134 - Robert Allen, Au.D & Brent Jones CEO - Topple Diagnostics: Making Vestibular Diagnostics Accessible & Afforable for the Masses

Guests: Brent Jones, CEO & Robert Allen Au.D, Clinical Director of Topple Diagnostics Dave kicks off the 2025 podcasting season by bringing on Brent and Robert to discuss their business, Topple Diagnostics. The conversation encompasses how the business was conceived and built, significant milestones as the business scaled, how they've found product-market-fit, and how they're trying to make vestibular diagnostics...

✦ Related stories ✦

PubMed·Journal article·Vestibular·5d ago

Effects of Vestibular Rehabilitation with Virtual Reality in Adults with Vestibular Dysfunction: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis provides the strongest available evidence class on VR-based vestibular rehabilitation; if results are positive, audiologists and vestibular therapists should consider VR as an adjunct or alternative to conventional rehab, pending review...

PubMed·Journal article·Vestibular·12d ago

Betahistine for residual dizziness after canalith repositioning in benign paroxysmal positional vertigo: a systematic review of randomized controlled trials

Audiologists and vestibular specialists managing post-CRM residual dizziness in BPPV patients should review this systematic review's pooled findings; if betahistine shows significant benefit, it may warrant a protocol update in collaboration with referring physicians.

PubMed·Journal article·Vestibular·3w ago

Comparative efficacy of non-pharmacological interventions for persistent postural-perceptual dizziness: a systematic review and network meta-analysis of balance, anxiety, and depression outcomes

Audiologists and vestibular specialists managing PPPD should review the ranked treatment outcomes from this network meta-analysis to inform which non-pharmacological interventions — such as vestibular rehabilitation, CBT, or mindfulness — are most likely to address balance,...

PubMed·Journal article·Vestibular·2w ago

Internet-based vestibular rehabilitation versus written instructions after acute vertigo: A randomised controlled trial

If internet-based vestibular rehabilitation proves superior to written instructions, clinicians treating acute vestibular syndrome in emergency settings should consider recommending structured online rehab programs as a first-line follow-up resource — pending full review of the...

PubMed·Journal article·Vestibular·2w ago

Efficacy of Vestibular Rehabilitation Therapy on Benign Paroxysmal Positional Vertigo After Repositioning: Improvement of Vestibular Symptoms and Vertigo Disability

Audiologists and vestibular specialists should consider recommending vestibular rehabilitation therapy following canalith repositioning in BPPV patients, as this RCT-level evidence suggests it meaningfully reduces residual vestibular symptoms and vertigo-related disability.

PubMed·Journal article·Vestibular·11h ago

Aging and Hearing with Vestibular Schwannoma Beyond Presbycusis: A Large Cross-Sectional Audiometric and Volumetric Study

Audiologists and neurotologists managing vestibular schwannoma patients should account for tumour volume and patient age as independent predictors of hearing function when counselling on watchful waiting versus intervention.

PubMed·Journal article·Vestibular·7w ago

Health-related quality of life disparities among vestibular schwannoma patients under different treatment regimens: A systematic review and meta-analysis

Clinicians counseling vestibular schwannoma patients on treatment choice should incorporate health-related quality of life evidence from this meta-analysis, which suggests treatment regimen significantly influences patient well-being outcomes.

PubMed·Journal article·Vestibular·3w ago

Falls and Fear of Falling in Minor Stroke Patients With Vestibular Symptoms: A Longitudinal Observational Study

Audiologists and balance specialists should be aware that minor stroke patients presenting with vestibular symptoms carry elevated long-term fall risk, supporting referral pathways to vestibular rehabilitation and falls-prevention programs.