Dizzy Diagnostics

Dizzy Diagnostics Evidence-based resources for assessment and treatment of the vestibular system. NOT medical advice.
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All exercises should be performed under the supervision of a qualified clinician. We are Sara and Sydney, two physical therapists with a combined 20 years of experience working with patients with vestibular disorders. With a shared passion for vestibular rehab, we aim to equip fellow clinicians with evidence-based resources to provide high quality care to patients with vestibular disorders.

Don’t get us wrong, we love our high-tech tools for treatments. But vestibular therapy doesn’t have to be complicated. T...
04/18/2026

Don’t get us wrong, we love our high-tech tools for treatments. But vestibular therapy doesn’t have to be complicated. These simple, low cost tools can go a long way.

Enjoy this post? LIKE & SHARE with a buddy (bc it took me like 3 hours to make since my 2 year old knows how to use the backspace button now 😅😅😅)

04/16/2026

Patient reports dizziness or imbalance with bending forward? Try this.

*but only if you have thoroughly checked them for BPPV first*

Place matching cards face down on a stool, block, or the floor. Have your patient stand in a balance position while bending forward to flip 1 card at a time.

Flip 2 that don’t match? Bend forward again to flip them back over and start again.

The matching game can make this a little bit more fun and take their mind off of the movement.

This is a great exercise to simulate gardening, getting pots out of a low cabinet in the kitchen, or even just tying shoes



*Please note that all content posted by is for educational purposes only and is not to be used as medical advice. This platform is designed to serve as a resource for healthcare professionals. assumes no responsibility for any misuse or reliance on the information provided on this page.

04/15/2026

There are 1,000 exercises you can do with playing cards.

Here’s a simple idea to get you started.

Patient holds a stack of playing cards in random order
As they walk, flip one card at a time
🔴 red = turn head right
⚫️ black = turn head left

Add a cognitive challenge 🧠
🔴 red = name a food
⚫️ black = name an animal

Turn it into 180 body turns to increase the movement challenge!

This exercise is great for your patient who struggles with dizziness or imbalance when turning their head/body 🙂



*Please note that all content posted by is for educational purposes only and is not to be used as medical advice. This platform is designed to serve as a resource for healthcare professionals. assumes no responsibility for any misuse or reliance on the information provided on this page.

04/10/2026

The sticky note possibilities are endless!

🔢🔠This number + letter find is a great way to challenge multiple aspects of balance:
- multi directional stepping
- head turns & visual scanning
- dual task cognitive processing
- habituation to turning

Want to scale it up for athletes? ⚽️🏀🏈⚾️

Hav them side shuffle quickly up and down hallway while searching. Add a pink sticky note on the ground at one end of the hall and a yellow at the other. After grabbing odd numbers, they run to tap pink, after grabbing even, they run to tap yellow.

Need to scale it down for lower mobility? ⏬
Place sticky notes on walls to right and left at various height within one standing space so that patient can stand in place and turn side to side to find cards.

Sticky notes are cheap, fun, and diverse. Give us some other sticky note therapy ideas! 👇

04/08/2026

*SEE PREVIOUS REEL FOR PART 1*
Did you get it right?!

I know “oculomotor exam was normal” is kinda vague… but reels = short attention spans 😅

What I’m actually looking at with oculomotors includes ocular ROM, spontaneous and gaze-evoked nystagmus, smooth pursuit, saccades, head impulse test, VOR cancellation, convergence, dynamic visual acuity, and ocular alignment.

👀 Vestibular testing included:
VNG calorics, Rotational chair, EcoG, cVEMP, vHIT

04/06/2026

A few other details:
- symptoms can be really quick (seconds) or last hours
- she doesn’t notice any hearing changes
- she has a history of motion sickness

❓What diagnosis are you thinking?!

Leave your comment below and we will discuss the answer in another post!

We take a deep dive into education throughout our entire evaluation of a patient with dizziness. This empowers them and ...
03/31/2026

We take a deep dive into education throughout our entire evaluation of a patient with dizziness. This empowers them and aids in reducing anxiety associated with their symptoms!

1. Vertigo is not a diagnosis
Vertigo describes a false sense of movement, but it doesn’t tell you why it’s happening.

2. Peripheral vs central vestibular system
We educate patients that the vestibular system includes both the inner ear (peripheral) and the brain (central processing).

3. Role in gaze stability
The vestibular system drives the vestibulo-ocular reflex (VOR) to keep vision clear during head movement.

📝 Comment ‘education’ for some phrases to copy + paste into your vestibular eval template!

03/30/2026

Treating BPPV isn’t just about doing the Epley and calling it a day.

The maneuver matters, but there’s more to it!

We’re screening for other vestibular conditions.
We’re identifying contributing factors (migraine, hydrops, sleep apnea, HTN, etc.).
We’re making sure it’s actually BPPV (and the correct canal)
And we’re educating patients so they understand what’s happening and what to expect next.

Because if you skip those steps, you’re minimizing how impactful the session can be.

A couple of our favorite educational tools are:
✅ Fluid filled and anatomy models from
✅ Written handouts for patients from and

Find this helpful? Share with a vestibular buddy 🤗

03/26/2026

Hey friends! With 13 years of experience treating complex facial nerve disorders, I've put together the essentials on facial rehab just for you.

Head to the link in bio to learn more in our upcoming webinar, “Foundations of Facial Rehabilitation”!

03/25/2026

True story ‼️
A patient I saw today has recurrent BPPV. She was well appearing and feeling fine today, but her blood pressure was 173/108! And this isn’t the first time we have had a reading like that.
So we called her doctor to make a plan for management of her HTN.

Consider this your friendly reminder to check your patients vitals before checking for BPPV!!

Have you noticed a link between cardiovascular conditions and BPPV in your clinic?

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