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Vestibular Rehabilitation Program

Nurse helping senior woman use a walking frame

Part of Nightingale’s Paces Fall Prevention Program, Vestibular Rehabilitation Therapy (VRT) is designed to help patients with imbalance, vertigo, dizziness, or movement sensitivity related to many different conditions. The inner ear, or vestibular system plays an integral role in the control of posture and balance.  Deficits in the vestibular system may result in decreased independence, loss of balance, the inability to perform activities of daily living, in addition to increasing the patient’s fall risk.

Common conditions that may benefit from VRT:

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Vestibular Neuritis/Labrynthitis
  • Meniere’s Disease
  • Vestibulopathy
  • Central Vertigo
  • Ototoxicity
  • Head Trauma
  • Post Acoustic Neuroma Resection
  • Surgery for Vestibular Problems

Services Provided

VRT consists of customized activities and exercises to promote adaptation or compensation to a change, deficit, or loss in the vestibular system. Components of the vestibular evaluation and treatment will include a complete history regarding symptoms and may include:

  • Balance assessment
  • Motion sensitivity testing
  • Oculomotor exam (eye movements)
  • Muscle strength, range of motion, coordination, sensation
  • Dix-Hallpike/roll test
  • Epley/Appiani
  • Brandt Daroff exercises
  • Modified CTSIB
  • Dynamic gait index