Course Description

Educational Level: Introductory; Delivery method: Online, Self-paced

Instructional Methods: Demonstration, video, case studies


Colleen Sleik PT, DPT, NCS 

Jack Cervantes PT, DPT

  • Nearly 40% of adults will experience vertigo at least once in their lives, and over 50% of adults over age 65 years of age will experience vertigo that can be treated and resolved with a simple treatment. 
  • Dizziness and vestibular conditions become increasingly more common in the aging population, leading to falls, fear of movement, decreased social interactions, and ultimately loss of independence. There are many causes of dizziness, which is why skill development in differential diagnosis is pertinent to the successful treatment of patients with dizziness.
  • This course will provide the clinician with the foundational knowledge to improve understanding of vestibular function and the effects of vestibular dysfunction in patients presenting with dizziness, imbalance, and falls. 
  • Specific emphasis will be placed on understanding of peripheral and central causes of dizziness, including benign paroxysmal positional vertigo (BPPV), vestibular hypofunction, stroke, neurodegenerative diseases, and multisensory dizziness. 
  • Principles of assessment and differential diagnosis will improve the clinician’s efficiency in examination and translation of exam findings into the development of an effective, evidence-based treatment plan.

Approved by WI Chapter of the APTA and by the AOTA for .8 CEU's (8 Contact Hours) 


1. Develop skills to perform canalith repositioning manuevers for posterior, horizontal, and anterior canal BPPV with proper technique.

2. Apply differential diagnosis in clnical decision-making utilizing special tests and screening assessments.

3. Develop vestibular rehab treatment plan for patients with vestibular hypofunction based on clinical practice guidelines.

4. Develop personalized evaluation template for utilization in patient care.

5. Apply vestibular evaluation template to case studies to improve confidence in utilization and clinical practice.

6. Apply vestibular rehab techniques to patients with central and cervicogenic dizziness.

7. Recognize that there are other causes of dizziness and list indications for referral to a clinician with further training in this area.


Approved by the Wisconsin APTA for .8 CEU's. Focus on Function Physical Therapy, PC is an AOTA Approved Provider of professional development. Course approval ID#0000006328. This course is offered at .8 CEU's, intermediate educational level, foundational knowledge. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

Course curriculum

Instructors: Colleen Sleik PT, DPT, NCS and Jack Cervantes PT, DPT

    1. Message From Your Instructors: Colleen Sleik PT, DPT, NCS and Jack Cervantes PT, DPT

    2. Pre-Course Survey

    3. Accessing Coursework and Files

    4. Module 1: Anatomy and Physiology Handouts

    5. Module 2: Pathophysiology Handouts

    6. Module 3: Nystagmus Handouts

    7. Module 4: Assessment Handouts

    8. Module 5: Differential Diagnosis Handouts

    9. Module 6: BPPV Handouts

    10. Module 7: Vestibular Rehab for Vestibular hypofunction, central and cervicogenic dizziness Handouts

    1. Vestibular Anatomy and Physiology

    2. Aging Vestibular System

    3. Quiz Module 1: Anatomy and Physiology

    1. Benign Paroxysmal Positional Vertigo: BPPV

    2. Peripheral: Vestibular Hypofunction

    3. Peripheral: Meniere's Disease

    4. Peripheral: Acoustic Neuroma

    5. Peripheral: Other Diagnoses

    6. Central Dizziness and Neurodegenerative Disease

    7. Central: Vestibular Migraine

    8. Cervicogenic Dizziness

    9. Orthostatic and Postprandial Hypotension

    10. Quiz Module 2: Vestibular Pathophysiology

    1. Nystagmus

    2. Are Video Goggles Necessary?

    3. Right Torsional Up-beating Nystagmus

    4. Left Torsional Up-beating Nystagmus

    5. Right Torsional Down-beating Nystagmus

    6. Nystagmus Quiz #1

    7. Nystagmus Quiz #2

    8. Nystagmus Quiz #3

    9. Quiz Module 3: Nystagmus

    1. Subjective History

    2. Oculomotor Exam

    3. Hallpike-Dix Test

    4. Roll Test, Bow and Lean

    5. Sidelying Nose Down

    6. Full Assessment Video

    7. Quiz Module 4: Vestibular Assessment

    1. Differential Diagnosis

    2. Case 1

    3. Case 2

    4. Quiz Module 5: Differential Diagnosis

Vestibular Rehab for Clinicians Part 1: Foundations

  • Nystagmus videos
  • Differential diagnosis
  • Video demonstration of full evaluation and canalith repositioning maneuvers