Why Do I Get Dizzy When I Roll Over in Bed or Look Up?

Why Do I Get Dizzy When I Roll Over in Bed or Look Up? A Physical Therapist Answers

By Nova Physical Therapy | North Hollywood, CA

Patient Question

“When I roll over in bed, sit up, look toward the ceiling, or bend down, I suddenly feel like the room is spinning. It usually lasts a short time but can be very unsettling. Could this be vertigo? Can physical therapy help?”

The Short Answer

Brief episodes of spinning triggered by certain changes in head position can occur with benign paroxysmal positional vertigo, commonly called BPPV.

However:

Dizziness is a symptom—not a diagnosis.

Many different conditions can cause dizziness, vertigo, or imbalance.

BPPV is one possible cause, particularly when symptoms are repeatedly triggered by movements such as:

• Rolling over in bed
• Getting into or out of bed
• Looking upward
• Bending forward
• Turning the head in certain positions

The clinical guideline for BPPV describes it as an inner-ear disorder characterized by repeated episodes of positional vertigo and recommends appropriate positional testing to determine whether the presentation is consistent with BPPV. 

When BPPV is appropriately identified, a trained clinician may use a canalith repositioning maneuver.

A 2026 network meta-analysis of 20 randomized controlled trials involving 2,089 patients found strong short-term results for repositioning maneuvers, with the Epley and Semont maneuvers performing particularly well for posterior-canal BPPV. 

But the important first step is not simply performing an Epley maneuver at random.

It is determining:

What type of dizziness is occurring, what triggers it, whether the findings are consistent with a vestibular condition appropriate for physical therapy, and whether further medical evaluation is needed.

What Is Vertigo?

People often use the words:

dizziness

and

vertigo

interchangeably.

They are not exactly the same.

Dizziness is a broad description that can include sensations such as:

• Lightheadedness
• Unsteadiness
• Floating
• Motion sensitivity
• Feeling faint
• Feeling “off”
• Spinning

Vertigo describes an illusion or sensation of movement when actual movement is absent or different from what is perceived.

Someone might say:

“The room spins.”

or

“It feels like I am moving even though I am still.”

The BPPV clinical practice guideline defines vertigo as an illusory sensation of motion of oneself or the surroundings. 

Because patients use these terms differently, a physical therapist may ask detailed questions about exactly what the person experiences.

What Is BPPV?

BPPV stands for:

Benign Paroxysmal Positional Vertigo.

The name describes several characteristics of the condition.

Benign historically indicates that this particular form of positional vertigo is not caused by a serious central nervous system disorder.

Paroxysmal refers to its sudden, episodic nature.

Positional means symptoms are triggered by changes in head position relative to gravity.

Vertigo refers to the sensation of movement or spinning.

BPPV is one of the most common causes of peripheral vertigo.

The clinical guideline reports that approximately 17%–42% of patients presenting with vertigo ultimately receive a diagnosis of BPPV.

But not every person who becomes dizzy when moving has BPPV.

What Happens in the Inner Ear With BPPV?

Your inner ear contains structures involved in balance and spatial orientation.

One commonly accepted explanation for BPPV involves very small calcium carbonate particles called otoconia.

Normally, these particles are located in another part of the vestibular system.

In BPPV, particles may become displaced and enter one of the semicircular canals.

When the head changes position relative to gravity, movement of those particles can abnormally stimulate the vestibular system.

The brain then receives a signal suggesting movement that does not match the person's actual movement.

The result can be a brief episode of vertigo.

The most commonly affected canal is the posterior semicircular canal, which accounts for the large majority of BPPV presentations described in the guideline. 

Why Does Vertigo Happen When I Roll Over in Bed?

Rolling over changes the orientation of your head relative to gravity.

In someone with positional vertigo, that movement may trigger abnormal vestibular input.

This is why patients commonly describe symptoms such as:

“Every time I roll onto my right side, the room spins.”

or

“I wake up dizzy when I turn over.”

Rolling in bed is specifically recognized as a common provoking activity in BPPV clinical guidance. 

The pattern of symptoms matters.

A clinician may ask:

• Which direction triggers symptoms?
• How long does the spinning last?
• Does it happen every time?
• Is there nausea?
• Are symptoms present while sitting still?
• Are there neurological symptoms?
• Is there hearing loss or another ear-related symptom?

These details help guide the evaluation.

Why Do I Get Dizzy When I Look Up?

Looking upward changes head position relative to gravity.

