Table of Contents
- What is Vestibular Rehabilitation?
- What Should Patients Expect From Vestibular Rehabilitation?
- Are Vestibular Rehabilitation Exercises Difficult To Do?
Vestibular rehabilitation (VR) or vestibular rehabilitation therapy (VRT) is a form of therapy that seeks to treat both the primary and secondary symptoms of vestibular disorders. It’s an exercise-based regimen aimed at reducing vertigo and dizziness, as well as gaze instability, imbalance, and falls. Because the amount of vestibular function that can restore is so limited, the loss in most people with a vestibular condition is permanent. People will, however, feel better and regain function after vestibular system damage via compensation. This happens when the brain learns to rely on other senses to compensate for the vestibular system’s deficiencies. The wellbeing of individual parts of the nervous system is critical in deciding the amount of reimbursement.
VRT aims to foster rewards through a problem-solving approach. Tailoring exercises accomplish this to each individual’s unique problem (s). As a result, a thorough clinical review is required to plan an exercise regimen to determine the vestibular condition’s issues. Three main types of exercise can be recommended depending on the vestibular-related problem(s) identified: 1) Habituation, 2) Gaze Stabilization, and 3) Balance Training are all potential choices.
VRT is usually done as an outpatient procedure but may start it in the hospital in some cases. A certified physical or occupational therapist with specialized post-graduate training sees the patients.
VRT starts with a thorough clinical review, including a complete history of the patient’s symptoms and how they influence their everyday activities. The psychiatrist would keep track of the form and nature of symptoms and the incidents that lead up to them.
The evaluation also involves conducting several assessments to determine the patient’s issues accurately. The therapist will assess your vision and vestibular systems to see how well you can manage your eye movements. Sensation (including pain information), muscle strength, extremity and spine range of motion, flexibility, posture, balance, and walking ability are all assessed.
Establishing an exercise routine that can do at home is a vital aspect of the VRT. Completion of the home exercise regimen is critical to achieving recovery and patient objectives.
VRT exercises are simple to understand, but patients must be committed to completing them to obtain the best results.
Since these exercises can be repetitive at times, it’s critical to establish a routine schedule to integrate into daily life.
Exercises can make symptoms appear worse at first. However, with time and continuous effort, symptoms can gradually diminish, making everyday activities easier for patients.
When patients engage in VRT, a variety of factors may influence their chances of recovery. The form of vestibular dysfunction, for example, affects rehabilitation. Patients with a healthy vestibular condition, such as vestibular neuritis or labyrinthitis, have the most excellent chance of getting their symptoms under control.
It’s essential to treat patients with progressive or fluctuating conditions medically if they want to have a better chance of succeeding with VRT. Patients with vestibular migraines can benefit from VRT if they make behavioural improvements (like reducing migraine triggers and engaging in cognitive behavioural therapy) and using pharmacological treatment to minimize or prevent headache attacks. While VRT may not treat the vertigo attacks that patients with Meniere’s disease encounter, if the frequency of these attacks is decreased by diet and medication, or if a more aggressive chemical or surgical intervention is suggested, VRT may be able to help. Medical management aims to help control the condition as much as possible so that compensation can take place. As a result, VRT exercise techniques would have a greater chance of facilitating reward and alleviating vestibular-related symptoms.
To schedule an appointment with a physiotherapist specializing in the assessment and treatment of dizziness, vertigo, BPPV, or some other inner ear disorder, please call us to schedule an appointment for Vestibular Rehabilitation.