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Vestibular Rehabilitation Therapy

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Bilateral Vestibular Loss

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Loss of vestibular function on both sides, often due to ototoxic medications or genetic conditions, leading to severe balance and vision problems. Physical therapy focuses on use of visual and somatosensory cues to improve balance.

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Gaze Stabilization Exercises

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Techniques to improve control of eye movements so the visual field remains stable despite head movement. In PT, this includes VORx1 and VORx2 exercises.

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Cervicogenic Dizziness

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Dizziness arising from neck pathology. PT approach may include manual therapy, neck stabilization exercises, and proprioceptive training.

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Canalith Repositioning Procedures (CRP)

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Specialized maneuvers such as the Epley maneuver, designed to move dislodged otoconia from the semicircular canals to the vestibule where it can be absorbed. These are key in treating BPPV.

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Visual-Dependence in Vestibular Dysfunction

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Over-reliance on visual input for balance due to vestibular dysfunction. Rehabilitation includes reducing this dependence and strengthening other components of balance.

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Benign Paroxysmal Positional Vertigo (BPPV)

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A common vestibular disorder caused by displaced otoconia in the semicircular canals, causing brief episodes of vertigo with head movements. PT approach includes Epley or Semont maneuvers to relocate otoconia.

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Acoustic Neuroma Management

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Rehabilitative approaches following surgical removal of an acoustic neuroma, focusing on balance, walking, and other functional mobility skills.

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Compensation Techniques

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Strategies to promote the use of other senses and neuromuscular systems to compensate for vestibular deficits, including somatosensory and visual inputs for balance.

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Vestibular Hypofunction

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Reduced function of the vestibular system on one or both sides, leading to imbalance and dizziness. PT approach involves balance and gait training, as well as vestibular exercises to promote compensation.

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Adaptation Exercises

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Exercises designed to promote central nervous system changes, helping the brain adjust to altered vestibular inputs and resolving symptoms like dizziness.

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Peripheral vs. Central Vestibular Disorders

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Differentiation between vestibular disorders originating from the inner ear (peripheral) versus those from the brain or brainstem (central). PT approach varies according to the type, with more caution applied in central disorders.

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Postural Control Training

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Rehabilitative techniques to improve balance and stability in sitting, standing, and walking. This training is crucial for patients with vestibular deficits.

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Meniere's Disease

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A chronic disorder affecting the inner ear, characterized by episodic vertigo, hearing loss, and tinnitus. PT management includes vestibular rehabilitation for balance and habituation training.

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Fall Prevention Strategies

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Educational and training measures to reduce the risk of falls in individuals with vestibular dysfunction, including environmental modifications and exercise programs.

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Imbalance and Dysequilibrium

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General terms for a sensation of unsteadiness or a loss of balance, often associated with vestibular disorders. PT aims to assess and treat the underlying cause through varied exercises.

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Labyrinthitis

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An infection or inflammation of the inner ear causing dizziness and loss of balance. Physical therapy focuses on vestibular rehabilitation exercises to promote central nervous system compensation.

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Vestibulo-Ocular Reflex (VOR)

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A reflex action whereby the eyes move in the opposite direction of head movement, thus maintaining gaze stability. Dysfunction may be treated with gaze stabilization exercises.

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Vestibular Neuritis

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An inflammation of the vestibular nerve, often resulting in acute, sustained vertigo. PT approach focuses on balance retraining and vestibular adaptation exercises.

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Ototoxicity Management

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Dealing with balance and hearing problems that result from toxic effects of medications on the inner ear. Vestibular rehab may help in recovery of balance function.

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Habituation Exercises

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Exercises designed to decrease dizziness by repeatedly exposing the person to the specific movements or visual stimuli that provoke symptoms.

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