Someone with BPPV may therefore notice vertigo while:

• Looking into an overhead cabinet
• Washing their hair
• Reaching toward a high shelf
• Tilting the head back

The BPPV guideline specifically identifies looking upward as a commonly reported provoking activity. 

But dizziness while looking upward does not automatically mean BPPV.

Other causes must be considered when the presentation is atypical.

Why Do I Get Dizzy When I Bend Down?

Bending forward also changes head orientation.

Patients sometimes notice symptoms when:

• Tying shoes
• Picking something up
• Gardening
• Loading a dishwasher
• Reaching toward the floor

Again, the symptom pattern is useful information, but it does not establish the cause by itself.

How Long Does BPPV Vertigo Usually Last?

Classic posterior-canal BPPV commonly produces brief episodes associated with changes in head position.

The clinical guideline describes episodes commonly lasting one minute or less. 

That does not mean every brief dizzy episode is BPPV.

And symptoms lasting much longer do not automatically rule out every vestibular condition.

Duration is only one part of the evaluation.

Why Do I Still Feel “Off” After the Spinning Stops?

Some patients report that the intense spinning is brief but that they continue feeling:

• Unsteady
• Lightheaded
• Sensitive to movement
• “Off”
• Less confident walking

between episodes.

The BPPV guideline notes that approximately half of patients may report subjective imbalance between classic episodes. 

Residual dizziness may also occur after successful repositioning treatment.

A 2026 systematic review specifically examined residual dizziness after canalith repositioning in people with BPPV, reflecting growing research interest in symptoms that persist even after the primary positional vertigo has improved. 

Persistent symptoms deserve reassessment rather than repeated assumptions that the same problem is still present.

Is BPPV Dangerous?

BPPV itself is generally considered a peripheral vestibular condition rather than a dangerous neurological disorder.

But there are two important considerations.

First, vertigo can increase the risk of:

• Falling
• Losing balance
• Avoiding activity
• Difficulty with daily tasks

Second, not all dizziness or vertigo is BPPV.

Some causes of acute dizziness require urgent medical evaluation.

That is why appropriate screening matters.

What Is the Dix-Hallpike Test?

The Dix-Hallpike maneuver is a positional test commonly used when posterior-canal BPPV is suspected.

The clinician carefully changes the person's head and body position while observing the eyes for a characteristic involuntary eye movement called nystagmus and monitoring the patient's symptoms.

The BPPV clinical practice guideline strongly recommends identifying posterior-canal BPPV when the appropriate pattern of vertigo and torsional upbeating nystagmus is provoked during the Dix-Hallpike maneuver. 

This is important because:

the test is not simply “Did the patient get dizzy?”

The pattern of eye movement and symptoms provides important clinical information.

What Is Nystagmus?

Nystagmus is an involuntary rhythmic movement of the eyes.

Different patterns can provide information about how the vestibular system is responding.

A trained clinician evaluates characteristics such as:

• Direction
• Timing
• Duration
• Relationship to head position

This information can help differentiate positional vestibular findings from other causes of dizziness.

What If the Dix-Hallpike Test Is Negative?

A negative Dix-Hallpike test does not necessarily mean:

“You don't have a vestibular problem.”

Different semicircular canals can be involved.

For example, if the history is consistent with BPPV but the Dix-Hallpike produces horizontal or no nystagmus, the guideline recommends performing—or referring to a clinician who can perform—a supine roll test to assess for lateral/horizontal canal BPPV. 

The correct evaluation depends on the presentation.

What Is the Epley Maneuver?

The Epley maneuver is a canalith repositioning procedure commonly used for posterior-canal BPPV.

The patient's head and body are moved through a sequence of positions designed to relocate displaced particles within the inner ear.

The goal is not simply to stretch the neck.

It is a vestibular treatment based on the anatomy of the semicircular canals.

Does the Epley Maneuver Really Work?

Evidence strongly supports canalith repositioning for appropriately identified posterior-canal BPPV.

The BPPV clinical practice guideline gives a strong recommendation that patients with posterior-canal BPPV be treated—or referred to someone who can treat them—with a canalith repositioning procedure. 

A newer 2026 network meta-analysis evaluated 20 randomized controlled trials involving 2,089 patients.

The Epley maneuver ranked highest for overall effectiveness in that analysis, while both Epley and Semont maneuvers performed well for short-term resolution. 

However, this does not mean everyone who feels dizzy should perform an Epley maneuver.

The correct maneuver depends on the clinical findings.

Should I Try the Epley Maneuver at Home?

