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Advances in the Treatment of Vestibular Disorders

Susan J Herdman
Published 1 June 1997
Susan J Herdman
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Abstract

This article discusses the pathophysiology, evidence of treatment efficacy, and factors that contribute to improved treatment outcome in three different vestibular disorders. In patients with unilateral and bilateral vestibular loss, recent research suggests that customized, supervised exercises facilitate recovery of postural stability. These exercises are based on knowledge of normal vestibular function as well as on our understanding of the various compensatory mechanisms that can contribute to recovery. Recognizing the limitations of these compensatory mechanisms as substitutes for lost vestibular function is important in establishing treatment goals. Treatment of patients with benign paroxysmal positional vertigo (BPPV) is based on the identification of the specific canal involved and the anatomy of the labyrinth. Although patients with BPPV primarily experience brief episodes of vertigo, this disorder is also associated with postural instability, which may not resolve with remission of the positional vertigo.

Key Words:
  • Balance
  • Vestibular system
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    Vol 96 Issue 12 Table of Contents
    Physical Therapy: 96 (12)

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    Advances in the Treatment of Vestibular Disorders
    Susan J Herdman
    Physical Therapy Jun 1997, 77 (6) 602-618;

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    Advances in the Treatment of Vestibular Disorders
    Susan J Herdman
    Physical Therapy Jun 1997, 77 (6) 602-618;
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    More in this TOC Section

    • The Role of Vision and Spatial Orientation in the Maintenance of Posture
    • Evaluation of Postural Stability in Children: Current Theories and Assessment Tools
    Show more Special Series on Balance

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