Academy of Neurologic Physical Therapy Podcast · Academy of Neurologic Physical Therapy

Vestibular SIG: Dysautonomia

September 23, 2025·44 min·1 clip
Once you know what to listen for, they become the easiest patients on earth to identify.
Vestibular physical therapists Dr. Jenna Tucker and Dr. Lauren Ziax explain dysautonomia, a dysfunction of the autonomic nervous system often misdiagnosed as vestibular migraine or 3PD. They cover the active stand test for diagnosis, the three main subtypes (POTS, orthostatic hypotension, chronic orthostatic intolerance), and adaptive exercise protocols that avoid triggering post-exertional malaise.

As heard by us

A practical walk-through of dysautonomia for clinicians who need the assessment details to land.

This episode treats dysautonomia as something to pin down, not a buzzword to toss around. Robin Evans and her guests explain what it is, why vestibular clinicians keep seeing it in dizziness and balance care, and how orthostatic hypotension, POTS, and orthostatic intolerance fit…

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Why you'd press play

When dizziness starts sounding like dysautonomia, this gives you a clean way to think through the assessment.

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