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Vestibular Rehabilitation in Central Dizziness
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Byung In Han, Pan Woo Ko, Ho Won Lee, Hyun Ah Kim, Hyung Lee
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Res Vestib Sci. 2015;14(4):97-100.
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 Abstract
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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.
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KBS
