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Vestibular Rehabilitation Therapy -- Habituation

This page is primarily intended to be a reference for patients who have been referred for therapy. 

Timothy C. Hain, MD Page last modified: February 13, 2016

Habituation exercises

If one exposes oneself to something over and over, one may get "used to it". In physiology, this is called habituation, and it works for dizziness too. Examples of this approach are the "Norre" exercises, and the "Kitchen sink" approach to dizziness.

The main problem with this approach is that it takes a long time and it is difficult to tolerate the repetitive motion needed to make an impact.

A recent attempt to use habituation for motion intolerance is the "Puma method". This is an arduous series of exercises that may habitutate the vestibular system. So far, nobody has proven that it works, but it looks promising. Persons who have tried it in my practice have indicated that it is very difficult to tolerate.


Copyright August 3, 2016 , Timothy C. Hain, M.D. All rights reserved. Last saved on August 3, 2016