Vestibular Rehabilitation

Vestibular rehabilitation is a specialized form of physiotherapy designed to alleviate symptoms related to vestibular disorders. Using evidence-based exercises, we help retrain the brain to compensate for inner ear problems.

How It Works

Central Compensation

• Brain adapts to vestibular loss
• Neural plasticity promoted
• New balance strategies developed
• Symptom habituation occurs

Key Principles

• Exercise-based approach
• Gradual symptom provocation
• Repetition for adaptation
• Progressive challenge

Treatment Components

Canalith Repositioning

For BPPV:

• Epley maneuver
• Semont maneuver
• Barbecue roll
• Specific to canal affected

Gaze Stabilization

VOR exercises:

• X1 and X2 viewing
• Head movements with visual targets
• Progressive speed increases
• Various positions

Habituation Exercises

• Gradual exposure to triggers
• Repeated movements
• Symptom desensitization
• Reduced motion sensitivity

Balance Training

• Static balance challenges
• Dynamic balance exercises
• Sensory integration
• Fall prevention strategies

Assessment Tools

Advanced Technology

• ICS Impulse system
• Vesticam video analysis
• Computerized posturography
• Objective outcome measures

Clinical Tests

• Head impulse test
• Dynamic visual acuity
• Balance assessments
• Functional measures

Treatment Process

Initial Phase

• Comprehensive assessment
• Identify deficits
• Education about condition
• Begin basic exercises

Progressive Phase

• Increase exercise difficulty
• Add functional activities
• Address specific goals
• Monitor progress

Maintenance Phase

• Home program refinement
• Relapse prevention
• Long-term strategies
• Periodic review

Conditions Treated

BPPV

• 80% success first treatment
• 95% within 3 sessions
• Rapid symptom relief

Vestibular Neuritis

• Accelerated recovery
• Better compensation
• Reduced chronic symptoms

Other Conditions

• Post-concussion dizziness
• Meniere’s disease management
• Vestibular migraine
• Age-related balance decline

Expected Outcomes

Short-term (2-4 weeks)

• Reduced symptom intensity
• Improved daily function
• Better understanding
• Initial compensation

Long-term (6-12 weeks)

• Significant improvement
• Return to activities
• Confidence restored
• Self-management skills

Why Choose Our Service

• World-class training (Herdman & Clendaniel)
• Advanced diagnostic equipment
• Evidence-based protocols
• Proven outcomes
• Prioritized appointments