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Vestibular Rehabilitation

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Vestibular Rehabilitation (Treatment for Vertigo)

What is Vestibular Rehabilitation?

Vestibular rehabilitation is a specialized form of physical therapy designed to alleviate problems caused by disorders of the inner ear and balance system. This therapy aims to reduce dizziness and spinning symptoms, improve balance, and enhance overall stability. It involves a combination of exercises and techniques tailored to the specific needs of each patient.

How Does it Work?

Vestibular rehabilitation works by generating central nervous system adaptation, compensation and tolerance for inner ear deficits. The therapy includes several components:

  1. Assessment: A thorough evaluation is conducted using specialized tests and technology to identify the type and severity of vestibular dysfunction.
  2. Customized Exercises: Based on the assessment, a personalized exercise program is developed. This may include:
    • Gaze Stabilization Exercises: These exercises help improve control of eye movements so that vision remains clear during head movement.
    • Balance Training: Exercises to improve coordination and balance, reducing the risk of falls.
    • Habituation Exercises: Activities designed to reduce dizziness through repeated exposure to specific movements or environments that provoke symptoms.
    • Canalith Repositioning Maneuvers: Specific techniques used to treat benign paroxysmal positional vertigo (BPPV).

Conditions Benefited by Vestibular Rehabilitation

Vestibular rehabilitation can benefit a wide range of conditions, examples include:

  • Benign Paroxysmal Positional Vertigo (BPPV): A common cause of vertigo that can be effectively treated with specific maneuvers.
  • Vestibular Neuritis and Labyrinthitis: Inflammation of the inner ear that causes vertigo and imbalance.
  • Meniere’s Disease: A disorder that affects the inner ear and leads to episodes of vertigo, hearing loss, and tinnitus.
  • Post-Concussion Syndrome: Persistent dizziness and balance issues following a concussion.
  • Balance Disorders: General balance problems, often in older adults, which increase the risk of falls.
  • Vestibular Migraine: Dizziness and balance problems associated with migraine headaches.

Safety of Vestibular Rehabilitation

Vestibular rehabilitation is a safe and non-invasive therapy when performed by trained professionals. Key safety aspects include:

  • Professional Guidance: Therapists with specialized training in vestibular rehabilitation ensure exercises are performed correctly and safely.
  • Individualized Programs: Therapy is tailored to each patient's specific condition and tolerance, minimizing the risk of exacerbating symptoms.
  • Monitoring and Adjustments: Continuous monitoring and adjustments to the exercise program based on patient progress and feedback.

Effectiveness of Vestibular Rehabilitation

Vestibular rehabilitation is supported by extensive research and has been shown to be effective in improving balance, reducing dizziness, and enhancing the quality of life. Benefits include:

  • Reduced Dizziness: Significant reduction in the frequency and severity of dizziness episodes.
  • Improved Balance: Enhanced balance and coordination, reducing the risk of falls and improving mobility.
  • Increased Confidence: Greater confidence in performing daily activities without fear of dizziness or falling.
  • Overall Well-being: Improved overall physical and emotional well-being as symptoms diminish.
  • Reduced fear and worry: Many of our patients report reduced fear, worry and anxiety once their condition has been accurately diagnosed, explained and treated.


Vestibular rehabilitation is a highly effective, non-invasive therapy designed to treat vestibular disorders and improve balance. By providing customized exercises and techniques, this therapy can significantly reduce dizziness, enhance stability, and improve the quality of life for those affected by vestibular conditions. If you’re experiencing dizziness, balance issues, or related symptoms, consider vestibular rehabilitation as a beneficial treatment option.

For more information or to schedule a consultation, please contact us at Active Life Physical Therapy (410)529-3303.

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