Patients should be cautious about diagnosing themselves from symptoms alone.

An Epley maneuver may be appropriate when posterior-canal BPPV has been properly identified and the patient has been appropriately instructed.

But dizziness can have many causes.

Certain patients may also have:

• Cervical limitations
• Mobility limitations
• Vascular or neurological concerns
• Significant fall risk
• Other medical considerations

that affect testing or treatment.

The safer approach is to first determine whether the presentation is actually consistent with BPPV.

Do I Have to Sleep Upright After the Epley Maneuver?

Current BPPV guidance recommends against routine post-procedure positional restrictions after canalith repositioning for posterior-canal BPPV. 

In other words, routine instructions such as:

“Never lie flat tonight.”

or

“Sleep sitting upright for several nights.”

are not generally required following successful repositioning.

Individual circumstances may still affect recommendations.

What If the Epley Maneuver Does Not Work?

Several possibilities may need consideration.

For example:

• The involved canal may be different
• The affected side may have been incorrectly identified
• BPPV may still be present
• Another vestibular condition may be contributing
• The symptoms may have another cause

The guideline recommends reassessment and evaluation—or appropriate referral—for persistent symptoms to determine whether unresolved BPPV or another peripheral or central vestibular disorder may be present. 

Repeatedly performing the same maneuver without reassessment is not always appropriate.

What Is Vestibular Rehabilitation?

Vestibular rehabilitation is a specialized form of rehabilitation used for selected patients with dizziness, vertigo, imbalance, gaze instability, or vestibular dysfunction.

Depending on the condition and examination findings, vestibular physical therapy may include:

• Gaze-stability exercises
• Habituation exercises
• Balance training
• Walking activities
• Head-movement training
• Sensory integration activities
• Functional movement
• Canalith repositioning for appropriate BPPV presentations

Not every dizzy patient requires all of these interventions.

Treatment should match the clinical presentation.

Are Vestibular Exercises the Same as the Epley Maneuver?

No.

This distinction is important.

The Epley maneuver is a specific canalith repositioning procedure primarily used for appropriately identified posterior-canal BPPV.

Vestibular rehabilitation exercises may instead target:

• Gaze stability
• Motion sensitivity
• Balance
• Walking
• Vestibular adaptation
• Functional tolerance

depending on the patient's condition.

Using the wrong intervention for the wrong problem may not be helpful.

What Are Gaze-Stability Exercises?

Your vestibular system helps keep vision stable while your head moves.

For some vestibular disorders, patients may have difficulty keeping an image visually stable during head movement.

Gaze-stability exercises may be used to challenge this system when clinically appropriate.

The American Physical Therapy Association Academy of Neurologic Physical Therapy clinical practice guideline supports vestibular rehabilitation for people with peripheral vestibular hypofunction and provides evidence-based recommendations regarding gaze-stability and balance exercise. 

These exercises should not automatically be prescribed to everyone with dizziness.

Can Vestibular Therapy Make Me Dizzy at First?

Some vestibular exercises intentionally expose the patient to controlled movement or visual challenges.

Mild, temporary symptom provocation may sometimes occur.

The objective is not to make someone as dizzy as possible.

Exercise dosage should be individualized according to:

• Condition
• Symptom severity
• Balance
• Fall risk
• Response to treatment
• Functional goals

Severe or unusual symptoms require reassessment.

Can Physical Therapy Help?

Yes, when dizziness, vertigo, imbalance, or vestibular-related functional limitations are appropriate for physical therapy.

Physical therapy may include:

• Vestibular screening
• Positional testing when appropriate
• Canalith repositioning when indicated
• Balance assessment
• Gaze-stability assessment
• Walking assessment
• Vestibular exercise
• Balance training
• Functional movement
• Patient education
• Fall-risk management
• Home exercise when appropriate

The goal is not simply:

“Make dizziness disappear during the appointment.”

The functional goals may include helping the patient safely return to:

rolling in bed → getting up → walking → turning → shopping → driving when medically appropriate → working → exercising → normal daily activities.

Can Vestibular Rehabilitation Help Conditions Other Than BPPV?

Yes.

Vestibular rehabilitation is used in selected patients with several peripheral and central vestibular presentations.

Current research has examined vestibular rehabilitation for:

• Peripheral vestibular hypofunction
• Vestibular migraine
• Persistent postural-perceptual dizziness
• Multiple sclerosis-associated vestibular dysfunction
• Other vestibular presentations

But treatment depends on the underlying condition and examination findings.

