Vestibular Rehabilitation in Mississauga – People with vestibular disorders often experience problems with vertigo, dizziness, visual disturbance, and/or imbalance. Symptoms due to vestibular disorders can impact the quality of life and all aspects of daily living. It is an exercise-based program primarily made to reduce vertigo and dizziness, gaze instability, and/or imbalance, and falls.
The most common symptoms treated in Vestibular physiotherapy are Dizziness and Vertigo. The term Dizziness means (lightheaded, Swaying, disoriented etc.) whereas Vertigo is a specific type of dizziness defined as the illusion of movement occurring in the environment.
Recent study indicated that as many as 35% of Americans over 40 years (70 million people) have experienced some Vestibular dysfunction. 80% of people over 65 years have experienced dizziness and BPPV is the cause of approximately 50% of dizziness in older persons.
Vestibular Rehabilitation requires recommended screening such as History, Rapid Head Thrust test, and the Dix Hallpike test. Only 11% of all providers assessed patients for BPPV using Dix Hallpike test in a regular clinic set up. Sometimes this leads to improper screening for vestibular Impairment based on available recommended practices, likely contributing to under diagnosis and treatment.
Curezone Physiotherapy provides the people of Mississauga with the licensed and fully trained therapists providing proper assessments and treatments based on their condition. Our registered physiotherapists are trained in treating various Vestibular Conditions and approach to treatments are very different than musculoskeletal conditions. They use different alternate Testing and treating methods if the regular testing ways are contraindicated especially VBI, back, Hip mobility issues.
Causes of Dizziness and Vertigo
There can be various causes of dizziness such as:
- Cardiovascular system
- Neurological Dysfunction especially MS
- Visual Defects
- Vestibular System Disorders
- Head Trauma (Whiplash, concussion)
- Neuritis/ labyrinthitis
- Meniere’s Disease
- Vestibular system degeneration
It is usually due to the malabsorption of endolymph in the endolymphatic sac causing pressure fluctuations in the inner ear fluid.
Ear fullness, tinnitus, fluctuating hearing loss, vertigo and imbalance which can last for hours to a few days.
Dietary: reduce salt intake, alcohol, nicotine, and caffeine intake
May minimize and reduce the dizzy spells
Vestibular Rehab does not help unless there is permanent loss of Vestibular Function in the later stages of the disease.
Types of Vestibular Rehabilitation
Treatment of BPPV
- Epley Maneuver
- Gans Maneuver
- Barbecue Roll
- Gufoni’s Maneuver
The goal of VRT is to use a problem-oriented approach to make the movements that cause vertigo/dizziness as much as you can because the more frequently the vertigo/dizziness is induced, the more quickly the brain can compensate.
- VESTIBULAR ADAPTATION EXERCISE
- SUBSTITUTION EXERCISES
- EXERCISES TO IMPROVE STATIC & DYNAMIC POSTURAL STABILITY
- WALKING EXERCISES TO IMPROVE DYNAMIC STABILITY
These are few of the treatments done by our vestibular physiotherapist based on the diagnosis or prognosis after a complete assessment. Various home exercises program is provided after the treatment. The effectiveness of the exercises by Brandt et al. (1980) reported on a series of 67 patients with BPPV showed 98% no symptoms of BPPV after 3 to 14 days of exercises.
To know more about our vestibular physiotherapy program, assessment, and treatment procedures and have a phone or face to face consultation with our physiotherapist.