Education Center

Evidence into Practice: The Updated Clinical Practice Guideline for Vestibular Rehabilitation for Peripheral Vestibular Hypofunction

The Peripheral Vestibular Hypofunction CPG was updated in April 2022. This course has been revised to reflect the changes within the CPG.

The updated peripheral vestibular hypofunction clinical practice guideline is intended to help therapists who treat persons with peripheral vestibular hypofunction optimize rehabilitation outcomes by providing recommendations based on current best evidence. This course was developed to disseminate, and encourage implementation of, these guidelines. Additionally, this course provides research topic suggestions that are needed to improve the evidence base for clinical management of peripheral vestibular hypofunction.

Learning Objectives:

1. Review the epidemiology of peripheral vestibular hypofunction.

2. Understand how the updated Peripheral Vestibular Hypofunction Clinical Practice Guidelines(CPG) were developed.

3. Describe and implement the updated Peripheral Vestibular Hypofunction CPG action statements.

4. Identify appropriate patient conditions for implementation of vestibular rehabilitation for peripheral vestibular hypofunction. 

5. Identify evidence-based interventions, dosing parameters, and timing for vestibular rehabilitation for individuals with peripheral vestibular hypofunction.

6. Describe future research needs for the evaluation and treatment of Peripheral Vestibular Hypofunction.

Course Launched 12/2023

Amy Yorke

Amy Yorke, PT, PhD is the co-chair for the Updated Vestibular Hypofunction CPG Knowledge Translation Task Force.  She is currently an Associate Professor in the Physical Therapy Department at the University of Michigan-Flint and is Board Certified in Neurologic Physical Therapy (ABPTS). As the team lead of the Integrating KNOWledge Translation (iKNOW) lab, Dr. Yorke research interests are in translating evidence- based practices to clinical, community, and academic settings in order to improve patient outcomes.  In addition, Dr. Yorke is interested in further understanding interprofessional collaborative practice in both education and in the clinic.

Holly Roberts

Holly Roberts, PT, PhD is the co-chair for the Updated Vestibular Hypofunction CPG Knowledge Translation Task Force. She is an Associate Professor and Director of the University of Puget Sound School of Physical Therapy. Dr. Roberts is a Board Certified Specialist in Geriatric and Neurologic Physical Therapy. She serves as a subject matter expert for physical therapy for the U.S. Army Office of the Surgeon General and has served as the consultant for vestibular rehabilitation for Army medical commands in Korea and Europe. Her research interests include the use of outcome measures in physical therapy, particularly in neurologic rehabilitation and in the care of older adults.

Elizabeth Dannenbaum

Elizabeth Dannenbaum, PhD, MSC began working at the Jewish Rehabilitation Hospital in Laval, Canada as a clinical research associate and physiotherapist in the vestibular program in September 2000 after she had begun to specialize in vestibular rehabilitation in Israel. Elizabeth Dannenbaum’s interest focus on clinical assessment and treatment tools for people with vestibular deficits. This includes developing a novel questionnaire for the evaluation of visual vertigo (dizziness provoked in dynamic visual environments i.e., shopping centers, watching moving cars) and furthering the understanding of the clinical visual-vestibular interactions. Her other special interests are in the area of vestibular impairment in the pediatric population.   

Erin Greenler

Erin Greenler, PT, DPT, NCS is a senior physical therapist at Massachusetts General Hospital, Boston MA. She received her DPT in 2006 from Simmons College and has worked in the acute and home care settings. She was certified as a neurologic clinical specialist in 2017 by the American Board of Physical Therapy Specialists. Erin's clinical focus is treating acute neurologic conditions and she is particularly interested in stroke and vestibular populations. She also participates in stroke research data collection.

Lisa Heusel-Gillig

Lisa Heusel-Gillig, PT, DPT has been a physical therapist in the Emory Dizziness and Balance Center since 2001. Prior to becoming a vestibular specialist, she treated both inpatients and Rehab Day Program outpatients at the Emory Rehabilitation Hospital beginning in 1988. She earned her Doctorate of Physical Therapy in 2007 and became a Board Certified Neurology Clinical Specialist in 2010. She has been a part of many research studies conducted at Emory to improve the care of vestibular patients. She has published many journal articles including “the Development and Validation of the Modified Motion Sensitivity Test”. She has been on the faculty of the annual Emory Vestibular Rehabilitation Competency Course since 2001 and has been a co-director for 4 years. She has also taught the same course internationally in Australia and New Zealand as well as in weekend courses across the country. She is active in the APTA, Academy of Neurologic Physical Therapy and Vestibular Special Interest Group leadership team.

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Evidence into Practice: The Updated Clinical Practice Guideline for Vestibular Rehabilitation for Peripheral Vestibular Hypofunction
Begin self-paced component package.
Begin self-paced component package. The peripheral vestibular hypofunction clinical practice guidelines are intended to help therapists who treat persons with peripheral vestibular hypofunction optimize rehabilitation outcomes by providing recommendations based on current best evidence. This course has been developed to disseminate, and encourage implementation of, these guidelines. Additionally, this course provides research topic suggestions that are needed to improve the evidence base for clinical management of peripheral vestibular hypofunction.
Course Evaluation
9 Questions
9 Questions Completion of this evaluation will help with the development of additional courses.
Post Test
10 Questions  |  Unlimited attempts  |  7/10 points to pass
10 Questions  |  Unlimited attempts  |  7/10 points to pass Must receive a 70% pass rate to receive the CEU/Contact hour certificate
Completion Certificate/CEU
0.10 Contact Hours/CEU credits  |  Certificate available
0.10 Contact Hours/CEU credits  |  Certificate available
ANPT Vestibular CPG
Select the "ANPT Vestibular CPG" button to begin.
Select the "ANPT Vestibular CPG" button to begin. Find a toolbox of resources to use in the treatment of patients.
ANPT Resources
Select the "ANPT Vestibular SIG Website" button to begin.
Select the "ANPT Vestibular SIG Website" button to begin. The ANPT Vestibular Rehabilitation Special Interest Group has a variety of resources available to support this work.