Vestibular Rehabilitation and Factors That Can Affect Outcome

Susan L. Whitney; Patrick J. Sparto; Joseph M. Furman

doi:10.1055/s-0039-3402062

Seminars in Neurology, Table of Contents

Semin Neurol 2020; 40(01): 165-172
DOI: 10.1055/s-0039-3402062

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Vestibular Rehabilitation and Factors That Can Affect Outcome

Authors

Susan L. Whitney

¹Department of Physical Therapy and Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania
Patrick J. Sparto

²Department of Physical Therapy, Otolaryngology, and Biomedical Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania
Joseph M. Furman

³Department of Otolaryngology, Neurology, and Physical Therapy, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Abstract

This review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.

Keywords

vestibular rehabilitation - vestibular physiotherapy - physical therapy - prognosis - dizziness - vertigo

Full Text

References

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