Vestibular rehabilitation therapy (VRT) has been demonstrated to be a highly effective treatment modality for most individuals with vestibular or central balance system disorders. VRT is a specific form of physio designed to improve balance, minimize falls and decrease dizziness by restoring vestibular function and promoting mechanisms of central adaptation and compensation.
It is designed to desensitise the balance system to problematic movements, and to enhance the fine tuning required for long term compensation. When compensation occurs for a vestibular deficit, the remaining central nervous system (CNS) processes allow sufficient control of eye, head, and body movements to maintain stable gaze, posture and position.
VRT takes advantage of the adaptive characteristics of the CNS to re-establish homeostasis within the vestibular system. This results in increased vestibular ocular accuracy, refinement of oculomotor skills, improvement in postural control, and utilization of appropriate movement strategies.
VRT is typically designed as a therapist-directed patient-motivated home based exercise protocol. Individuals visit the therapist on a limited basis. The patient engages in custom designed exercises at home several times a day without therapist supervision. VRT exercises are graduated, beginning at the minimal skill level that the patient is capable of performing, with complexity being increased as compensation and habituation occur. Patients have regular follow up visits until compensation and habituation are complete, optimal balance is achieved, and symptoms of dizziness have resolved.
- Benign Paroxymal Positional Vertigo (BPPV)
- Unilateral or bilateral vestibular hypo-function – resulting from Menieres, Labyrinthitis and Vestibular Neuritis (caused by viral infections)
-Benign tumours (acoustic neuroma)
-Age related degeneration.
-Migraine associated vertigo.