Vestibular Rehabilitation is the use of specific exercises to eliminate or reduce vestibular problems and their secondary effects
During your initial assessment your physiotherapist will identify the exact circumstances that provoke your symptoms, for example rolling over in bed, turning your head to reverse the car, walking on uneven ground or in the dark. If appropriate you will be given an exercise program that has been designed to address your specific problems that were outlined in your initial assessment.  There is one condition that does not require ongoing exercises, that is Benign paroxysmal Positional Vertigo or BPPV, which you can read about elsewhere on this website
Exercise programs usually involve repeated exposure to the circumstances which challenge your vestibular system until it’s response becomes more normal. That is, you no longer feel dizzy, nauseous, lose your balance or have blurred vision in those situations. This occurs due to a process called “vestibular compensation”.
As you progress you will be challenged in different ways to continue to get the maximal benefits from your program. The types of progressions you might be given include performing exercises:

  • Involving more complex eye and head movement combinations
  • In less stable positions such as sitting, standing and then walking
  • Doing exercises slowly and then progressing to faster as able
  • With your eyes open and then with eyes closed
  • Standing on a firm surface such as the floor and progressing to an
    unstable surface such as carpet, grass or a cushion