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Vestibular Rehabilitation Therapy (VRT) for Unilateral Vestibular Loss

This page is intended to be a reference for physical therapists who are providing physical therapy.

Timothy C. Hain, MD Page last modified: May 3, 2011

VRT has been generally shown to be helpful in recovery from unilateral loss, such as for vestibular neuritis or acoustic neuroma (Strupp et al. 1998; Herdman et al. 2003; Krebs et al. 2003; Badke et al. 2004; Cohen et al. 2004; Topuz et al. 2004; Hall et al, 2004; Enticott et al, 2005). An extensive metanalysis was done by the Cochrane Library in 2011, who concluded that VRT is effective for unilateral vestibular damage (Hillier and McDonnell, 2011).  This entire document is available online.

The following protocol is loosely based on Tee et al, 2005;

Goals of VRT

Procedures

Persons with UL will generally improve by themselves given sufficient time, but the process can be sped up by VRT.

Also see the main page on VRT. and Prehab VRT.

References:

 

Vestibular Rehabilitation (VRT)
Copyright October 6, 2013 , Timothy C. Hain, M.D. All rights reserved. Last saved on October 6, 2013