Vestibular and Balance Rehabilitation

Vestibular Rehabilitation is a specific type of physical therapy designed to address symptoms of the vestibular, balance, and proprioception systems. The vestibular system is the body’s sensory system located within the inner ear and it provides the sense of balance by sending signals to the brain about head and body movements relative to gravity. This is the body’s leading component in providing a sense of balance and spatial orientation with coordinating movement. This system can be disrupted in a myriad of ways resulting in dizziness, nausea, vertigo, and imbalance. We also treat headaches and migraines that may or may not be associated with your vestibular disturbance. Many times, when these symptoms are experienced they lead to generalized weakness because they prevent the individual from performing their normal daily activity and exercise. When diagnosed accurately, patients experiencing dizziness and vertigo can benefit greatly from a physical therapy program developed for the individual by a specially trained licensed physical therapist.

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Symptoms that can be helped by vestibular rehabilitation:

  • Vertigo
  • Dizziness or blurry vision with head movements
  • Exaggeration of motion or after motion
  • Neck tightness, stiffness or other pain
  • Imbalance or the need to support oneself when walking
  • Frequent falls

Conditions that benefit from vestibular rehabilitation:

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Labyrinthitis
  • Vestibular Neuritis
  • Acoustic Neuroma (Post surgery)
  • Inner Ear Concussion Syndrome
  • Post-Concussion Syndrome

Rebound’s physical therapists have received specialty training in vestibular and balance disturbances and have completed certification in the area of vestibular rehabilitation. Each patient receives an individualized treatment plan to address their specific needs. Usually excellent results occur with regard to diminishing the vertigo symptoms of BPPV. If generalized strengthening is needed for fall prevention, treatment duration may be longer. Therapy is typically longer for uncompensated vestibulopathies in order to help improve postural stability, gaze stabilization and motion intolerance. In addition to traditional vestibular rehabilitation, Rebound offers patient education, home exercise and balance programs. Once the course of therapy is completed, maintenance programs may be developed allowing patients to come to the clinic, check with us and do prescribed exercises insuring maintenance of prior gains.

What is benign paroxysmal positional vertigo (BPPV)?

Benign paroxysmal positional vertigo (BPPV) is the most common form of vertigo. It is an inner ear condition where the crystals of calcium carbonate within the inner ear are displaced within the canals and results in vertigo for short periods of time when your head is moved in certain positions. This can be followed by a period of imbalance that can last several hours or longer. Dislodging of these crystals can occur following a whiplash injury, ear infection, concussion, or something as simple as rolling over in bed. Our physical therapists at Rebound have specialty training in canalith repositioning maneuvers which enable the repositioning of the crystals in the ear canal to their proper position.