Current Otorhinolaryngology Reports

, Volume 5, Issue 3, pp 160–166 | Cite as

Vestibular Rehabilitation: Review of Indications, Treatments, Advances, and Limitations

  • Joanna BurzynskiEmail author
  • Shaleen Sulway
  • John A. Rutka
Otology: Vestibular Disorders (J Rutka, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Otology: Vestibular Disorders


Purpose of Review

Vestibular disorders result in symptoms that significantly impact an individual’s quality of life. Vestibular rehabilitation therapy (VRT) has, for many years, been used as an effective means of treating patients and their vestibular-related symptoms. For clinicians, it is crucial to stay up to date with the current best evidence in VRT in order to optimize patient management.

Recent Findings

Current evidence is in support of VRT for treating patients with a variety of vestibular disorders, both central and peripheral. High level evidence studies support the use of treatment techniques of adaptation and substitution for gaze stabilization, habituation, balance and gait training, and canalith repositioning maneuvers. Recent evidence has also examined and found promising results with technological innovations that are targeted at those with bilateral vestibular hypofunction and insufficient gains with a standard exercise-based program. Nevertheless, factors such as anxiety overlay/depression, time when beginning therapy, and adherence may have an impact on how a patient will do with his/her VRT program and should be acknowledged.


Quantifiable and evidence-based literature supports the use of VRT for patients with a variety of vestibular disorders and their associated symptoms. The clinician needs to become familiar with each patient’s complaints and goals, as well as any potential barriers to positive outcomes with VRT, and combine this with their knowledge of current evidence-based literature in order to develop the optimal program for each unique patient.


Vestibular Dizziness Vertigo Rehabilitation Compensation Balance 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

This article was made possible from funding through the Hertz Multidisciplinary Neurotology Clinic at UHN.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Joanna Burzynski
    • 1
    Email author
  • Shaleen Sulway
    • 1
  • John A. Rutka
    • 1
  1. 1.Department of Otolaryngology, Toronto General HospitalUniversity Health Network (UHN)TorontoCanada

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