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.

What's the most effective treatment for horizontal cupulolithaisis (apogeotropic horizontal nystagmus on supine roll tes...
09/03/2025

What's the most effective treatment for horizontal cupulolithaisis (apogeotropic horizontal nystagmus on supine roll test) BPPV? v1st.co/EA25 to register for our September Journal Club with the fantastic Dr. Enrico Armato. Let's figure out tricky cases together! VIS - Vestibology Italian Society Vestibologia Italia Università degli Studi di Padova

09/03/2025

Balance Awareness Week - get excited

Which maneuver is most effective for horizontal canalithaisis? While more research is needed, here's some insight on evi...
08/29/2025

Which maneuver is most effective for horizontal canalithaisis? While more research is needed, here's some insight on evidence to date. v1st.co/freeSide for a free article on the sidelying test, and save this post for future reference! Dizzy Diagnostics

Great webinar opportunity- therapeutic alliance is CRITICAL for helping our patients with dizziness!
08/27/2025

Great webinar opportunity- therapeutic alliance is CRITICAL for helping our patients with dizziness!

⚠️ Health crisis: dizziness in older adults should not be ignored! v1st.co/ANPT25 to register for in-person or online ac...
08/27/2025

⚠️ Health crisis: dizziness in older adults should not be ignored! v1st.co/ANPT25 to register for in-person or online access to the upcoming Academy of Neurologic Physical Therapy Conference - lectures will cover topics ranging from Atypical BPPV to Dual Task Training. Academy of Neurologic Physical Therapy Vestibular Rehab SIG

🎉Please join us in wishing a very happy birthday to one of our essential and amazing team leaders, David! If you’ve had ...
08/25/2025

🎉Please join us in wishing a very happy birthday to one of our essential and amazing team leaders, David! If you’ve had a tech question for us, good chance that David solved it. Support Team for the win!

Persistent geo or apogeotropic nystagmus - is it vestibular migraine, horizontal canal BPPV, or another issue? v1st.co/e...
08/25/2025

Persistent geo or apogeotropic nystagmus - is it vestibular migraine, horizontal canal BPPV, or another issue? v1st.co/emailabs to join the free American Balance Society email list to get the Zoom link to this week's Vestibular Migraine Journal Club with Dr. Jeffery Sharon! American Balance Society UCSF

Nystagmus during BPPV treatment - do you watch its direction to see if a maneuver is successful? v1st.co/freeRoll to acc...
08/22/2025

Nystagmus during BPPV treatment - do you watch its direction to see if a maneuver is successful? v1st.co/freeRoll to access free information about the supine roll test, a key assessment tool for the horiziontal canal.

Get your hands-on training at this in-person intro vestibular course in suburban Boston the weekend of December 6-7 with...
08/20/2025

Get your hands-on training at this in-person intro vestibular course in suburban Boston the weekend of December 6-7 with awesome instructor Dr. Naseem Chatiwala, PT. v1st.co/NC25 to register. The world needs more trained vestibular clinicians, so please spread the word! Rehab Health 360 LLC

Epley not working due to patient's cervical extension limitations? The Hybrid maneuver has been shown to be an effective...
08/18/2025

Epley not working due to patient's cervical extension limitations? The Hybrid maneuver has been shown to be an effective option. v1st.co/DizzyED to learn more at a top-notch in-person "Dizziness in the Emergency Department" course! The ED DPT

Neuro is always on mind. Great beach read, not only for clinicians, but for anyone who wants to extend their healthy lif...
08/17/2025

Neuro is always on mind. Great beach read, not only for clinicians, but for anyone who wants to extend their healthy life!

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Philadelphia, PA

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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.