Vestibular Rehabilitation Therapy: Role of Physical Therapy in Management of Vertigo
Received Date: Oct 12, 2020 / Accepted Date: Oct 23, 2020 / Published Date: Oct 30, 2020
Abstract
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
2.1 Unilateral vestibular loss e.g. in case of vestibular neuritis or acoustic neuroma
2.2 Bilateral vestibular loss e.g. in case of gentamycin toxicity and related conditions
2.3 Central vestibular lesions - brainstem infarct, cerebellar infarct, MS etc.
3. Empirical treatment for common situations where the diagnosis is unclear
3.1 Post-traumatic vertigo
3.2 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
Keywords: Physical therapy, Vertigo, Vestibular rehabilitation
Citation: Madaan P (2020) Vestibular Rehabilitation Therapy: Role of Physical Therapy in Management of Vertigo. J Nov Physiother 10: 438. Doi: 10.4172/2165-7025.1000438
Copyright: © 2020 Madaan P. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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