Vestibular Rehabilitation

What is Vestibular Rehabilitation?

Vestibular rehabilitation is a form of specialized neurorehabilitation designed to improve dizziness, balance, and eye coordination.

What causes dizziness?

Many causes of dizziness exist, including inner ear dysfunction, disorders of the brain/ nervous system, sensory integration impairment, medication side effects, neck dysfunction

Who would benefit?

Anyone who experiences dizziness in its many forms:

  • Feeling of unsteadiness and lightheadedness
  • Vertigo or spinning sensation
  • Blurred vision with head movements
  • Motion sensitivity
  • Frequent falls


A variety of conditions that can cause dizziness and balance impairment include:

  • Benign paroxysmal positional vertigo (BPPV)
  • Vestibular neuritis
  • Labyrinthitis
  • Meniere’s disease
  • Acoustic neuroma (pre or post-operative)
  • Ototoxicity
  • Age-related vestibular degeneration
  • Unilateral or bilateral vestibular hypofunction disorders
  • Cerebellar disorders
  • Central vestibular disorders such as: acquired brain injury, stroke
  • Post-concussive syndrome
  • Migraine-associated vertigo

Evaluation for vestibular treatment

Comprehensive evaluation of all functional impairments will be performed by the physical therapist. Their findings will lead to creation of a program that will improve your function and match with your goals of care.

  • Balance analysis
  • Leg strength and flexibility
  • Visual and motion stability
  • Mobility of head and neck
  • Postural control
  • Coordination
  • Movement strategy analysis
  • Assessment of tone and spasticity
  • Gait analysis
  • Positional testing
  • Videonystagmography testing
  • Computerized dynamic posturography

What will treatment look like?

Treatment for vestibular conditions varies greatly from person to person. Each program is uniquely created for the individual. Treatments can include:

  • Gaze stability
  • Postural control
  • Manual therapy
  • Sensory re-weighting
  • Neuromuscular reeducation
  • Gait training
  • Balance training
  • Optokinetics
  • Dual-tasking during functional movements
  • Dual-tasking during skilled movements
  • Graded exertion

What type of outcomes and recovery can I expect from vestibular rehabilitation?

Vestibular conditions, although greatly impairing to one’s life, can improve greatly with intervention from a physical therapist. Quality of life is what matters most, and each unique program will aim to restore your independence of mobility and activity.

  • Decreased fall risk
  • Decreased dizziness symptoms
  • Improved balance
  • Improved ability to focus vision
  • Increased confidence with balance
  • Improved neck motion
  • Increased quality of life

If you'd like to apply to our Physical Therapy Vestibular Rehab program, please click below.