For example, a 2026 systematic review and meta-analysis of vestibular rehabilitation for vestibular migraine included seven studies involving 413 patients and found average improvements in dizziness-related disability, although the results varied substantially among studies. 

Another 2026 systematic review also reported favorable outcomes for vestibular rehabilitation in vestibular migraine while emphasizing methodological limitations and the need for larger standardized trials. 

What Does Research Say?

This is an unusually timely area of rehabilitation research.

August 2026 Vestibular Rehabilitation Review

A systematic review published August 18, 2026 in the Journal of Neurologic Physical Therapy evaluated group-based vestibular rehabilitation for adults with central or peripheral vestibular dysfunction.

The review included:

9 randomized trials

and

399 participants.

Low-certainty evidence suggested group vestibular rehabilitation may reduce dizziness and improve tandem walking compared with no intervention.

Researchers found no clear superiority of group-based versus one-to-one vestibular rehabilitation. 

This is useful because it suggests that multiple delivery models may have value while emphasizing that evidence certainty remains limited.

2026 BPPV Repositioning Meta-Analysis

A network meta-analysis evaluated 20 randomized controlled trials involving 2,089 patients with posterior-canal BPPV.

The Epley maneuver ranked highest for overall effectiveness, and both Epley and Semont maneuvers demonstrated strong short-term results.

Evidence regarding recurrence was less certain. 

This reinforces an important distinction:

repositioning maneuvers have a specific role when the appropriate BPPV presentation has been identified.

2026 Vestibular Migraine Meta-Analysis

A systematic review and meta-analysis involving 413 patients found meaningful average improvements in Dizziness Handicap Inventory scores following vestibular rehabilitation for vestibular migraine.

However, statistical heterogeneity was very high, meaning responses and study methods varied considerably. 

The results are promising but should not be interpreted as evidence that vestibular rehabilitation cures vestibular migraine.

2026 Multiple Sclerosis Vestibular Rehabilitation Review

Another 2026 systematic review examined vestibular physical therapy for balance and dizziness in people with multiple sclerosis.

Sixteen studies were included, and pooled analysis suggested improvement in dizziness-related disability compared with control interventions.

The researchers also identified methodological limitations and called for more individualized research. 

APTA Clinical Practice Guidance

The APTA Academy of Neurologic Physical Therapy clinical practice guideline recommends vestibular physical therapy for people with peripheral vestibular hypofunction. 

Taken together, current evidence supports an important patient message:

Dizziness is not one condition, and vestibular physical therapy is not one exercise. The evaluation should determine what type of problem is present and which rehabilitation approach is appropriate.

Why Is This Topic Especially Relevant Right Now?

Today—September 13, 2026—is the first day of Balance Awareness Week.

The Vestibular Disorders Association established Balance Awareness Week to increase understanding of conditions involving dizziness, vertigo, imbalance, and other vestibular symptoms.

This year's campaign runs:

September 13–19, 2026.

The American Academy of Audiology is also supporting the campaign this week. 

And on September 10, 2026, ASHA issued a national announcement highlighting the problem of vestibular conditions being misunderstood or overlooked and emphasizing symptoms including:

• Dizziness
• Vertigo
• Imbalance
• Spatial disorientation

That makes today particularly relevant for patients in North Hollywood, Burbank, Studio City, Toluca Lake, Valley Village, Van Nuys, Sherman Oaks, and greater Los Angeles searching questions such as:

“Why do I get dizzy when I roll over in bed?”

“Why does the room spin when I look up?”

“Is this BPPV?”

“Does the Epley maneuver work?”

and

“Can physical therapy help vertigo?”

What Happens During a Physical Therapy Evaluation?

At Nova Physical Therapy, an evaluation for dizziness, vertigo, or imbalance may include, when appropriate:

• Detailed symptom history
• Medical history
• Symptom duration
• Symptom triggers
• Positional symptoms
• Fall history
• Balance complaints
• Walking limitations
• Cervical mobility considerations
• Eye-movement observation
• Positional testing when clinically appropriate
• Balance testing
• Walking assessment
• Functional mobility
• Patient goals

A physical therapist may ask:

Does the room spin or do you feel lightheaded?

How long does it last?

Does rolling to one side trigger it?

Does looking up trigger it?

Are you dizzy while sitting completely still?

Are there hearing changes?

Are there neurological symptoms?

These questions help determine whether the presentation appears appropriate for vestibular physical therapy or requires additional medical evaluation.

