Vestibular Rehabilitation Therapy
What is VRT? This type of therapy tackles treatments in primary and secondary vestibular disorders, the main treatments are for patients who are suffering from dizziness or vertigo, imbalance or frequent falls. The main goals of this treatment is a problem orientated approach to increase compensation, it is gained by speciﬁc exercise program development per patient, this customized approach allows each patients individual needs to be addressed. Depending on the clinical issues with the patient, the most common forms of exercise modalities used are:
- Gaze stabalization
- Balance training
An example of gaze stabalization exercises used are:
What should patients expect from Vestibular Rehabilitation Therapy? As with any condition, the physical therapist will commence with a comprehensive clinical assessment, and at this time, he will document the type and intensity of your symptoms, and how they affect your daily life. Per documenting your medical history and medications taken a past medical history of falls, injuries can all be documented.
A customized exercise plan will be made depending on your type and issues from the results of the clinical assessment, including results from laboratory testing and imaging. e.g. a patient with BPPV may undergo a canal repositioning exercise for the spinning s/he experiences, whereas, someone with gaze instability and dizziness due to vestibular neuritis (a deﬁcit from a weakened inner ear) may be prescribed gaze stability and habituation exercises, and if the dizziness affects their balance this may also include balance exercises.
One of the fundamentals of this treatment, is to establish good home exercise care which can be performed on a regular basis. Compliance is essential to achieve patient goals.
Factors that can limit/reduce recovery?
- Sedentary lifestyle
- Other medical conditions
- Emotional inﬂuences (stress, anxiety, depression)
For more information on Vestibular Rehabilitation and its treatment, please click this link: