Vestibular Rehabilitation for Peripheral Vestibular Hypofunction
Publication Date: April 1, 2016
Last Updated: March 14, 2022
SUMMARY OF ACTION STATEMENTS
Therapeutic Intervention for Persons With Peripheral Vestibular Hypofunction
EFFECTIVENESS OF VESTIBULAR REHABILITATION IN PERSONS WITH ACUTE AND SUBACUTE UNILATERAL VESTIBULAR HYPOFUNCTION
Clinicians should offer vestibular rehabilitation to patients with acute or subacute unilateral vestibular hypofunction. (I, A)
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EFFECTIVENESS OF VESTIBULAR REHABILITATION IN PERSONS WITH CHRONIC UNILATERAL VESTIBULAR HYPOFUNCTION
Clinicians should offer vestibular rehabilitation to patients with chronic unilateral vestibular hypofunction. (I, A)
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EFFECTIVENESS OF VESTIBULAR REHABILITATION IN PERSONS WITH BILATERAL VESTIBULAR HYPOFUNCTION
Clinicians should offer vestibular rehabilitation to patients with bilateral vestibular hypofunction. (I, A)
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EFFECTIVENESS OF SACCADIC OR SMOOTH-PURSUIT EXERCISES IN PERSONS WITH PERIPHERAL VESTIBULAR HYPOFUNCTION (UNILATERAL OR BILATERAL)
Clinicians should not offer saccadic or smooth-pursuit exercises in isolation (ie, without head movement) as specific exercises for gaze stability to patients with unilateral or bilateral vestibular hypofunction. (I, A)
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EFFECTIVENESS OF DIFFERENT TYPES OF EXERCISES IN PERSONS WITH ACUTE OR CHRONIC UNILATERAL VESTIBULAR HYPOFUNCTION
Clinicians may provide targeted exercise techniques to accomplish specific goals appropriate to address identified impairments and functional limitations. (II, B)
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EFFECTIVENESS OF SUPERVISED VESTIBULAR REHABILITATION
Clinicians may offer supervised vestibular rehabilitation to patients with unilateral or bilateral peripheral vestibular hypofunction. (, B)
(Evidence quality: I-III)
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OPTIMAL EXERCISE DOSE OF TREATMENT IN PEOPLE WITH PERIPHERAL VESTIBULAR HYPOFUNCTION (UNILATERAL AND BILATERAL)
Clinicians may prescribe a home exercise program of gaze stability exercises consisting of a minimum of 3 times per day for a total of at least 12 minutes per day for patients with acute/subacute vestibular hypofunction and at least 20 minutes per day for patients with chronic vestibular hypofunction. (V, D)
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DECISION RULES FOR STOPPING VESTIBULAR REHABILITATION IN PERSONS WITH PERIPHERAL VESTIBULAR HYPOFUNCTION (UNILATERAL AND BILATERAL)
Clinicians may use achievement of primary goals, resolution of symptoms, or plateau in progress as reasons for stopping rehabilitation. (V, D)
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FACTORS THAT MODIFY REHABILITATION OUTCOMES
Clinicians may evaluate factors that could modify rehabilitation outcomes.
(Evidence quality: I-III)
(recommendation strength: weak to strong)
(recommendation strength: weak to strong)
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THE HARM/BENEFIT RATIO FOR VESTIBULAR REHABILITATION IN TERMS OF QUALITY OF LIFE/PSYCHOLOGICAL STRESS
Clinicians should offer vestibular rehabilitation to persons with peripheral vestibular hypofunction. (, A)
(Evidence quality: I-III)
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Overview
Title
Vestibular Rehabilitation for Peripheral Vestibular Hypofunction
Authoring Organization
American Physical Therapy Association