APTA currently provides specialized professional education for physical therapists on evaluating and treating common vestibular conditions, including BPPV and peripheral vestibular hypofunction, with training in positional testing, nystagmus interpretation, repositioning maneuvers, and vestibular rehabilitation. 

California's Physical Therapy Practice Act includes physical therapy evaluation, treatment planning, instruction, consultation, rehabilitation, and active, passive, and resistive exercise within physical therapy practice. 

Physical therapists remain within their professional scope and refer patients when findings suggest a medical condition requiring additional evaluation.

When Should You Seek Medical Attention?

Sudden dizziness or vertigo should not automatically be assumed to be BPPV.

Seek urgent medical attention for dizziness accompanied by symptoms such as:

• New facial drooping
• New arm or leg weakness
• New numbness
• New difficulty speaking
• New confusion
• Sudden severe headache
• New significant double vision
• New inability to stand or walk
• Loss of consciousness
• Chest pain
• Severe shortness of breath
• Sudden severe neurological symptoms

Medical evaluation may also be appropriate for:

• New hearing loss
• Persistent vomiting
• Repeated unexplained falls
• Persistent or progressively worsening dizziness
• Symptoms following significant head trauma
• Symptoms that do not fit the expected pattern of a peripheral vestibular condition

Dizziness can have:

• Vestibular
• Neurological
• Cardiovascular
• Medication-related
• Metabolic
• Visual
• Musculoskeletal
• Other medical causes

Symptoms alone should never be used to self-diagnose BPPV.

Why Patients Choose Nova Physical Therapy

At Nova Physical Therapy, our mission is simple:

We Care.

Dizziness can affect much more than balance.

Patients may become afraid to:

• Roll over in bed
• Look upward
• Bend down
• Walk outside
• Drive
• Exercise
• Shop
• Travel
• Move quickly

Some begin moving their head as little as possible because they are worried the spinning will return.

Our goal is not to make patients afraid of movement.

We want to understand:

What movement triggers your symptoms, what physical functions are being affected, and what can we appropriately address through physical therapy?

Our rehabilitation philosophy emphasizes:

• Evidence-based care
• Individualized evaluation
• Vestibular assessment when appropriate
• Balance training
• Functional movement
• Canalith repositioning when indicated
• Progressive vestibular exercise when appropriate
• Walking and mobility
• Patient education
• Appropriate referral when findings require medical evaluation

The objective is to help patients regain confidence in the movements and activities that matter to them.

Frequently Asked Questions

Why do I get dizzy when I roll over in bed?

Brief positional vertigo triggered by rolling in bed can occur with BPPV, but other causes are possible and symptoms should be appropriately evaluated.

Why does the room spin when I look up?

Looking upward changes head position relative to gravity and can trigger symptoms in some people with positional vertigo. 

What is BPPV?

BPPV is an inner-ear condition characterized by repeated episodes of vertigo associated with changes in head position relative to gravity. 

Is vertigo the same as dizziness?

No. Dizziness is a broad symptom category. Vertigo specifically describes an illusion or sensation of movement.

How long does BPPV dizziness last?

Classic episodes of posterior-canal BPPV are commonly brief, often lasting less than approximately one minute. 

What is the Dix-Hallpike test?

It is a positional test used when posterior-canal BPPV is suspected. The clinician observes symptoms and characteristic eye movements during specific head and body positioning.

What is the Epley maneuver?

The Epley maneuver is a canalith repositioning procedure commonly used for appropriately identified posterior-canal BPPV.

Does the Epley maneuver work?

Evidence strongly supports canalith repositioning for posterior-canal BPPV, and a 2026 meta-analysis found particularly favorable short-term results for the Epley maneuver. 

Should I perform the Epley maneuver myself?

Self-treatment should not replace appropriate evaluation when the cause of dizziness is uncertain. The correct maneuver depends on the clinical presentation.

Do I need to sleep sitting up after the Epley maneuver?

Routine postural restrictions after repositioning for posterior-canal BPPV are not recommended in current clinical guidance. 

What if the Epley maneuver does not help?

Persistent symptoms should be reassessed because the involved canal, condition, or cause of dizziness may be different.

Can BPPV come back?

Yes. Recurrence can occur. Evidence is less certain regarding which strategies best prevent recurrence. 

What is vestibular rehabilitation?

Vestibular rehabilitation is specialized rehabilitation that may address gaze stability, motion sensitivity, balance, walking, and functional movement depending on the condition.

Can physical therapy help dizziness?

Yes, when the dizziness or balance limitation is related to a condition appropriate for vestibular physical therapy.

