Brain Neurorehabil.  2013 Sep;6(2):64-67. 10.12786/bn.2013.6.2.64.

Vestibular Rehabilitation

• Joa KL
• Kim KS

• KMID: 1797948
• DOI: http://doi.org/10.12786/bn.2013.6.2.64

Abstract

A customized vestibular rehabilitation (VRT) is an important treatment modality in patients with vestibular dysfunction with gaze instability, motion-provoked vertigo, disequilibrium and gait disturbance. We discuss in this paper the patient selection criteria for VRT, rehabilitation strategies for vestibular deficits, and the factors that affect the outcome.

Keyword

disequilibrium; gaze instability; vertigo; vestibular deficit; vestibular rehabilitation

MeSH Terms

Gait
Humans
Patient Selection
Vertigo

Reference

1. Cawthorne T. The physiological basis for head exercises. J Chart Soc Physiother. 1944; 30:106–107.

2. Cooksey FS. Rehabilitation in vestibular injuries. Proc R Soc Med. 1946; 39:273–278.

3. Herdman SJ. Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg. 1998; 119:49–54.

4. Hillier SL, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2011; 16:CD00539.

5. Giray M, Kirazli Y, Karapolat H, Celebisoy N, Bilgen C, Kirazli T. Short-term effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: a randomized controlled study. Arch Phys Med Rehabil. 2009; 90:1325–1331.

6. Yardley L, Beech S, Zander L, Evans T, Weinman J. A randomized controlled trial of exercise therapy for dizziness and vertigo in primary care. Br J Gen Pract. 1998; 48:1136–1140.

7. Krebs DE, Gill-Body KM, Parker SW, Ramirez JV, Wernick-Robinson M. Vestibular rehabilitation: useful but not universally so. Otolaryngol Head Neck Surg. 2003; 128:240–250.

8. Jung JY, Kim JS, Chung PS, Woo SH, Rhee CK. Effect of vestibular rehabilitation on dizziness in the elderly. Am J Otolaryngol. 2009; 30:295–299.

9. Jacob RG, Moller MB, Turner SM, Wall C 3rd. Otoneurological examination in panic disorder and agoraphobia with panic attacks: a pilot study. Am J Psychiatry. 1985; 142:715–720.

10. Gurley JM, Hujsak BD, Kelly JL. Vestibular rehabilitation following mild traumatic brain injury. Neurorehabilitation. 2013; 32:519–528.

11. Cohen HS, Kimball KT. Increased independence and decreased vertigo after vestibular rehabilitation. Otolaryngol Head Neck Surg. 2003; 128:60–70.

12. Herdman SJ. Advances in the treatment of vestibular disorders. Phys Ther. 1997; 77:602–618.

13. Herdman SJ, Clendaniel RA, Mattox DE, Holliday MJ, Niparko JK. Vestibular adaptation exercises and recovery: acute stage after acoustic neuroma resection. Otolaryngol Head Neck Surg. 1995; 113:77–87.

14. Schubert MC, Della Santina CC, Shelhamer M. Incremental angular vestibulo-ocular reflex adaptation to active head rotation. Exp Brain Res. 2008; 191:435–446.

15. Herdman SJ, Whitney SL. Treatment of vestibular hypofunction. In : Herdman SJ, editor. Vestibular Rehabilitation (Contemporary Perspectives in Rehabilitation). 2nd ed. USA: F. A. Davis Co.;2000. p. 387–423.

16. Herdman SJ. Assessment and treatment of balance disorders in vestibular deficient patient. In : In : Duncan P, editor. Balance Proceedings of the APTA Forum. ; ; . Nashville, TN: American Physical Therapy Association, Alexandria;1990. p. 87–94.

17. Herdman SJ, Whitney SL. Intervention for the patient with vestibular hypofunction. In : Herdman SJ, editor. Vestibular Rehabilitation. 3rd ed. Philadelphia: F.A. Davis Co.;2007. p. 309–337.

18. Bles W, Vianney de Jong JM, de Wit G. Compensation for labyrinthine defects examined by use of a tilting room. Acta Otolaryngol. 1983; 95:576–579.

19. Pavlou M, Shumway-Cook A, Horak FB, Yardley L, Bronstein AM. Rehabilitation of balance disorders in the patient with vestibular pathology. In : Bronstein AM, Brandt T, Woollacott MH, Nutt JG, editors. Clinical Disorders of Balance, Posture and Gait. 2nd ed. London: Arnold;2004. p. 317–343.

20. Shepard NT, Telian SA. Programmatic vestibular rehabilitation. Otolaryngol Head Neck Surg. 1995; 112:173–182.

21. Brandt T, Daroff RB. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol. 1980; 106:484–485.

22. Horak FB. Postural compensation for vestibular loss and implications for rehabilitation. Restor Neurol Neurosci. 2010; 28:57–68.

23. Curthoys IS. Vestibular compensation and substitution. Curr Opin Neurol. 2000; 13:27–30.

24. Kao CL, Chen LK, Chern CM, Hsu LC, Chen CC, Hwang SJ. Rehabilitation outcome in home-based versus supervised exercise programs for chronically dizzy patients. Arch Gerontol Geriatr. 2010; 51:264–267.

25. Giray M, Kirazli Y, Karapolat H, Celebisoy N, Bilgen C, Kirazli T. Short-term effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: a randomized controlled study. Arch Phys Med Rehabil. 2009; 90:1325–1331.

26. Topuz O, Topuz B, Ardic FN, Sarhus M, Ogmen G, Ardic F. Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction. Clin Rehabil. 2004; 18:76–83.

27. Fetter M, Zee DS, Proctor LR. Effect of lack of vision and of occipital lobectomy upon recovery from unilateral labyrinthectomy in rhesus monkey. J Neurophysiol. 1988; 59:394–407.

28. Pfaltz CR. Vestibular compensation. Physiological and clinical aspects. Acta Otolaryngol. 1983; 95:402–406.

29. Shumway-Cook A, Horak FB, Yardley L, Bronstein AM. Rehabilitation of balance disorders in the patient with vestibular pathology. In : Bronstein AM, Brandt T, Woollacott M, editors. Clinical Disorders of Balance Posture and Gait. London: Arnold;1996. p. 211–235.

30. Shepard NT, Telian SA, Smith-Wheelock M. Habituation and balance retraining therapy. A retrospective review. Neurol Clin. 1990; 8:459–475.

31. Norré ME, Beckers AM. Vestibular habituation training. Specificity of adequate exercise. Arch Otolaryngol Head Neck Surg. 1988; 114:883–886.