Vestibular Rehabilitation Therapy

What is vestibular rehabilitation?

Vestibular rehabilitation is an exercise-based program, designed by a specialty-trained vestibular physical therapist, to improve balance and reduce problems related to dizziness.

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Who benefits from vestibular rehabilitation?

Patients typically referred for vestibular rehabilitation therapy are those diagnosed with dizziness, imbalance, vertigo, Meniere’s syndrome, benign paroxysmal positional vertigo (BPPV), neck-related dizziness and migraines. Other candidates are patients who have had a stroke or brain injury or who frequently fall.

Common symptoms that can be helped with vestibular rehabilitation include:

• Dizziness or blurry vision with head movements

• Neck tightness, stiffness and/or pain

• Imbalance or the need to hold onto objects when walking

• Headaches

• Frequent falls

• Generalized “dizziness, wooziness and foggy head” feelings

• Vertigo/spinning

At your appointment, a physical therapist will evaluate your symptoms and review your medical history. Your assessment will include all or part of the following areas:

• Balance and/or leg strength/flexibility

• Gait (how you walk)

• Visual stability and mobility

• Neck mobility and neck and arm strength

• Positional testing, including an inner ear exam

Based on the findings, a plan of care is developed. The goal of your treatment plan is to improve any deficits that were identified. This, in turn, will improve your ability to function in activities of everyday living, reduce your risk for falling and ultimately, improve your quality of life.

How successful is vestibular rehabilitation therapy?

Many times, vestibular rehabilitation therapy will be the only treatment needed. Other times, it is a part of the presurgery/postsurgery treatment plan. In most cases, if patients continue to perform the exercises they have learned, balance and dizziness problems decrease significantly or completely disappear.