Vestibular Rehabilitation

The North Shore-LIJ Rehabilitation Network’s Vestibular Rehabilitation provides state-of-the-art treatment by experienced Vestibular Physical Therapists to help your patients resolve dizziness or vertigo and reduce fall risk factors due to inner ear or central nervous system dysfunction. Vestibular Rehabilitation is an exercise-based therapy that maximizes the body’s natural ability to compensate for vestibular and balance disorders. The goal is to retrain the brain to recognize and process signals from the vestibular system in coordination with vision and proprioception.
Our trained and experienced vestibular Physical Therapists treat a wide range of conditions that can result in dizziness and imbalance including:

  • Benign paroxysmal positional vertigo (BPPV)
  • Labyrinthitis
  • Vestibular neuritis
  • Ménière’s disease
  • Acoustic neuroma
  • Perilymph fistula
  • Mild traumatic brain injury
  • Stroke
  • Post-concussion syndrome
  • Disequilibrium and other balance disorders

Our comprehensive in-depth evaluation includes:

  • Infared video imaging and recording of vestibulo-ocular function
  • Neurocom Balance Master and Biodex BioSway Balance Systems
  • Standardized assessment scales to determine fall risk

Individualized treatment plans include:

  • Balance retraining, utilizing both static and dynamic balance exercises
  • Sensory organization training
  • Gaze stabilization exercises
  • Habituation exercises
  • Compensatory strategies
  • Canalith repositioning treatment (CRT or Epley Maneuver) for BPPV
  • Aerobic conditioning
  • A customized home exercise program

Therapeutic benefits:

  • Decreased dizziness and unsteadiness
  • Reduction or elimination of positional vertigo and spinning sensation
  • Reduced fall risk
  • Improved mobility
  • Increased safety and independence