East End Hearing Blog

Feelings of dizziness, vertigo, and loss of balance are more common than most people realize; 42% of the United States population (ninety million people) experience this at least once during their lifetime, and for many the situation becomes chronic. In the elderly, dizziness is the most common reason that people over seventy five visit a doctor, and for people over sixty five, falls resulting from a loss of balance are the number one cause of serious injury and death.

Approximately three-fourths of these cases of loss of balance and dizziness are caused by peripheral vestibular disorders that affect the inner and middle ear, such as labyrinthitis, perilymphatic fistula, vestibular neuritis, acoustic neuroma, benign paroxysmal positional vertigo (BPPV) and Ménière’s disease. These disorders cause abnormalities in the delicate areas of the inner ear that disrupt our ability to maintain and control our sense of balance. Although most cases of chronic vertigo and dizziness occur in adults, the condition can affect children suffering from it even more, because they are so active that a lack of balance can prevent them from engaging in sports or other activities.

These conditions can be treated with drugs and surgery, but there is another treatment methodology that uses physical therapy to stimulate and retrain the vestibular system and provide relief – Vestibular Rehabilitation Therapy (VRT). Vestibular Rehabilitation Therapy exercises are prescribed individually for each patient’s specific symptoms and often involve the use of eye exercises, head movements and gait training designed to improve patients’ gaze and stability. VRT cites its goals as seeking to improve balance, decrease the experience of dizziness, improve patients’ stability when moving or walking, improve coordination, minimize falls, and reduce anxiety.

For many people suffering from bilateral or unilateral vestibular loss and the conditions described above, Vestibular Rehabilitation Therapy has often been shown to be effective in reducing their symptoms. Several studies have confirmed VRT’s effectiveness in patients who did not respond to other treatment methodologies. On the other hand, VRT is not as likely to be beneficial if the underlying cause of vertigo or dizziness is due to transient ischemic attacks (TIA), anxiety or depression, reactions to medications, migraine headaches or low blood pressure.

Because the specific exercises in a regimen of VRT vary according to the patient’s symptoms and conditions, it is not easy to give an overview of them. But most of the exercises involve therapist-led movements of the head and body to help your brain and body retrain themselves to compensate for the erroneous information they are receiving from their inner ear, and thus regain control over their balance and equilibrium. Consult a balance specialist if you have experienced vertigo or dizziness for long periods of time, and if an inner ear cause of the problem is indicated, ask for more information about Vestibular Rehabilitation Therapy. You may also want to contact the Vestibular Disorders Association and take advantage of many of their short publications and resource materials.