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Volume 8 Journal of Novel Physiotherapies Physiotherapy Meet 2018
November 12-13, 2018
Page 22
conferenceseries.com
November 12-13, 2018 Dubai, UAE
6th World Congress on
Physiotherapy and Rehabilitation
Vestibular rehabilitation therapy: Role of physical therapy in management of vertigo
Vestibular Rehabilitation Therapy (VRT) is the therapy used for rehabilitation of patients with vestibular lesion who have not
compensated fully. Basically Vestibular Rehabilitation Therapy is customized exercise program designed according to the need
of patient by physiotherapist.
Three clear indications for vestibular rehabilitation
1. Specific interventions for benign paroxysmal positional vertigo (BPPV)
2. General interventions for vestibular loss.
• Unilateral vestibular loss e.g in case of vestibular neuritis or acoustic neuroma
• Bilateral vestibular loss e.g in case of gentamycin toxicity and related conditions
• Central vestibular lesions - brainstem infarct, cerebellar infarct, MS etc..
3. Empirical treatment for common situations where the diagnosis is unclear.
• Post-traumatic vertigo
• Multifactorial disequilibrium of the elderly.
Persons without a vestibular problem e.g. The patients who will not benefit from vestibular rehabilitation therapy are -
as a sentence...
• low blood pressure
• medication reactions (other than ototoxicity)
• anxiety, malingerers, depression (although T’ai Chi may be helpful for anxiety)
• migraine associated vertigo (although it has been reported to be helpful nonetheless)
• transient ischemic attacks (TIA)
Persons with fluctuating vestibular problems.
• Meniere’s disease
• perilymph fistula
Functional Goals of VRT-
• Decrease disequilibrium – Improve functional static & dynamic balance.
• Improve postural and gait stability.
• To reduce motion related dizziness.
• Decrease oscillopsia-visual blurring during head movement – increase gaze stability i.e. DVA during both static and
dynamic activities
Biography
Preeti Madaan (PT) has completed her MPT at the age of 25 years from Lovely professional University. She has been working with her colleague which is an ENT
surgeon for management of vertigo and dizzziness patients. They as a team of ENT and PHYSIO , first of its kind in INDIA, have taken more than 50 workshops for
PHYSIOS, ENTs and Genral Practitioners. They have unique method of teaching with their own models and videos of their own patients.
Preeti Madaan
Rehabilitation Society of Physical Therapists, India
Preeti Madaan, J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C3-029