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VESTIBULAR AND BALANCE REHABILITATION
Patient Diagnoses that Could Benefit
Vestibular Disorders - may include but not limited to:
Central Nervous System Disorders
Multi-Factorial Balance Disorders
Visual-Motor Dysfunction
Patient Complaints and Symptoms
Disequilibrium/imbalance/unsteadiness – decreased ability to control center of
gravity over base of support
Dizziness – abnormal sensation of person’s position or sense of movement in
relation to the environment
Vertigo – feeling of spinning in space (person or environment)
Goals of Therapy
Therapeutic Intervention Options
Patient Diagnoses that Could Benefit
Vestibular Disorders - may include but not limited to:
- Benign paroxysmal positional vertigo
- Perilymph fistula
- Age-related degeneration of vestibular system
- Post-acoustic neuroma re-section, vestibular nerve section,
labyrinthectomy
Central Nervous System Disorders
- Traumatic brain injury (TBI)*
- Cerebral vascular accident (CVA)*
- Cerebellar dysfunction * higher functioning patients
Multi-Factorial Balance Disorders
- Visual, sensory, central NS, vestibular, musculo-skeletal
Visual-Motor Dysfunction
Patient Complaints and Symptoms
Disequilibrium/imbalance/unsteadiness – decreased ability to control center of
gravity over base of support
Dizziness – abnormal sensation of person’s position or sense of movement in
relation to the environment
Vertigo – feeling of spinning in space (person or environment)
Goals of Therapy
- Reduce or eliminate symptoms
- Increase physical activity level and condition
- Reduce impairments
- Patient education
- Improve function and mobility
Therapeutic Intervention Options
- Ocular-motor exercises
- Gait training
- Gaze stabilization/adaptation exercise
- General conditioning
- Habituation exercise
- Patient education
- Balance activities
- BPPV single-treatment maneuvers
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