RT Book, Section A1 Herdman, Susan J. A2 Herdman, Susan J. A2 Clendaniel, Richard A. SR Print(0) ID 1135017132 T1 Physical Therapy Diagnosis: Clinical Decision-Making for Vestibular Disorders T2 Vestibular Rehabilitation YR 2014 FD 2014 PB F. A. Davis Company PP New York, NY SN 9780803639706 LK fadavispt.mhmedical.com/content.aspx?aid=1135017132 RD 2024/04/23 AB The advent of direct access for physical and occupational therapists means that clinicians must be able to screen for and identify for a multitude of problems and make decisions about treatment and referral. At a minimum, therapists need to know when they should refer the patient to a more qualified therapist or to a physician. Sometimes the decision to refer to another health-care provider is made easily, such as when the patient's problems are clearly not under the purview of a therapist (e.g., headache or hearing loss). In other situations, the patient's problem may or may not be something appropriate for physical or occupational therapy, but the underlying cause needs to be managed by a physician. “Dizziness” is one of those patient problems. “Dizziness” is one of the most prevalent complaints for which people seek medical help,1 with an estimated 90 million Americans over the age of 16 years having experienced it.2 It can have significant consequences for an individual, with 33% of patients reporting that their professional activities are affected by dizziness and 14% changing or abandoning their profession.2 Although dizziness can be caused by many different medical conditions, it is estimated that as much as 45% is caused by vestibular disorders.2