vestibular rehabilitation therapy

[hanah hannah]

what are the protocol for the vestibular rehabilitation therapy??is that focus on postural instability and to avoid the risk of fall only...?.. i'm not very clear on this..huhu

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[Fyzzio]

Hi,
in summary, Vestibular Rehabilitation treats the symptoms of dizziness and decreased balance.

It is characterised by a formalised assessment process, including presentation/ history, symptom description and a thorough physical assessment of the oculomotor, vestibular and balance systems.
Analysis/ evaluation of the above will guide the treatment. Options include oculomotor training, vestibular adaptation and/ or substitution exercises, certain manouvres, habituation exercises and balance training - whatever the assessment findings lead you to.
Or sometimes, you might conclude that the problem lies in an area, which Physio is unable to treat, in which case you will refer on to Medical Specialists, e.g. Neurologist, ENT, ...

The focus is on decreasing or diminishing the occuring problems - whatever they are.

Hope this helps for a start,
regards,
Fyzzio

[hanah hannah]

thanks for sharing your knowledges.. now i'm more confident and clear on what i had read.. VRT is more on to regain the balance,gait stability and reduce episodes of vertigo.. and mostly effective with 3 ways..1.adaptation..2.habituation..3.compensation. .. i think i can make this as the beginning..=)

[Fyzzio]

Yep, sort of, maybe not in that order.

VTR is used to return people to their previous level of functioning.

Your assessment gives you clues to distinguish between central and peripheral problems.
Then you treat whatever needs attention.
This could be oculomotor functions or vestibular functions (e.g. VOR) or functional deficits or balance problems - or a combination of them.

You train by using adaptation or substitution or habituation or balance exercise - or a combination of them.

At the same time, you look at minimising risk of falls, which could e.g. mean to provide patients with a walking stick or install rails in the shower etc..

Compensation is the end of the road, when everything else fails. And this rarely needs training - the patients will come up with this all by themselves ...

Regards,
Fyzzio

[sturgeonvalleyphysio]

It is not limited to avoiding the risk of frequent falls but also alleviating the vestibular symptoms and/or problems of the patient.. As Fyzzio mentioned, it is focused on decreasing whatever is the occurring problem/s of the patient. That could be dizziness, gait problems, balance problems, etc..