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Vestibular Rehabilitation

Vestibular rehabilitation is an exercise-based program, designed by a specialized physical therapist, to improve balance and reduce dizziness-related problems. Vestibular compensation is a process that allows the brain to regain balance control and minimize dizziness symptoms when there is damage to, or an imbalance between, the right and left vestibular organs in the inner ear.

Essentially, the brain copes with the disorientating signals coming from the inner ears by learning to rely more on alternative signals coming from the eyes, ankles, legs and neck to maintain balance.

There are three clear indications for vestibular rehabilitation referrals:

  • Specific interventions for benign paroxysmal positional vertigo- The Epley and Semont maneuvers, The Brandt-Daroff exercises and Log roll exercises.
  • General interventions for vestibular loss- Unilateral loss, such as for vestibular neuritis or acoustic neuroma and Bilateral loss, such as for gentamicin toxicity and related conditions.
  • Empirical treatment for common situations where the diagnosis is unclear -Post-traumatic vertigo and Multifactorial disequilibrium of the elderly.

Individuals not likely to benefit from vestibular therapy include: Persons without a vestibular problem, for example low blood pressure, medication reactions, anxiety, malingerers, depression, migraine associated vertigo and transient ischemic attacks.

At Active Physio Centre, our physical therapist will evaluate your symptoms and review your medical history. He or she will identify any problems with your balance, your gait, neck motion, visual stability, as well as examine other potential problem areas. 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. Our therapy is effective in reducing dizziness and vertigo and associated falls and improving quality of life in people with disorders involving balance mechanisms.