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vestibular rehabilitation
Indications:
- unilateral peripheral vestibular disorders
- vestibular neuronitis
- Meniere's disease
- surgical resection of acoustic neuroma
- temporal bone fracture involving the labyrinth
- chronic vestibular syndrome
* Epley maneuver more effective for benign positional vertigo
* combining vestibular rehabilitation with the Epley maneuver is effective for long-term functional recovery [3]
Management:
- movement-based training exercises to desensitize the vestibular system & limit associated dizziness
- improves vestibular function & promotes mechanisms of central adaptation & compensation
- substitution strategies
- prediction strategies
- cognitive strategies
- coordination of eye & head movements
- improvement of balance & walking skills
- to learn to cope with condition
- sound like cognitive behavioral therapy
- the Epley procedure is a type of vestibular rehabilitation
- physical therapy [5]
Related
Epley procedure/maneuver (canalith repositioning)
General
rehabilitation
References
- Journal Watch 24(24):188, 2004
Yardley L, Donovan-Hall M, Smith HE, Walsh BM, Mullee M,
Bronstein AM.
Effectiveness of primary care-based vestibular rehabilitation
for chronic dizziness.
Ann Intern Med. 2004 Oct 19;141(8):598-605.
PMID: 15492339
- Zapanta PE and Meyers AD
Medscape: eMedicine: Vestibular Rehabilitation
http://emedicine.medscape.com/article/883878
- Geriatric Review Syllabus, 8th edition (GRS8)
Durso SC and Sullivan GN (eds)
American Geriatrics Society, 2013
- Hillier SL, McDonnell M.
Vestibular rehabilitation for unilateral peripheral
vestibular dysfunction.
Cochrane Database Syst Rev. 2011 Feb 16;(2):CD005397
PMID: 21328277
- Regauer V, Seckler E, Muller M, Bauer P.
Physical therapy interventions for older people with vertigo, dizziness and
balance disorders addressing mobility and participation: a systematic review.
BMC Geriatr. 2020 Nov 23;20(1):494.
PMID: 33228601 PMCID: PMC7684969 Free PMC article.