The information exists. The Clinical Motion Library organizes it into a structured clinical pathway for vestibular rehabilitation — DETECT, DECIDE, DELIVER, DEVELOP — so physical therapists and rehabilitation professionals can find the right information at the right clinical moment.
120-page clinical reference · 85 clinical decision points · Built for Physical Therapists & Rehabilitation Professionals
Final Cover
Product cover — asset pending
THE REAL PROBLEM
It's not a knowledge problem. It's a point-of-care problem.
The evidence and protocols for vestibular rehabilitation already exist, spread across textbooks, courses, and years of clinical training. The problem shows up mid-session: which repositioning maneuver fits this nystagmus pattern, what dosage applies to this presentation, whether this is an Approach or a standardized Protocol — and finding that answer fast enough to stay useful in the room.
Scattered across sources
Protocols and decision points live across different textbooks, course notes, and memory — not in one place you can open mid-session.
Slow to confirm, mid-session
Re-reading a chapter or searching old course slides isn't practical when a patient is on the table and a decision is needed now.
Evidence quality hidden in prose
Most references don't separate what's strongly supported from what's emerging or contested — that distinction usually has to be inferred, not read at a glance.
THE FRAMEWORK
DETECT → DECIDE → DELIVER → DEVELOP
One clinical pathway, four stages — the structure every page in the manual is built around.
01
DETECT
Identify what's actually happening — vestibular vs. non-vestibular clues, red flags, and differential signals.
02
DECIDE
Work through a structured clinical reasoning pathway to reach a working diagnosis and a rehabilitation direction.
03
DELIVER
Apply the specific repositioning maneuver, hypofunction exercise progression, or PPPD approach for this presentation.
04
DEVELOP
Use the 15-tool clinical toolkit to plan sessions, track progress, and confirm you're ready to deliver.
DETECT / DECIDE Flow Preview
Clinical pathway map — asset pending
THE PRODUCT
A complete clinical decision & protocol system — not a summary.
The Clinical Motion Library is a 120-page clinical reference organized as a single continuous pathway — from initial presentation through to session planning. Every page maps to one of the four framework stages, so you always know where you are and what comes next.
120
pages
85
clinical decision points
15
DEVELOP tools
WHAT'S INSIDE
Four layers, one continuous pathway
DETECT — 20 pages
Screening logic, red-flag identification, and differential clues that separate vestibular from non-vestibular presentations before you commit to a direction.
DECIDE — 25 pages
A structured clinical reasoning pathway that walks from presenting complaint to a working diagnosis and a rehabilitation direction, with a clinical pathway map and source references.
DELIVER — 46 pages
BPPV repositioning maneuvers (Epley, Semont, Lempert/BBQ, Gufoni, Appiani, Yacovino), hypofunction exercise progressions with VOR x1/x2 protocols, and PPPD approach cards — including dosage and progression detail.
DEVELOP — 19 pages, 15 tools
The Master Clinical Flow, Quick Find index, Master Protocol & Approach Index, session-planning worksheets, and a pre-delivery checkpoint — the operational layer that ties the manual together.
DELIVER — BPPV
Seven repositioning maneuvers, each with clear indication criteria
Each canal variant and nystagmus pattern is mapped to a specific maneuver, with step-by-step positioning and post-maneuver guidance — not a generic "do a repositioning maneuver" instruction.
● Epley (Canalith Repositioning)
● Semont Maneuver
● Lempert / Barbecue Roll
● Gufoni (Geotropic)
● Gufoni (Apogeotropic)
● Appiani Maneuver
● Yacovino (Deep Head Hanging)
BPPV Epley Sequence
Step-by-step figures — asset pending
Hypofunction Dosage / VOR Preview
VOR x1 sequence — asset pending
DELIVER — HYPOFUNCTION
Exercise progressions with dosage you can actually apply
Gaze stabilization (VOR x1 and x2), habituation, and balance retraining are organized as a selector, not a single fixed protocol — with a dosage quick reference and explicit progression dimensions so you know when and how to advance a patient.
VOR x1 / x2 Quick Differentiator
Choose the correct gaze stabilization variant for the presentation.
Dosage Quick Reference
Frequency, duration, and intensity guidance by presentation.
Progression Dimensions
Explicit criteria for when and how to advance a patient's program.
DELIVER — PPPD
An Approach, not a forced standardized protocol
Persistent Postural-Perceptual Dizziness doesn't respond to a fixed-dosage protocol the way a repositioning maneuver does. The manual presents PPPD as a structured clinical Approach — with clinical rationale, context cards on CBT and pharmacotherapy coordination, and explicit guidance on when the picture calls for a different direction — rather than reducing it to a standardized dosage table it can't honestly support.
