Res Vestib Sci.  2015 Dec;14(4):97-100. 10.0000/rvs.2015.14.4.97.

Vestibular Rehabilitation in Central Dizziness

• Han BI
• Ko PW
• Lee HW
• Kim HA
• Lee H

• KMID: 2131314
• DOI: http://doi.org/10.0000/rvs.2015.14.4.97

Abstract

Vestibular rehabilitation therapy (VRT) is an exercise-based treatment program designed to promote vestibular adaptive and compensatory mechanisms already existing in the human brain. Although the evidence is sparse for improvement in subjects with central vestibular dysfunction following VRT, it improves postural stability in cerebellar diseases and reduces subjective complaints and fall risk in Parkinson disease. Possible mechanisms of recovery after central nervous system lesions may include neural sprouting, vicarious functions, functional reorganization, substitution, and plasticity. VRT regimens for patients with central causes should include balance and gait training, general strengthening and flexibility exercises, utilization of somatosensory and vision and utilization of alternate motor control strategies. VRT would be an option to relieve the symptoms of the many patients who have central dizziness.

Keyword

Dizziness; Rehabilitation; Therapy

MeSH Terms

Brain
Central Nervous System
Cerebellar Diseases
Dizziness*
Exercise
Gait
Humans
Parkinson Disease
Plastics
Pliability
Rehabilitation*
Plastics