In Home – Manual and Vestibular Physical Therapy

Success Rates Per Research/Evidence On Vestibular Therapy

Vestibular Therapy has even been proven to have a success rate of 90% to 92.5% at curing the most common type of vertigo in 1 week (Sinsamutpadung & Kulthaveesup, 2021, P.866).

How common is Dizziness, Vertigo and Imbalance?

The prevalence ranges from approximately 20% to 30%, depending on the definition of dizziness and the population studied (Iwasaki & Yamasoba, 2015, P39).

💉Will medication help?💊

Did you know that Medication is 0% effective at curing the issue for the most common cause of dizziness and vertigo which is called BPPV.

🧩Is vertigo – BPPV misdiagnosed or hard to diagnose by non-specialist?🩻

Did you know that randomized control trials have been done that show this pathology is poorly recognized by non-specialists and has a long delay between onset of symptoms and correct diagnosis/treatment often with multiple healthcare contacts. One study showed the average time between first showing symptoms and correct diagnosis was 70 months, with an average of 8 hospital visits as this pathology doesn’t show up on imaging (Abbott & Tomassen & Lane & Bishop & Thomas, 2016, P.335).

How is it diagnosed?🪪

Did you know that as a Doctor of Physical Therapy you can get advanced training to become a Certified Vestibular Therapist that performs what is known as the gold standard test at diagnosing the most common type of vertigo that can be cured in 1-3 sessions along with treatments for many other pathologies that can also cause similar symptoms. 3 different test (known as the gold standard at being the most accurate for a correct diagnosis) can be done in the comfort of your own home that will tell you which inner ear is affected and which of the 3 canals are affected. This information then leads to which maneuver to treat you with.

✅How is it treated?

Treatment consists of moving the head and body into different positions to let gravity move the misaligned crystals in your inner ear back to where they belong.

✅How long does it take to cure?

Did you know that Randomized Control Trials have been completed that show that if this gold standard test and treatment is completed to treat BPPV it can cure 90% to 92.5% of people with the most common type of vertigo/dizziness in less than one week (Sinsamutpadung & Kulthaveesup, 2021, P.866).

✅Why I opened my LLC

If you didn’t know the answers to all of these questions then you are the reason that I opened my own private practice and named it In Home – Manual and Vestibular Physical Therapy. If you have dizziness the odds are you have BPPV and can be successfully treated in 1-3 vestibular sessions. How often can you say you walked into a doctor’s appointment or better yet had a doctor come to your house symptomatic and walked out cured. After seeing these results first hand I knew I had to educate and treat this issue.

✅If I test negative for BPPV can vestibular rehab still help with other causes of vertigo?

Yes! If you test negative for BPPV you will also be tested for other vestibular and non-vestibular pathologies that can also cause similar symptoms to find out if you will be appropriate for a vestibular home exercise program using a combination of exercises that consist of substitution, adaptation and habituation exercises.

1. Substitution exercises involve training the patient to rely on other sensory inputs, such as vision and touch/proprioception to compensate for the abnormal signals coming from the vestibular system.

• Adaptation exercises trains the body to use different reflexes in order to adapt our brain to the abnormal sensory signals that are causing the vertigo.

• Habituation exercises are designed to reduce the brain’s sensitivity to dizziness in order to decrease triggers.

Click below to learn more about how these treatment options can help treat vertigo. Learn More

✅Evidence for Vestibular Rehab

All three of these approaches have also been researched and supported in the literature through systematic reviews to have strong evidence for being effective at addressing vertigo and or dizziness related to vestibular impairments such as a vestibular unilateral or bilateral hypofunction. (Hall & Herdman & Whitney & Anson & Carender & Hoppes & Cass & Christy & Cohen & Fife & Furman & Shepard & Clendaniel & Dishman & Goebel & Meldrum, & Ryan & Wallace & Woodward, 2022, P119).

Dr. Tim Thomas PT, DPT, COMT, CVT – Certified Vestibular Therapist, Certified Orthopedic Manual Therapist

References

1. Abbott, J., Tomassen, S., Lane, L., Bishop, K., & Thomas, N. (2016). Assessment for benign paroxysmal positional vertigo in medical patients admitted with falls in a district general hospital. Clinical Medicine, 16(4), 335–338. https://doi.org/10.7861/clinmedicine.16-4-335
2. Hall, C. D., Herdman, S. J., Whitney, S. L., Anson, E. R., Carender, W. J., Hoppes, C. W., Cass, S. P., Christy, J. B., Cohen, H. S., Fife, T. D., Furman, J. M., Shepard, N. T., Clendaniel, R. A., Dishman, J. D., Goebel, J. A., Meldrum, D., Ryan, C., Wallace, R. L., & Woodward, N. J. (2022). Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association. Journal of Neurologic Physical Therapy, 46(2). https://doi.org/10.1097/NPT.0000000000000382
3. Helminski, J. O., Zee, D. S., Janssen, I., & Hain, T. C. (2010). Effectiveness of Particle Repositioning Maneuvers in the Treatment of Benign Paroxysmal Positional Vertigo: A Systematic Review. Physical Therapy, 90(5), 663–678. https://doi.org/10.2522/ptj.20090071
4. Iwasaki, S., & Yamasoba, T. (2015). Dizziness and Imbalance in the Elderly: Age-related Decline in the Vestibular System. Aging and Disease, 6(1), 38. https://doi.org/10.14336/ad.2014.0128
5. Sinsamutpadung, C., & Kulthaveesup, A. (2021). Comparison of outcomes of the Epley and Semont maneuvers in posterior canal BPPV : A randomized controlled trial. Laryngoscope Investigative Otolaryngology, 6(4), 866–871. https://doi.org/10.2522/ptj.20090071

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All information on this website is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.

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