Vestibular compensation and vestibular rehabilitation. Current concepts and new trends

Review on Physical Therapy for Patients with Vestibular Disorder

“…36 There are three main vestibular exercise used for rehabilitation settings in terms of vestibulo-ocular reflex stimulation exercise, substitution exercise, and habituation exercise. VOR stimulation exercise is categorized as adaptation exercise.…”

“…In addition, the exercise can be upgraded by moving a target in opposite direction of head motion, which lead to the double amplitude of gaze control ability needed for vision fixation on a target. 36 As patients' performance is improved, variability of the exercise should be modified at different levels of distance and speed of a target as well as various position.…”

“…and substitution. [34][35][36] Prior study suggested that patients with vestibular neuritis who reach functional recovery through vestibular rehabilitation showed structural changes of certain area of the brain. 35 Early vestibular rehabilitation seem to be important factor in facilitating central compensation and improving vestibular symptoms.…”

“…35 Early vestibular rehabilitation seem to be important factor in facilitating central compensation and improving vestibular symptoms. 36 Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo by a problem in the inner ear. Major symptom is repeated and short period of vertigo that feels a spinning sensation, accompanied by head movement upon change in the position of the head.…”

“…These balance activities enhance adjustment of vestibular and proprioceptive input. 36 Substitution exercise should be advanced to more challenging condition from the eyes opened to the eyes closed or from on a firm surface to on a compliant surface. In addition, the exercise can be performed during various dual activities.…”