Vestibular Rehabilitation
Vestibular Assessment
A vestibular assessment evaluates the different systems that contribute to the body’s sense of balance and equilibrium. The brain and nervous system are continually processing information from different systems. The systems include:
These systems may be impaired by trauma, infections, head injury, concussion, or age-related changes. Any impairments in these systems, mismatch between the information, or difficulty processing this information can lead to symptoms.
Symptoms may include:
A comprehensive vestibular assessment determines the cause of the symptoms and guides the most appropriate treatment options.
One common vestibular condition is benign paroxysmal positional vertigo, referred to as BPPV. In this disorder, crystals within the inner ear become displaced and move into a fluid-filled canal. Treatment for BPPV is focused on repositioning maneuvers that move the crystals out of the fluid-filled canal and back into their proper position. Repositioning maneuvers consist of a series of head and body movement and are highly effective in repositioning the crystals and resolving symptoms.
Other common vestibular conditions include neuritis, labyrinthitis, Meniere’s disease, migraine associated vertigo, post-concussion syndrome, and visual-vestibular mismatch. These conditions can result in impairments in vestibular, visual, and proprioceptive function. Treatment is focused on improving the function of each system, promoting adaptation, and improving sensory integration within the nervous system. Exercises often include visual, gaze stability, balance and walking exercises. A home exercise program will be developed and can be highly successful in reducing the frequency and severity of symptoms.
