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HOME > Res Vestib Sci > Volume 14(4); 2015 > Article
Review Vestibular Rehabilitation in Central Dizziness
Byung In Han, Pan Woo Ko, Ho Won Lee, Hyun Ah Kim, Hyung Lee

DOI: https://doi.org/
1Do Neurology Clinic, Daegu, Korea. han-byungin@hanmail.net
2Department of Neurology, Kyungpook National University School of Medicine, Daegu, Korea.
3Department of Neurology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
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Vestibular rehabilitation therapy (VRT) is an exercise-based treatment program designed to promote vestibular adaptive and compensatory mechanisms already existing in the human brain. Although the evidence is sparse for improvement in subjects with central vestibular dysfunction following VRT, it improves postural stability in cerebellar diseases and reduces subjective complaints and fall risk in Parkinson disease. Possible mechanisms of recovery after central nervous system lesions may include neural sprouting, vicarious functions, functional reorganization, substitution, and plasticity. VRT regimens for patients with central causes should include balance and gait training, general strengthening and flexibility exercises, utilization of somatosensory and vision and utilization of alternate motor control strategies. VRT would be an option to relieve the symptoms of the many patients who have central dizziness.


Res Vestib Sci : Research in Vestibular Science