Includes clinical rationale, CBT and pharmacotherapy context cards, and coordination guidance for the broader care team.
PPPD Approach Preview
Clinical rationale card — asset pending
DEVELOP — CLINICAL TOOLKIT
15 tools. One operational layer.
Every reasoning step in the manual resolves into one of these 15 quick-reference tools — indexes, matrices, checkpoints, and worksheets built for use during and between sessions.
DT01
Master Clinical Flow
DT02
Safety Escalation Reference
DT03
BPPV Decision Aid
DT04
Hypofunction Selector
DT05
Hypofunction Dosage Quick Reference
DT06
VOR x1/x2 Quick Differentiator
DT07
PPPD Approach Navigation
DT08
Coexisting Conditions Map
DT09
Reassessment & Clinical Response Matrix
DT10
Progression Dimensions
DT11
Evidence & Scope Key
DT12
Master Protocol & Approach Index
DT13
Quick Find ("I Need To...")
DT14
Session Planning & Progress Tracking Worksheet
DT15
Before You Deliver Checkpoint
DT01 Master Clinical Flow
Preview — asset pending
DT12 Master Protocol & Approach Index
Preview — asset pending
DT13 Quick Find
Preview — asset pending
EVIDENCE & TRUST
Evidence quality, visible on every page
Every clinical decision point carries an Evidence Certainty rating, kept separate from its Scope Qualifier so you can see at a glance how strongly a recommendation is supported and where it does or doesn't apply — instead of inferring it from prose.
HIGH · MODERATE · LIMITED · EMERGING · CLINICAL CAUTION
The five Evidence Certainty values used throughout the manual — never blended with the separate Scope Qualifier.
Evidence / Scope Preview
Evidence Key page — asset pending
WHO IT'S FOR
Built for physical therapists and rehabilitation professionals
This is built for you if:
You're a Physical Therapist or Rehabilitation Professional treating vestibular patients
You want a fast, structured reference to consult mid-session, not another course to finish
You want to build clinical confidence with BPPV, hypofunction, and PPPD presentations
You value seeing evidence strength and scope explicitly, not inferred from prose
It may not be right for you if:
You're looking for a certification, CEU credit, or accredited course — this is a clinical reference, not education credit
You want an automated diagnosis or treatment-decision tool — this supports clinical reasoning, it doesn't replace it
You need pediatric-specific vestibular content — this manual is built around adult presentations
Repositioning maneuvers fall outside your scope of practice
GET THE COMPLETE CLINICAL SYSTEM
Everything in one reference, one time
Full 120-page Clinical Motion Library — DETECT, DECIDE, DELIVER, DEVELOP
85 clinical decision points, each rated for Evidence Certainty and Scope
Complete BPPV maneuver library (7 maneuvers), hypofunction exercise progressions, and the PPPD Approach
The 15-tool DEVELOP clinical toolkit — indexes, matrices, worksheets, and checkpoints
44-entry consolidated clinical reference list
One-time payment — access to this edition, no subscription
If the Clinical Motion Library isn't a useful addition to your practice, contact us within 30 days of purchase for a refund. This is a satisfaction guarantee on the reference itself — it isn't a guarantee about clinical outcomes.
FAQ
Frequently asked questions
Is this a course?
No. The Clinical Motion Library is a clinical reference — a structured decision-support manual you consult at the point of care, not a course with lessons, modules, or a syllabus to complete.
Does it come with a certification or CEU credit?
No. It is not accredited continuing education and does not carry CEU credit. It's a professional clinical reference intended to support your existing licensure and training, not to substitute for accredited coursework.
Who is this built for?
Physical Therapists and Rehabilitation Professionals who treat vestibular patients — from new graduates building clinical confidence to experienced clinicians who want a faster, more structured point-of-care reference.
What's the difference between a Protocol and an Approach?
BPPV repositioning maneuvers are standardized Protocols with fixed, step-by-step positioning. PPPD is presented as a structured clinical Approach instead, because the evidence base doesn't support reducing it to a single fixed-dosage protocol.
How is evidence quality shown?
Every clinical decision point carries an Evidence Certainty rating — HIGH, MODERATE, LIMITED, EMERGING, or CLINICAL CAUTION — shown separately from its Scope Qualifier, so you can see support level and applicability at a glance.
Is this a diagnostic or automated treatment tool?
No. It's a clinical decision-support reference designed to organize existing evidence and protocols. It doesn't diagnose patients or prescribe treatment automatically — clinical judgment remains yours throughout.
Is there a guarantee?
Yes — a 30-Day Satisfaction Guarantee. If the manual isn't a useful addition to your practice, contact us within 30 days of purchase for a refund.
Ready for clinical clarity at the point of care?
120 pages. 85 clinical decision points. One structured pathway from DETECT to DEVELOP.