THE CLINIC

12 East 44th Street, 

5th Floor

New York. NY 10017

Tel: 212-706-7480

Email: info@physisrehab.com

Hours Of Operation:

Mon - Fri: 9 am - 8 pm 

​​Saturday: 9 am - 5 pm ​

Sunday: Closed

CONTACT

© 2018 by Physis Physical Therapy PLLC

VESTIBULAR THERAPY

Vestibular system is a sensory (proprioceptive) system which helps to maintain posture and equilibrium along with coordination of head and eye movements. It comprises of hair cells or receptors located in labyrinth (vestibular- cochlear apparatus) of the temporal bone. It functions together with cerebellum (“little brain” located in the back of the head) and visual system (your eyes).

Common Symptoms you may experience

  • Dizziness

  • Oscillopsia means visual perception that stationary objects are moving

  • Migraines, headaches

  • Vertigo

  • Nystagmus

  • Ataxia and disequilibrium

  • Decrease visual activity during head movements

  • Abnormal sense of movement/orientation

  • Postural reflexes are associated with vestibular input. Body stability*, body orientation** and visual orientation*** can get affected due to vestibular dysfunction.

    • *Body stability: Maintenance of COG over BOS

    • ​​**Body orientation: Maintenance of appropriate relationships between body segments and environment

    • ***Visual orientation: Eye movement control for maintenance of visual image of the external world

 

Common Conditions associated with Vestibular Dysfunction

  • BPPV (benign paroxysmal positional vertigo)

  • Presyncope

  • TIA (transient ischemic attack)

  • Migraines

  • Meniere’s disease

  • Chronic dizziness associated with Anxiety and psychological disorders.

  • Cervicogenis Dizziness

  • Balance disorders

Dizziness which is the second most common complaint in doctor’s office occurs in 70% of the nation’s population at one or other time in their life. The cost of the medical care for patients with balance disorders exceeds 1 billion per year in the United States.

Balance related problems and falls associated with vestibular dysfunction are the leading cause of fatal and non fatal injuries for people over 65 years. It accounts for more than half of the accidental deaths in the older people. Patient care costs for falls are more than 8 billion per year.

How we can help you

Unlike other areas, treatment for vestibular disorder is exercise based. The goal is to facilitate central nervous system to help with balance problems and dizziness. Vestibular rehab helps to

  • Decrease dizziness/vertigo

  • Improve functional balance and safety

  • Improve gaze stabilization and tolerance to motion

  • Educate patients in safety and compensation strategies to control their symptoms

  • Decrease fall or risk for falls

  • Increase activity levels.

 

Vestibular rehabilitation can help with symptoms which are produced by head or eye movements, imbalance or difficulty with walking. Differential diagnosis is very important as symptoms associated with vestibular dysfunctions can be due to different pathologies.