The Center for Physical Rehabilitation's Vestibular Rehabilitation program is designed to treat patients affected by vestibular pathology and balance disorders. Common complaints include dizziness, vertigo, and loss of balance in a short period of time. A majority of patients (80-90%) can show functional benefit from balance rehabilitation.

The program is appropriate for patients diagnosed with:

• Positional vertigo, most commonly benign paroxysmal positional vertigo
• Uncompensated unilateral vestibular hypofunction

Treatment involves:

• Parnes repositioning maneuver for posterior/anterior canal BPPV
• Compensation exercises for peripheral vestibular disorders to encourage the functioning ear to take over

Comprehensive evaluation involves:

• Detailed subjective history
• Strength/Balance/Gait assessment
• Somato-sensory testing when appropriate
• Visual/vestibular reflex screening (VOR)
• Hallpike-Dix maneuver for BPPV diagnosis
• Provocation testing for home exercise prescription