Vestibular rehabilitation therapy in Europe: chances and challenges
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Dizziness, vertigo, and balance problems are among the most common complaints in patients and at least 50% of patients out of balance need some form of physical therapy . Besides the excellent evidence that the specific physical maneuvers are effective for treatment in benign paroxysmal positional vertigo (level 1), there is also sufficient evidence that vestibular rehabilitation therapy (VRT) improves outcome in unilateral (level 1) and bilateral (level 1) vestibular hypofunction [2, 3, 4, 5, 6, 7]. The principles of treatment go back to the 1940s when Cawthorne and Cooksey first described exercises to improve balance after vestibular injuries . While there is a general agreement that balance training is useful in vestibular disorders, there is insufficient evidence for specific interventions in specific clinical situations, optimal exercise dose, advantages of supervised vs. home-based exercises, and optimal duration of treatment programs [9, 10, 11, 12]. Recently,...
This work was supported by the German Federal Ministry of Education and Research (BMBF Grant 01EO1401).
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no competing interests to report.
This work does not present original experimental data. However, all work related to the paper have been done in accordance with ethical standards (Declaration of Helsinki and later amendments).
- 2.McDonnell MN, Hillier SL (2015) Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 1:CD005397Google Scholar
- 3.Hilton MP, Pinder DK (2014) The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 12:CD003162Google Scholar
- 7.Porciuncula F, Johnson CC, Glickman LB (2012) The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: a systematic review. J Vestib Res 22:283–298Google Scholar
- 8.Cawthorne T (1946) Vestibular injuries. Proc R Soc Med 39:270–273Google Scholar
- 11.Sulway S, Whitney SL (2019) Advances in vestibular rehabilitation. Adv Otorhinolaryngol 82:164–169Google Scholar
- 13.Hall CD, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife TD, Furman JM, Getchius TS, Goebel JA, Shepard NT, Woodhouse SN (2016) Vestibular rehabilitation for peripheral vestibular hypofunction: an evidence-based clinical practice guideline. J Neurol Physical Ther 40:124–155CrossRefGoogle Scholar
- 14.Grill E, Bronstein A, Furman J, Zee DS, Muller M (2012) International classification of functioning, disability and health (ICF) core set for patients with vertigo, dizziness and balance disorders. J Vestib Res 22:261–271Google Scholar