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I want to share with anyone who finds difficulty in mastering the information in this book and mastering how to treat people with “dizziness” that it's not unusual to start with a very real sense of inadequacy! I will always remember that during my early attempts to learn about “vestibular rehabilitation” I visited Fay Horak and was mystified as to how everyone knew that the patient had a central rather than a peripheral vestibular deficit. If it's any encouragement, I realize that I have come a “long way” since then but I would also add that I am still learning and I hope I always will be. And so, I would like to express my gratitude again to the many people it has been my good fortune to meet, work with, teach, treat, and learn from over my years as a physical therapist. These have included outstanding scientist-clinicians in the field of vestibular rehabilitation (many of whom have authored chapters in this book), teachers and clinicians from all over the world, students, and of course, patients. Thank you all so much.


I would like to express my sincere gratitude to the authors who shared their knowledge and expertise in this edition of Vestibular Rehabilitation; it is their contributions that make this text such a valuable resource for understanding and treating the patient with dizziness. I would like to also thank the patients, clinicians, and students who question and challenge what we do, forcing us to rethink our assumptions, to continue to learn, and continue to investigate the “best” treatments for individuals suffering from vestibular disorders. I have been blessed to learn from some of the very best, and recognizing all these individuals by name would fill many pages. So I would simply like to offer my thanks to all who have taught me over the years, to fortuitous meetings on Nantucket, and to an atypical insight that kept me from asking a really stupid question. Lastly, an immense 'thank you' to my family for their love, support and encouragement over the years.


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