Vestibular First

Vestibular First 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.

🎊Love to see clinicians finding the important eye movements for vestibular diagnosis with their Vestibular First goggles...
01/13/2026

🎊Love to see clinicians finding the important eye movements for vestibular diagnosis with their Vestibular First goggles!

01/13/2026

🍄🦓 Dizziness when viewing visual movement (center or in your periphery) and/or with self movement? Here are a few fresh “combo moves” to work towards less symptoms when ready for moderate to advanced challenges!

❎⭕ Use visual focus points such as a dot or “x” on patterned cloth, with the option to use resources like the ReBalance Physiotherapy’s YouTube Optokinetic Library. Have the pattern move when ready, and consider moving your body such as turning to place balls on a surface behind you.

☔ ⚽ Create moving patterns by turning a patterned umbrella with the self-motion of turning your body or walking as able.

🐢 🚧 Start within a small range of motion, short duration (10-30 seconds) and slow movements of the pattern and/or oneself (option to start seated).

🧠🤓 Add reaction time activities like Music Boxing Machine (~$150 on Amazon) or games such as Simon and/or catching and rolling a ball on a surface.

🏆🧰 Are you a newer Vestibular Clinician, or know someone who is? Consider our awesome Hybrid Intro Vestibular Certification Program! Learn more at v1st.co/edu-faq

Brain tumor or BPPV? Improve your differential diagnosis skills for acute dizziness and register for our free upcoming J...
01/12/2026

Brain tumor or BPPV? Improve your differential diagnosis skills for acute dizziness and register for our free upcoming January Journal Club v1st.co/AT26 - and for a true in-depth training, check out our Intro Hybrid Vestibular Certification program at v1st.co/edu-faq!

Have you seen this new book by Dr. Jeffrey Sharon, an awesome neurotologist at UCSF? Highly recommend for both the scien...
01/09/2026

Have you seen this new book by Dr. Jeffrey Sharon, an awesome neurotologist at UCSF? Highly recommend for both the scientifically curious (but new to vestibular topics) as well as for the experienced vestibular clinician. Check it out on Amazon.com!

01/08/2026

👁️ 💃🏻 Have you seen normal physiologic nystagmus? During and for a few seconds after Danielle spins to her left in this video, a fast right beat nystagmus occurs.

✅ This response is NORMAL thanks to her VOR (vestibulo-ocular reflex). Her eyes move opposite the direction of the head/body turn as her VOR (vestibulo-ocular reflex) works to keep her vision stable during motion.

❌ If your VOR isn’t working normally, your may see a slowed or even lack of nystagmus in response to a turn. More importantly, the person often reports dizziness, blurry/bouncy vision, or even nausea during head/body motion.

📚🧠Learn more about important vestibular tests and the nystagmus that helps us diagnose at v1st.co/freetests and get certified in vestibular rehab with our hybrid Vestibular Certification program at v1st.co/edu-faq !

Balancing Act Rehab

Can you prevent postural crisis in posterior canal BPPV treatment? Drs. Califano, Ertugrul, et al. (2025) found that usi...
01/07/2026

Can you prevent postural crisis in posterior canal BPPV treatment? Drs. Califano, Ertugrul, et al. (2025) found that using the Shigeno Correction eliminated any cases of crisis (50 without compared to 50 with correction). v1st.co/Jan26 to register for the January 26 Vestibular SIG meeting, free to all! Vestibular Rehab SIG

01/06/2026

🎾 Dizzy playing or watching tennis? Try these progression ideas for vestibular rehab!

Can the neck cause dizziness, and how can we know? v1st.co/CGD26 for a great cervicogenic dizziness course by Dr. Rob La...
01/05/2026

Can the neck cause dizziness, and how can we know? v1st.co/CGD26 for a great cervicogenic dizziness course by Dr. Rob Landel, and check out a FREE algorithm and more at v1st.co/neck1 too!

Want to win a HUGE vestibular model? v1st.co/AT26 for your chance AND to register for our fantastic January 2026 Journal...
01/04/2026

Want to win a HUGE vestibular model? v1st.co/AT26 for your chance AND to register for our fantastic January 2026 Journal Club on "Diagnosing Acute Dizziness" with the brilliant Dr. Alexander Tarnutzer. Recorded if you can't make the live launch!

01/02/2026

POV: How I feel when a single Epley or other appropriate maneuver fully clears BPPV for a patient! (Vestibular clinicians, you know what I mean).

What are some options for medically managing vestibular migraine? More research is needed, but here's a start. v1st.co/I...
12/31/2025

What are some options for medically managing vestibular migraine? More research is needed, but here's a start. v1st.co/IVS26 to register for the excellent upcoming January Iowa Vestibular Symposium, which can be attended in-person or virtually! Iowa Vestibular Symposium

12/30/2025

🥣📦 Dizziness and neck/shoulder postural fatigue while organizing shelves, hanging pictures, or putting dishes into cabinets? Here’s one idea to progress or add variety to the up/down training!

🔢 🔴 Place number cards or post-it notes with a clear letter such as “X” overhead to give clear visual targets where you can focus your eyes as you reach. Roll a ball on the wall from waist level to overhead (within tolerable range if any shoulder pain).

💆🔄 Neck/shoulder care may be needed first to address any limitations in extension or rotation with these head or shoulder movements.

🐢 🚧 Start within a small range of motion, short duration (10-30 seconds) and slow movements (option to start seated).

🧠🤓 Add cognitive/dual challenges such as math problems using the numbers on the wall as you roll or tap the ball toward each number.

💪🪨 Add a heavier/larger ball or cuff weights on the wrist to increase strength and proprioceptive input.

🏁💃 Consider adding an optokinetic background such as patterned wrapping paper or a moving disco ball light to decrease sensitivity to visual motion.

🏆🧰 Keep adding to your vestibular rehab toolbox here!

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Philadelphia, PA

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+12156678990

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Our Story

When Helena Esmonde transitioned from a large hospital-based outpatient vestibular clinic to a small, privately owned clinic, she found herself without the use of the infrared video goggles she had become accustomed to using for her patients’ care. Her new workplace was an independent, PT/PTA co-owned physical therapy clinic that could not afford the minimum $8500 price tag for a pair among the current ones on the market. She brought this problem to her husband Patrick Esmonde, and he said, “Tell me more about the goggles.” After an explanation and research, he said, “I can build that.” And so necessity once more became the mother of invention and Patrick developed infrared video goggles that not only did what a vestibular therapist would need them to do, but he built them at a much lower cost. When Helena discovered that this was possible, she asked (perhaps nearly demanded) that they make these infrared video goggles available to countless other researchers, clinicians, and educators whose organizations could not afford such useful but costly technology. For this reason, Vestibular First came to be!

Our future is now resting on our community of therapists and educators to help refine and perfect the technology through our new customer offer. We hope you feel the same and will join our company in providing infrared goggles to all trained clinicians and educators to help more patients who suffer from vestibular disorders regain their safety and quality of life.