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Vestibular rehabilitation (VR), also known as vestibular rehabilitation therapy (VRT), is a specialized form of physical therapy used to treat vestibular disorders or symptoms, characterized by dizziness, vertigo, imbalance, posture, and vision. These primary symptoms can result in secondary symptoms such as nausea, fatigue, and difficulty ...
The goal of an Epley maneuver is to restore the equilibrium of the vestibular system, more specifically, to the semicircular canals, in order to treat the symptoms associated with BPPV. There is compelling evidence that free-floating otoconia , probably displaced from the otolithic membrane in the utricle are the main cause of this ...
The exercise is a form of habituation exercise, designed to allow the person to become accustomed to the position that causes the vertigo symptoms. The Brandt–Daroff exercises are performed in a similar fashion to the Semont maneuver; however, as the person rolls onto the unaffected side, the head is rotated toward the affected side.
Habituation exercises – movements designed to provoke symptoms and subsequently reduce the negative vestibular response upon repetition. Examples of these include Brandt–Daroff exercises. Functional retraining – including postural control, relaxation, and balance training. These exercises function by challenging the vestibular system.
Dysequilibrium arising from bilateral loss of vestibular function – such as can occur from ototoxic drugs such as gentamicin – can also be treated with balance retraining exercises (vestibular rehabilitation) although the improvement is not likely to be full recovery. [11] [12]
The vestibular system is composed of inner ear organs forming the "labyrinth": the semicircular canals, the otoliths, and the cochlea.The section below is an overview of the vestibular system, as it is crucial to the understanding of the righting reflex.
The most common vestibular diseases in humans are vestibular neuritis, a related condition called labyrinthitis, Ménière's disease, and BPPV. In addition, the vestibular system's function can be affected by tumours on the vestibulocochlear nerve , an infarct in the brain stem or in cortical regions related to the processing of vestibular ...
Physical therapy, including vestibular rehabilitation, has been used in attempts to improve recovery following cessation of vitamin B 6 supplementation. [ 51 ] [ 11 ] Medications such as amitriptyline have been used to help with neuropathic pain .
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