Vestibular rehabilitation is an exercise-based program, designed by a specialized physical therapist. Vestibular rehabilitation helps to improve balance and reduce problems related to dizziness.
When changing position, such as getting up from bed, people who have BPPV (Benign paroxysmal positional vertigo), or inner ear disorders will feel like they are spinning or the room around them is turning. This feeling is known as “Vertigo”. The spinning usually lasts for less than a minute. But afterwards, the feeling of dizziness, or being off balance, can last for much longer.
Depending on the severity or chronicity of the issue, spells of vertigo can last for a few minutes to hours. This is usually associated with the feeling of nausea, light headedness, floating, swaying, headaches or blurry vision.
In people who have BPPV, very small crystals accidentally drop into one of the semi-circular canals in the inner ear. These crystals are called “Otoconia”. This makes the person feel like they are moving when they are not. This makes your brain flustered and it triggers vertigo.
Vestibular rehabilitation Treatment
Epleys Maneuveur is an exercise based Vestibular rehabilitation program that involves moving your head through a series of movements to put the dislodged crystals back into place. While this occurs, you might experience nausea and spinning. This should stop as soon as the crystals are back in place.
Following an Epleys maneuveur, you are generally advised to prevent looking upward for 24-48 hours to prevent those crystals from dislodging again. Usually 80% of the crystals are moved back to place in the first treatment session. However, at times some crystals stick to the inner ear and tend to be hard to move back to their original position on the first session. In this case, a follow up is required to make sure we clear off any residual floating crystals.
While Vestibular rehabilitation treatment depends on our findings, it can involve education, manual therapy or head manoeuvres. It can also include a patient-specific exercise program, or a combination of these strategies. Certain types of vestibular disorders can resolve in 2-3 visits, whereas other types require more time and include a home exercise program.
Our assessment and treatment protocols are based upon sound evidence-based research and clinically proven techniques. Vestibular rehabilitation is customized for each patient.
At PhysioNow, we have specially trained Registered Physiotherapists that can help you recover from Vertigo, and BPPV. Treatment is fast and effective. Many patients can recover after 1-3 treatments. Call today to get started!
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