Balance and Vestibular Rehabilitation:
Loss of vestibular function can result in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. persons with bilateral vestibular loss had impaired quality of life plus loss of work days as a result of their dizziness.
There are strong evidence that VESTIBULAR REHABILITATION EFFECTIVENESS ON:
1: PERSONS WITH ACUTE AND SUBACUTE UNILATERAL VESTIBULAR HYPOFUNCTION.
2: CHRONIC UNILATERAL VESTIBULAR HYPOFUNCTION.
3: BILATERAL VESTIBULAR HYPOFUNCTION.
4: PERIPHERAL VESTIBULAR HYPOFUNCTION (UNILATERAL OR BILATERAL).
Therapeutic exercise interventions to address the signs, symptoms, and functional limitations secondary to vestibular deficits have been shown to decrease dizziness, improve psychological distress and anxiety ,postural stability, perception of balance , visual acuity during head movement thus improve fall risk and improve Quality of life
The vestibular rehabilitation for persons with balance and vestibular disorders is used to improve function and decrease dizziness symptoms, restoring functional activities, balance, strengthening, and preventing falls. It is imperative that the therapist administering the rehabilitation program have experience and interest in treating persons with vestibular disorders for optimal results. Because the results of vestibular rehabilitation may vary depending on the experience of the treating therapist in addition persons with dizziness often present with a complex array of signs and symptoms that must be interpreted correctly in order to best assist them in their functional recovery. People with dizziness can get worse if they are prescribed exercise that is too advanced or are not appropriate for their condition making patients dizziness worse which can result in patients not returning for further therapy, thus causing them to have greater functional impairment.
In our clinic, the vestibular rehabilitation treatment sessions are highly structured. During the initial evaluation, medical records from the referring physician and any diagnostic testing are reviewed, as are self report of patient impairments and disability. A detailed history considering the initial onset and course of the illness is taken, complete with reports of symptom severity during activity. Then examination of eye movements and gaze stability performance is assessed, followed by screeneing for presence of Benign Paroxysmal Positional Vertigo (BPPV). Finally, a comprehensive evaluation of standing and walking balance is performed. Patient goals of the intervention can then be determined. Based on the findings from the examination