design means we can’t draw conclusions about causation, it’s a reminder of what many clinicians already suspect: poor sleep and persistent vestibular issues often go hand in hand.
What does this mean in practice?

Consider screening for sleep disturbance in patients with long-standing dizziness.
Be alert to the possibility that disrupted sleep may contribute to slower vestibular compensation and prolonged recovery.

Sleep quality could be a valuable piece of the clinical puzzle!

Study: Katzenberger et al. (2023) [PMID: 37762845] https://pubmed.ncbi.nlm.nih.gov/37762845/

26/11/2025

Can virtual reality support vestibular rehabilitation?

A meta-analysis published in European Archives of Oto-Rhino-Laryngology Mar 2022 examined the effectiveness of VR-based rehab for patients with uncompensated peripheral vestibular dysfunction.

Results were promising. VR interventions improved DHI, VSS-SF, visual analogue scale and posturography scores when compared to conventional methods. The authors concluded that VR may offer clinical value in vestibular rehab, but limitations across study size, consistency, and duration mean more robust research is still needed before protocols can be confidently applied.

https://pubmed.ncbi.nlm.nih.gov/36947249/

22/11/2025

Cervicogenic dizziness (CGD) remains a challenging diagnosis, especially when symptoms overlap with BPPV, migraine, whiplash, or concussion.

In a valuable conversation, Dr Rob Landel joins vestibular physios Abbie Ross and Danielle Tolman to explore what CGD is (and isn’t), the key signs that distinguish it from inner ear causes, and clinical tools that matter.

They walk through:
• Head–neck differentiation testing
• Cervical JPE testing using a laser
• When CGD is not the cause of vertigo
• Short-term collars: when they can help
• Strength, endurance, and pain-first strategies

If you work with dizzy patients, this one’s worth your time. Thanks Talk Dizzzy to Me!!

Listen here: https://podcasts.apple.com/au/podcast/understanding-cervicogenic-dizziness-diagnosis-and/id1524485241?i=1000735346857

19/11/2025

Special Offer for Vestibular Clinicians
Thinking of purchasing Vesticam2 monocular IR video goggles? Now is a great time!

Until 31 December, receive a free Android Recording Device with every monocular unit purchased.

It’s our way of making sure clinicians have the full portable set-up with no extra sourcing required.

✔ Supports gold standard vestibular care
✔ Easy to set up, light-tight, and fully portable
✔ Compatible with your existing clinical workflows

If you’ve already received a quote, just get in touch to update it — or use code VESTIVIEW at checkout for online orders.
Offer valid until 31 Dec 2025.

www.vesticam.com

Vesticam Infrared Video Goggles record patient eye movements, facilitating vestibular tests to assess and manage dizziness, vertigo and balance problems.

13/11/2025

Our latest VestiCOMMs is out now — a quarterly newsletter connecting vestibular clinicians with current insights, clinical updates and shared knowledge to support the best outcomes for dizzy patients.
We hope it informs and inspires your practice.

👉 Read now: http://eepurl.com/jrBeMA

Quarterly Vestibular Update & Online Resource Centre

05/11/2025

Cerebellar ataxia and vestibular loss often coexist and, as highlighted by Joffily et al. (Ear & Hearing, Aug 2025), these cases are increasingly presenting in otolaryngology and vestibular clinics.

Accurate diagnosis requires a structured, multidisciplinary approach. Subtle eye movement findings, including nystagmus, may provide the most valuable diagnostic clues.

Infrared video goggles offer clinicians the ability to observe and record these fleeting movements, supporting more confident and timely clinical decisions.

Read the review: https://journals.lww.com/ear-hearing/fulltext/9900/vestibular_loss_and_cerebellar_ataxia__a_practical.471.aspx

31/10/2025

Sharing another great patient resource, generously made available by .

This resource page explains what BPPV is, why it happens, and how it is treated, including videos of how to correctly perform repositioning maneuvers. Thanks Balancing Act!

https://www.balancingactrehab.com/bppv

Think your dizziness might be from BPPV? Learn what causes those spinning episodes and how to treat them.

28/10/2025

Congratulations to Robbie Correll, founder of Eye Precision Software, on developing this excellent eye movement analysis tool for research and education!

If you're using Vesticam IR video goggles for bedside vestibular testing, Eye Precision software offers a simple way to add tracings and animation to your recordings. You can also pair with Eye Precision Animations for standardized testing, comparing actual vs. expected eye movements across 40+ tests. The software is locally installed, easy to use and ideal for pursuits, saccades, nystagmus and gaze stability.

Eye Precision and Vesticam are independent, but they can be used together. Here’s how it looks: https://www.youtube.com/watch?v=Vr1bmsE5rJ4

More information in the first comment.

More information about the Vesticam at Vesticam.com

24/10/2025

For clinicians with an interest in vestibular management, nystagmus can provide vital diagnostic clues. This comprehensive review, Nystagmus in Clinical Practice: From Diagnosis to Treatment (Gurnani et al.; Clin Ophthalmol. 2025 May 17) is a must read and offers a practical resource for clinicians managing patients with nystagmus. It also explores new technologies, including AI integration in diagnostics.

https://pmc.ncbi.nlm.nih.gov/articles/PMC12094828/

16/10/2025

Check out Advanced Neuro Education’s great online courses.

An excellent option for busy vestibular therapists or those in remote and rural settings. Advanced Neuro Education are currently offering a 15% DISCOUNT on “BPPV - a comprehensive guide to treating Benign Paroxysmal Positional Vertigo”

Find out more here: https://www.advancedneuroed.com/

Professional development courses on neurological and vestibular rehabilitation , plus motor control and learning. Physiotherapists/physical therapists, medical doctors, coaches, physical trainers....