Vestibular Rehabilitation

What is Vestibular Rehabilitation?
Vestibular therapy treats patients with a variety of vestibular and balance conditions. We focus on comprehensive evaluation and personalized treatment plan of interventions to help decrease dizziness and vertigo, and to help restore balance and overall functioning of the vestibular system.

Who can benefit from Vestibular Rehabilitation?

Vestibular Therapy may help patient’s with symptoms such as positional vertigo, motion sensitivity, and general dizziness. Those with balance deficits and general weakness from neurological conditions such as stroke will also benefit from vestibular therapy to help improve their overall safety, quality of life, and decrease their fall risk.

Collaborative Approach

At LCPTI, we advocate for the best possible care for our patients. We realize that TMJ dysfunction is an issue that may involve the patient’s dentist, orthodontist, oral surgeon and/or ear, nose and throat specialist. It is our hope to collaborate with all involved healthcare practitioners to quickly and successfully manage our patient’s concerns.

Conditions Treated with Vestibular Rehabilitation

  • BPPV
  • Concussion
  • Stroke
  • Brain Injury
  • Vestibular Neuritis
  • Labyrinthitis
  • Meniere’s Disease
  • Multiple Sclerosis
  • Vestibular Migraine
  • General Balance Loss
  • Gait Abnormalities
  • Cerebral Palsy
  • Parkinson’s Disease
  • Motion Sickness

What is the Vestibular System?

  • A sensory structure composed of Bony and Membranous Labyrinths filled with fluid located within the inner ear.
  • It is composed of three semicircular canals, the cochlea for hearing, and the vestibule, which houses the sensory organs.
  • The fluid within the canals move in response to your head movements, helping to keep you balanced.
  • Balance is controlled by your visual input, the vestibular system, and proprioception, which is your bodies’ awareness in space.

What is Vertigo?

  • A sensation of dizziness that the room or world is spinning around you
  • It occurs when the “crystals” in the vestibule break loose, disrupting the fluid flowing through the semi-circular canals.
  • Vertigo is often associated with position changes such as lying back, sitting in a dentist chair, rolling in bed, bending forward.
  • It can occur for a variety of reasons, such as head trauma, viral infections, and changes associated with aging.
  • Vertigo can be treated by a trained vestibular physical therapist.

What to expect during the first visit at Lawrence County Physical Therapy Institute?

Upon arrival at LCPTI you will be greeted by our friendly office staff and they will begin the intake process. A thorough vestibular evaluation and general musculoskeletal screening will be provided by our trained vestibular therapist who has received specialized training in vestibular rehabilitation through Emory University in conjunction with the APTA. The vestibular therapist will provide treatment if necessary and will also provide education on the particular diagnosis along with a home program.

What to expect if treatment is necessary?

If the vestibular therapist feels that therapy may be beneficial to the patient, a comprehensive, individualized physical therapy treatment plan will be developed. The plan will contain appropriate treatment interventions with realistic goals based on the patient’s functional limitations. Treatments will be provided by the vestibular therapist in a one on one, personal and caring environment.

Possible Treatments for Various Vestibular Conditions

Neuromuscular Re-education

  • Neuromuscular re-education focuses on restoring postural control, stability, proprioception, general balance and mobility through a variety of balance and vestibular activities.

Canolith Repositioning

  • Canolith Repositioning is used for treatments of Benign Paroxysmal Positional Vertigo (BPPV).
  • Our vestibular therapist is highly trained in recognizing the appropriate type of positional vertigo through examination, and utilizing the specific treatment technique required.

Therapeutic Exercise

  • Exercise will improve muscle strength, endurance, and range of motion of joints
  • Our trained vestibular therapist will provide one on one instruction for appropriate exercise intervention.
  • Exercise will improve overall balance and stability with daily activities and help promote an overall wellbeing.

Gait Training

  • Gait training with specific cueing and guidance from our vestibular therapist will be used to help improve overall balance with walking to help normalize