Vestibular Rehabilitation in Central Dizziness
- Author:
Byung In HAN
1
;
Pan Woo KO
;
Ho Won LEE
;
Hyun Ah KIM
;
Hyung LEE
Author Information
1. Do Neurology Clinic, Daegu, Korea. han-byungin@hanmail.net
- Publication Type:Review
- Keywords:
Dizziness;
Rehabilitation;
Therapy
- MeSH:
Brain;
Central Nervous System;
Cerebellar Diseases;
Dizziness;
Exercise;
Gait;
Humans;
Parkinson Disease;
Plastics;
Pliability;
Rehabilitation
- From:Journal of the Korean Balance Society
2015;14(4):97-100
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vestibular rehabilitation therapy (VRT) is an exercise-based treatment program designed to promote vestibular adaptive and compensatory mechanisms already existing in the human brain. Although the evidence is sparse for improvement in subjects with central vestibular dysfunction following VRT, it improves postural stability in cerebellar diseases and reduces subjective complaints and fall risk in Parkinson disease. Possible mechanisms of recovery after central nervous system lesions may include neural sprouting, vicarious functions, functional reorganization, substitution, and plasticity. VRT regimens for patients with central causes should include balance and gait training, general strengthening and flexibility exercises, utilization of somatosensory and vision and utilization of alternate motor control strategies. VRT would be an option to relieve the symptoms of the many patients who have central dizziness.
