Vestibular Rehabilitation

Vestibular, or balance, rehabilitation is a specialized form of therapy that focuses on strengthening the vestibular sensory system, which relates to the inner ear, to alleviate both primary and secondary problems caused by vestibular disorders.

This exercise based program helps reduce dizziness, vertigo, gaze instability, imbalance issues and falls. Conditions that benefit from vestibular therapy include: 

• Benign paroxysmal positional vertigo
• Vestibular Neuritis
• Labyrinthitis
• Vestibular schwannoma
• Meniere’s Disease
• Acoustic Neuroma
• Bilateral Vestibular Toxicity
• Anterior vestibular artery ischemia
• Post Surgical Superior Canal Dehiscence
• Posterior circulation CVA
• Multiple Sclerosis
• Cerebellar Disorders
• Motion Sensitivity
• Central vertigo 
• Age related dizziness and imbalance
• Concussion

A vestibular rehabilitation program can involve the following elements of evaluation and treatment: 

Assessments of dizziness, balance, postural control, muscle tone, gait, range of motion, sensation and posture

• Tuning fork and vibration testing
• Multi-directional head impulse and head shake testing
• Hyperventilation testing
• Static and dynamic visual acuity
• Epley Maneuver
• Canalith Repositioning Treatment 
• Balance Retraining
• Eye-muscle coordination
• Gaze stabilization exercises
• Vestibular habituation/adaptation
• Substitution exercises
• Clinical test of sensory organization and balance (CTSIB)
• Strengthening and muscular endurance training
• Aerobic conditioning  
• Fall prevention