vestibular physiotherapy

Balance and spatial orientation are controlled by the vestibular system, which includes the inner ear and a portion of the brain. Assessing and treating symptoms including vertigo, nausea, dizziness, room spinning, and loss of balance are all part of vestibular physiotherapy.

vestibular conditions

BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV)

One of the most frequent causes of vertigo, the sudden sensation that you are spinning or that the interior of your head is spinning, is benign paroxysmal positional vertigo (BPPV).

BPPV produces brief episodes of light headedness to severe vertigo. It typically starts when your head position shifts in a certain way. When you lie down, move your head up or down, turn over, or sit up in bed, this could occur.

SYMPTOMS
Dizziness
A feeling of that you or your surroundings are spinning or moving (vertigo)
A loss of balance or unsteadiness
Nausea
Vomiting

CAUSES
Commonly unidentified causes
Associated with mild to severe head injuries.
disease of the inner ear, or very rarely on ear surgery
Associated with migraines.

PHYSIOTHERAPY MANAGEMENT
Repositioning maneuvers

VERTIGO

Introduction
Vertigo is the sensation that either the body or environment is spinning. Dizziness from vertigo can
makes you feel insecure. There are numerous causes for this ailment, but the most frequent one is
the inner ear. Vertigo is not a disease but could be a symptom of varying conditions.

Types
Peripheral Vertigo due to certain medicines that are toxic to the inner ear, labryinthitis etc.
Central Vertigo caused due to disorders of brain, brain stem or part of brain.

Causes
Few typical causes of Vertigo attacks are:
Headache from migraines
Certain medicines like
Systemic diseases like Diabetes, orthostatic hypotension, Otosclerosis, Hyperventilation
Secondary to Health conditions like Stroke, Arrhythmia, Autoimmune disorders like Multiple
Sclerosis
Associated with Head injury, Prolonged bed rest.
Ear conditions like Fistula perilymphatica
Recent Ear surgery

Physiotherapy Management
Vestibular Rehabilitation is the primary means of treatment where physiotherapist evaluates balance, walking pattern, arm swing, leg strength and flexibility. Vestibular rehabilitation protocols aims at improving general health and quality of life with exercises
like:
 Positioned Eye movement control.
 Balance retraining.
 Stretching and strengthening.

VESTIBULAR MIGRAINE

INTRODUCTION
•Vestibular headaches are a typical neurological condition. Headaches can upset the vestibular arrangement of the inward ear, bringing about a change of how the cerebrum oversees balance and an individual's view of their environmental factors. On the off chance that this arrangement isn't working as expected, it can create uproars of wooziness, unevenness, or dizziness that might be set off by development.

SYMPTOMS
Headache migraine side effects, for example,
• Serious, pulsating migraine, as a rule on one side of the head
• Queasiness and retching
• Aversion to light, smell and commotion
Vestibular side effects might incorporate;
• Dizziness (tipsiness), typically enduring minutes to hours, yet here and there days
• Instability and loss of equilibrium
• Aversion to movement

CAUSES
• Family history
• Changed rest designs
• Chemicals
• Period
• Food like chocolate, matured or matured cheddar and red wine

PHYSIOTHERAPY MANAGEMENT
• Symptom management advice
• Statistic Balance retraining exercises
• Dynamic Balance retraining exercises
• Vestibular rehabilitation therapy (VRT) using eye and head movement exercises
• Lifestyle adaptation
• Stress reduction techniques

PERIPHERAL VASCULAR DISEASE

Intoduction
The vestibulocochlear nerve of your inner ear is impacted by the condition known as vestibular neuritis.
Your inner ear communicates balance and head position information to your brain via this nerve. Your brain's ability to read information is interfered with when this nerve is inflamed or swollen. Dizziness, vertigo, and other symptoms related to balance are the result of this.

Symptoms
People who have vestibular neuritis typically experience both an acute phase and a chronic phase. This typically entails rapid, acute symptoms lasting for approximately a week, then lesser symptoms lasting anywhere between a few weeks and many months. Although it's uncommon, some patients experience long-lasting vestibular neuritis symptoms that linger for years.

Causes
There is disagreement over what causes the sudden/acute impairments in the vestibular system that are caused by vestibular neuritis on one side of the body. However, the evidence is still equivocal. Some research have suggested that this syndrome can originate from an earlier or concurrent viral illness that also affects the vestibular system.

Physiotherapy management
Programs for vestibular rehabilitation in physiotherapy often include the following:
Habituation training:- These include routine motions that gradually exacerbate your symptoms and increase your tolerance to them.
Adaptability drills:- In order for your nervous system to adjust to the input coming from both vestibular systems, this involves workouts that coordinate head and eye movement.
Exercises for balance and gait:- Any balance issues while walking or engaging in other activities will be addressed by these workouts.
Our team of specialists at Propel Physiotherapy can assist in creating a vestibular rehabilitation plan that is tailored to your requirements. In order to test your vestibular systems and manage your symptoms, physical therapists will lead you through particular exercises. Our goal is to eventually get you back to your favourite activities.

HOW DOES VESTIBULAR REHABILITATION HELP IN RECOVERY?

Vestibular Rehabilitation Therapy VRT is beneficial in reducing symptoms in a wide range of vestibular diseases, including unilateral vestibular hypofunction, persistent vertigo, vestibular migraine and tension headaches, PPPD, concussion, and many more. This is supported by a wealth of research.

The goal of exercise-based vestibular rehabilitation therapy (VRT) is to encourage vestibular adaptation and substitution. The objectives of VRT are to: 1) increase gaze stability, 2) improve postural stability, 3) improve vertigo, and 4) improve everyday living activities.

Vestibular rehabilitation therapy normally lasts 6 to 8 weeks, with sessions occurring once or twice each week. Yet, some individuals can effectively address their balance or vertigo concerns in just 1 or 2 therapy sessions and can start to notice improvements in as little as 48 hours.

Bethany Navajeevan Physiotherapy Clinic
& Rehabilitation Centre