Vestibular

Spinning, dizzy, falling, or off balance? Vestibular rehabilitation and balance therapy (VRBT) is the specialized practice in physical therapy focused on evaluating and treating patients suffering from symptoms of central and peripheral nervous system problems.

Vestibular

Spinning, dizzy, falling, or off balance? Vestibular rehabilitation and balance therapy (VRBT) is the specialized practice in physical therapy focused on evaluating and treating patients suffering from symptoms of central and peripheral nervous system problems.

Patients suffering from vestibular and balance impairments range in all ages and can describe problems related to equilibrium, visual clarity with motion, posture, conditioning, and tolerance to positional changes. They generally also have increased fatigue, anxiety, and difficulty concentrating depending on the particular problem.

What to expect on first visit:

  • Review of current and past medical history and medications
  • Clinical tests for coordination, standing balance, dynamic movements

Overall, we will develop a clinical assessment from a combination of your medical diagnostic testing, clinical presentation, and your personal goals to initiate a treatment program and help you return to work, play, driving, caregiving etc. Following your in-clinic treatment, a home exercise program will be introduced and progressed over serial treatment sessions. Please see our intake questionnaires to help us help you get started.

For older adults who are concerned about their independence and safe mobility, we offer a multifaceted treatment approach incorporating strength training, fall prevention strategies, sensory and motor balance re-training, eye-head coordination exercises, gait/transfer training, and functional dynamic activities to optimize your body function and assist you in returning to daily activities and recreation.

Treatment duration can be as short as two visits for uncomplicated forms of benign paroxysmal positional vertigo (BPPV) to weeks of treatment for unilateral (1 sided) ear problems to months for multifactorial conditions. Whether you visit us for a known diagnosis, a pre-operative visit, a post-operative assessment or are interested in an examination to determine your P.T. diagnosis (see your insurance plan for specific coverage prior to your P.T. evaluation), we can offer your more information and treatment guidance.

Common problems treated in VRBT:

  • Viral labyrinthitis or vestibular neuritis
  • Benign paroxysmal positional vertigo
  • Disuse dysequilbirium
  • Autoimmune disorders to the inner ear
  • Surgical resection for acoustic tumors or vestibular schwannomas
  • Meniere's disease/ gentamicin ablation
  • Migraine related vertigo
  • Psychogenic dizziness
  • Ototoxicity
  • Head injury/ traumatic brain injury/concussion
  • Cervicogenic dizziness/ whiplash associative disorder
  • Fall prevention

Locations offered for Vestibular

Bellevue

12501 Bel-Red Road
Bellevue, WA 98005
ph: (425) 450-9801
fax: (425) 450-9778

Lake City

3225 NE 125th St
Seattle, WA 98125
ph: (206) 417-1298
fax: (206) 417-1299

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