Delivered: June 25-26, 2021 - RECORDINGS NOW AVAILABLE in RESOURCES

The most common otologic causes of vertigo and imbalance that a physical therapist is likely to encounter are benign paroxysmal positional vertigo (BPPV) and peripheral vestibular hypofunction. This course will focus on recent advances in the management of both, to include biomechanics of the vestibular system, differential diagnosis, and principles of motor control. The interpretation of typical and unusual patterns of nystagmus observed during positional testing will be used to guide treatment based on biomechanics of BPPV; the principals of motor learning in the VOR will be applied to develop gaze stability training. Cases will be used to highlight the differential diagnosis process and therapeutic interventions.

Meet our Presenters

Janet O. Helminski, PT, PhD is a Professor of Physical Therapy at Midwestern University, and a physical therapist at Midwestern University Multispecialty Clinic. She received her PhD from Northwestern University’s Institute for Neuroscience. Her clinical focus is treating atypical BPPV and uncompensated peripheral vestibular hypofunction. Her current research includes differential diagnosis of atypical BPPV, acquired vertical diplopia, and acute vestibular syndrome in the emergency department.

Michael C. Schubert, PT, PhD, FAPTA is a Professor in the Department of Otolaryngology Head and Neck Surgery as well as the Department of Physical Medicine and Rehabilitation at Johns Hopkins University. He completed his PhD at the University of Miami followed by a post-doctoral fellowship at Johns Hopkins. His clinical focus is treating gaze and gait instability in people with loss of vestibular sensation. His current research investigates novel methods for identifying pathology within the oculomotor system and differences in motor learning in the vestibulo-ocular reflex using different types of error signals.

Course Code:


Completion Instructions

Attend the live sessions or review the recordings of such, complete the assessment with at least a 70% score, download and save your certificate

Course level


Delivery method



Michael Schubert and Janet Helminski

Learning objectives

  1. Understand the mechanics of the semicircular canals and macula in health.
  2. Interpret the findings of common vestibular tests based on an understanding of mechanics of the canal and macula.
  3. Use evidence based clinical decision rules to differentiate peripheral versus central vestibular dysfunction.
  4. Identify and interpret typical and atypical patterns of benign paroxysmal position nystagmus observed during positional testing and canalith repositioning maneuvers.
  5. Implement a canalith repositioning maneuver for the treatment of BPPV based on the anatomy and mechanics of the canal involved.
  6. Develop and implement a vestibular rehabilitation therapy program for peripheral vestibular hypofunction based on the principles of neuroplasticity of the VOR.

Brought to you by


Type:E-Learning Course
Credit Categories

The following credits are available upon completion of these activities.

Total credits:  0.8
Key Dates
Enrollment:Prior to  12/31/2023
Available discounts:
  • Nonmember
  • APTA Member
  • Students
  • Post Professional Student
* Prices in US Dollars