The Role of Vestibular Rehabilitation in the Balance Disorder Patient
Section snippets
Mechanisms of recovery
The goals of vestibular rehabilitation are to reduce subjective symptoms, to improve gaze and postural stability (particularly during head movements), and to return the individual to normal activities, including regular physical activity, driving, and work. Vestibular rehabilitation includes exercises to habituate symptoms such as head movement provoked dizziness, exercises to promote vestibular adaptation and substitution, exercises to improve balance and dynamic postural control, and
The role of vestibular rehabilitation in recovery of function
Several randomized controlled studies support the conclusion that vestibular exercises are important in the rehabilitation of patients with vestibular disorders.1, 11, 12, 13 These studies are important because they provide the first evidence that vestibular exercises result in improved function when compared with a control group. Vestibular rehabilitation accelerates recovery of postural stability and subjective symptoms of disequilibrium following acute vestibular loss.11, 21 In these
Summary
Despite the questions that remain regarding the specific details of vestibular rehabilitation, there is no doubt that vestibular rehabilitation contributes significantly to the successful treatment of peripheral vestibular disorders. Prospective controlled studies have provided evidence that vestibular rehabilitation is beneficial in improving postural and gaze stability as well as decreasing subjective complaints for patients with vestibular hypofunction. The age of the patient, the time from
References (29)
- et al.
Driving disability and dizziness
J Safety Res
(2003) - et al.
Vestibular adaptation exercises and recovery: acute stage after acoustic neuroma resection
Otolaryngol Head Neck Surg
(1995) - et al.
Adaptation of the human vestibulo-ocular reflex to magnifying lenses
Brain Res
(1975) - et al.
Vestibular rehabilitation: useful but not universally so
Otolaryngol Head Neck Surg
(2003) - et al.
Effects of vestibular rehabilitation on dizziness and imbalance
Otolaryngol Head Neck Surg
(1992) - et al.
Causes of persistent dizziness: a prospective study of 100 patients in ambulatory care
Ann Intern Med
(1992) - et al.
Development of the vestibular disorders activities of daily living scale
Arch Otolaryngol Head Neck Surg
(2000) - et al.
Somatic and psychological factors contributing to handicap in people with vertigo
Br J Audiol
(1992) - et al.
Falls in patients with vestibular deficits
Am J Otol
(2000) - et al.
Falls and vestibular impairment
Clin Otolaryngol
(2004)
Costs of falls among older adults
Characteristics associated with fear of falling and activity restriction in community-living older persons
J Am Geriatr Soc
A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people
Gerontologist
Double-blind, placebo-controlled trial of rehabilitation for bilateral vestibular hypofunction: preliminary report
Otolaryngol Head Neck Surg
Cited by (34)
Does cognitive dysfunction correlate with dizziness severity in patients with vestibular migraine?
2021, American Journal of Otolaryngology - Head and Neck Medicine and SurgeryCitation Excerpt :It is noteworthy that vestibular therapists assess function first independent of the diagnosis and rehabilitation has a place in the treatment plan of some of these patients. Indeed, many diagnoses may manifest with similar forms of vestibular dysfunction, whether it is a true hypofunction or a motion sensitivity or VOR mismatch [42,43], and the experienced vestibular therapist will establish a protocol making use of adaptation, substitution or habituation exercises or a combination thereof to some extent. Future studies may further analyze cognitive complaints in VM patients with more robust psychometric analysis in order to better develop disease-specific symptom inventories with suitable analysis of cognitive dysfunction.
An overview of vestibular rehabilitation
2016, Handbook of Clinical NeurologyCitation Excerpt :Both foveal and full-field stimuli work effectively (Shelhamer et al., 1994). Vestibular rehabilitation has been shown to be an effective treatment for patients with dizziness and balance disorders (Shepard and Telian, 1995; Whitney and Rossi, 2000; Hall and Cox, 2009; McDonnell and Hillier, 2015). Tee and Chee (2005) reported that individuals with a stable unilateral peripheral vestibular loss with incomplete central compensation benefited most from VPT.
Geriatric Dizziness. Evolving Diagnostic and Therapeutic Approaches for the Emergency Department
2013, Clinics in Geriatric MedicineCitation Excerpt :Although vestibular rehabilitation is effective for most patients, 10% to 66% of patients do not experience improvement in symptoms.82,83 Research is needed to better define which patients are most likely to benefit from vestibular rehabilitation.83 Any patient can be referred for vestibular rehabilitation from the ED, but those most likely to benefit are those suffering from acute or chronic vertigo caused by peripheral vestibular dysfunction.84
Tai chi as an adjunctive therapy for individuals who plateau after vestibular rehabilitation
2023, Journal of Laryngology and OtologyDifferent Vestibular Rehabilitation Modalities in Unilateral Vestibular Hypofunction: A Prospective Study
2023, Otology and Neurotology
Dr. Hall was supported in part by Advanced Research Career Development Award E4465K awarded by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development.