Vestibular Rehabilitation

Vestibular rehabilitation is a form of therapy aiming to alleviate the primary and secondary symptoms caused by vestibular disorders.

The vestibular system consist of a peripheral vestibular system on each side (part of our inner ear) and the vestibular nerves to the brainstem. It sends information about movement and gravity to the central nervous system where the information is conveyed through areas of the brain and brainstem to assist in our sense of steadiness and harmony. You may get disorders of the inner ear itself, or from a problem in conveying and processing the information in the central nervous system.

The vestibular system works in conjunction with our proprioceptive system (ie joint, muscle and tendon receptors) and visual system to help us answer two questions:

  1. Where is the environment in relation to me
  2. Where am I in my environment.

If there is a mismatch between these three system we might experience a range of symptoms like:

  • Vertigo
  • Dizziness
  • Poor balance
  • Postural distortions
  • Visual disturbance
  • Neck pain
  • Headache
  • Cognitive disturbances (ie poor concentration or memory disturbances)

There are many causes of vestibular dysfunction and its associated symptoms. A thorough history and examination will be performed to determine the cause of your symptoms.

Vestibular rehabilitation has been shown effective in treating conditions like:

  • Menieres disease
  • Benign paroxysmal positional vertigo (BPPV)
  • Unilateral vestibular loss
  • Persisitent postural-perceptual diziness (PPPD).

Vestibular rehabilitation can also be useful as part of whiplash rehabilitation, in conjunction with other therapies, or in the treatment of migraines (vestibular migraine).

Usually a combination of therapies are performed in office combined with a rehab program that can be performed at home.

Give us a call today on 0417 066 046 to see how we can help you. Alternatively you can book your initial appointment with Dr Kåsa here: Book Online



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Helminski, J.O., et al., Effectiveness of Particle Repositioning Maneuvers in the Treatment of Benign Paroxysmal Positional Vertigo: A Systematic Review. Physical Therapy, 2010. 90(5): p. 663-678.

Hilton, M.P. and D.K. Pinder, The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev, 2014(12): p. CD003162.

McDonnell, M.N. and S.L. Hillier, Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev, 2015. 1: p. CD005397.

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