Can physical therapy help BPPV?

Physical therapists with appropriate vestibular training may evaluate positional vertigo and perform canalith repositioning when clinically indicated.

Can physical therapy help vestibular migraine?

Vestibular rehabilitation may help selected patients with vestibular migraine, although 2026 reviews emphasize substantial variability in the evidence. 

Is dizziness always an inner-ear problem?

No. Dizziness can have vestibular, neurological, cardiovascular, medication-related, metabolic, visual, and other causes.

Schedule an Evaluation

If dizziness, vertigo, or imbalance is making it difficult to roll in bed, look upward, bend down, walk, turn, exercise, work, or participate comfortably in everyday activities, Nova Physical Therapy can help determine whether physical therapy is appropriate.

Our licensed physical therapists provide individualized evaluations and rehabilitation focused on:

• Balance
• Functional mobility
• Vestibular-related movement limitations when appropriate
• Walking
• Strength
• Physical capacity
• Returning to meaningful activities

Contact Nova Physical Therapy today to schedule a comprehensive physical therapy evaluation in North Hollywood.

Disclaimer

This article is intended for educational and informational purposes only and does not constitute medical advice, medical diagnosis, emergency screening, or individualized physical therapy treatment.

Dizziness, vertigo, imbalance, nausea, visual symptoms, weakness, and difficulty walking can have many causes. Positional symptoms alone do not establish BPPV, vestibular migraine, vestibular hypofunction, or another diagnosis.

Do not perform the Epley maneuver or another positional maneuver solely on the basis of an online symptom description when the cause of dizziness has not been appropriately evaluated.

Physical therapists evaluate and treat movement and functional impairments within their regulated professional scope and refer patients when findings indicate that further medical evaluation is appropriate.

Vestibular rehabilitation, canalith repositioning, balance training, gaze-stability exercises, or other physical therapy interventions cannot guarantee elimination of dizziness, prevention of recurrence, fall prevention, or a specific outcome.

Seek urgent medical care for dizziness associated with new neurological symptoms, severe sudden headache, new inability to stand or walk, loss of consciousness, chest pain, severe shortness of breath, or other severe or rapidly worsening symptoms.

Individual results vary.

References

1. Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngology–Head and Neck Surgery. 2017;156(3 Suppl):S1–S47. 
2. Comparative Efficacy and Safety of Repositioning Maneuvers for Posterior Canal Benign Paroxysmal Positional Vertigo: A Network Meta-Analysis. Frontiers in Neurology. 2026. Twenty randomized controlled trials involving 2,089 patients. 
3. Ang JY, Hernandez S, King M, Snowdon D. The Effectiveness of Group-Based Vestibular Rehabilitation in Adults With Central or Peripheral Vestibular Dysfunction: A Systematic Review. Journal of Neurologic Physical Therapy. Published online August 18, 2026. 
4. El Ahdab J, Vilardo M, Ong B, et al. The Effect of Vestibular Rehabilitation in the Management of Vestibular Migraine in Adults: A Systematic Review and Meta-Analysis. Headache. 2026;66(1):77–87. 
5. Sfakianaki I, Nikitas C, Kikidis D. The Effectiveness of Vestibular Rehabilitation in Vestibular Migraine: A Systematic Review. Journal of the Association for Research in Otolaryngology. 2026;27(2):137–166. 
6. Piatti D, Paolocci G, Verdecchia DH, et al. Effectiveness of Vestibular Physical Therapy on Balance and Dizziness in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis. Journal of Vestibular Research. Published online May 5, 2026. 
7. Ortiz-Prado E, Vasconez-Gonzalez J, Gavilanes-Rodriguez S, et al. Betahistine for Residual Dizziness After Canalith Repositioning in Benign Paroxysmal Positional Vertigo: A Systematic Review of Randomized Controlled Trials. Frontiers in Pharmacology. June 2, 2026;17:1855843. 
8. Hall CD, Herdman SJ, Whitney SL, et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Evidence-Based Clinical Practice Guideline. Academy of Neurologic Physical Therapy of the American Physical Therapy Association. 
9. Vestibular Disorders Association. Balance Awareness Week 2026: Make Vestibular Visible. September 13–19, 2026. 

Current resources: Balance Awareness Week 2026 · APTA vestibular rehabilitation clinical practice guideline · BPPV clinical practice guideline · 2026 BPPV repositioning meta-analysis · August 2026 vestibular rehabilitation systematic review · 2026 vestibular migraine meta-analysis