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Advanced Vestibular Rehabilitation

Habituation, adaptation and substitution protocols for complex vestibular disorders.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Advanced Vestibular Rehabilitation?

Vestibular rehabilitation therapy (VRT) treats vestibular disorders by exploiting central compensation and neuroplasticity. It is built on three principles: 1) habituation — building tolerance through repeated exposure to triggering stimuli, 2) adaptation — recalibration of vestibulo-ocular reflex (VOR) gain, 3) substitution — compensation through visual and somatosensory inputs.

BPPV is treated with the Epley (posterior canal), Semont and Lempert (lateral canal) manoeuvres and Brandt-Daroff exercises. Cawthorne-Cooksey exercises are used for unilateral vestibular loss; substitution training is the focus in bilateral loss.

VRT is also effective in post-concussion vertigo, persistent postural-perceptual dizziness (PPPD) and central vertigo. Virtual reality integration boosts engagement. Treatment usually lasts 4-12 weeks, with daily home exercises being crucial.

Symptoms

Vertigo and dizziness
Balance impairment
Nausea
Visual blurring
Difficulty walking
Fear of falling

Risk Factors

Vestibular neuritis
BPPV
Meniere disease
Ototoxicity
Head trauma
Migraine

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • During vertigo attacks
  • When imbalance develops
  • With gait disturbance
  • When conventional treatment is insufficient
  • In chronic dizziness

Treatment Methods

01
Detailed vestibular assessment
02
Epley/Semont manoeuvres for BPPV
03
Gaze stabilisation exercises
04
Habituation programme
05
Cawthorne-Cooksey exercises
06
Balance and gait training
07
Virtual reality integration
08
Home exercise programme

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.