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Vestibular Rehabilitation Therapy
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Benign Paroxysmal Positional Vertigo (BPPV)
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.
Vestibular Neuritis
An inflammation of the vestibular nerve, often resulting in acute, sustained vertigo. PT approach focuses on balance retraining and vestibular adaptation exercises.
Meniere's Disease
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.
Vestibular Hypofunction
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.
Labyrinthitis
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.
Gaze Stabilization Exercises
Techniques to improve control of eye movements so the visual field remains stable despite head movement. In PT, this includes VORx1 and VORx2 exercises.
Canalith Repositioning Procedures (CRP)
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.
Habituation Exercises
Exercises designed to decrease dizziness by repeatedly exposing the person to the specific movements or visual stimuli that provoke symptoms.
Postural Control Training
Rehabilitative techniques to improve balance and stability in sitting, standing, and walking. This training is crucial for patients with vestibular deficits.
Fall Prevention Strategies
Educational and training measures to reduce the risk of falls in individuals with vestibular dysfunction, including environmental modifications and exercise programs.
Compensation Techniques
Strategies to promote the use of other senses and neuromuscular systems to compensate for vestibular deficits, including somatosensory and visual inputs for balance.
Adaptation Exercises
Exercises designed to promote central nervous system changes, helping the brain adjust to altered vestibular inputs and resolving symptoms like dizziness.
Acoustic Neuroma Management
Rehabilitative approaches following surgical removal of an acoustic neuroma, focusing on balance, walking, and other functional mobility skills.
Imbalance and Dysequilibrium
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.
Ototoxicity Management
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.
Bilateral Vestibular Loss
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.
Vestibulo-Ocular Reflex (VOR)
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.
Cervicogenic Dizziness
Dizziness arising from neck pathology. PT approach may include manual therapy, neck stabilization exercises, and proprioceptive training.
Visual-Dependence in Vestibular Dysfunction
Over-reliance on visual input for balance due to vestibular dysfunction. Rehabilitation includes reducing this dependence and strengthening other components of balance.
Peripheral vs. Central Vestibular Disorders
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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