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Vestibular rehabilitation therapy (VRT)

If imbalance in daily routine pulls the person’s life upside down but what if this disequilibrium or unsteadiness occurs in the human body 24/7 along with or without nausea, dizziness, vertigo, nystagmus, lightheadedness, motion sickness, blurred vision, frequent falls, neck pain and stiffness? Moreover, Sometimes this condition becomes so severe that when a person moves his head he feels that his surroundings are rotating.

Balance in the human body is maintained by the eyes, inner ear, sensory(skin) and by mechanical (joints) receptors. The poor coordination among these foremost systems lead to imbalance and dizziness in the human body. Surpassing the surplus number  of  medical ailments including tinnitus, chronic sinusitis, Meniere’s syndrome, Benign  paroxysmal positional vertigo (BPPV), post traumatic vertigos – dizziness, perilymphatic fistula,  motion sickness, ear infection, vestibular neuritis, vestibular schwannoma , acoustic neuroma has been reported that causes dizziness and balance issues. 

The Canadian Public health agency revealed that 3:1 oldie had a fall per annum. This perturbing stat showed that 20% of geriatric populace cause of death is falls accidents [1]. Although this is the most pestering condition of old age, however dismally younger people are also the victims of it. Research has been made which shows that 30% of the geriatric population suffered from dizziness. Dizziness increments with age and affects females more than males [2]. 

What is vestibular rehabilitation therapy (VRT)? 

Vestibular system is the inner part of the ear which helps to maintain the balance and spatial alignment of the body system which serves in the movement coordination including eye movements. VRT is a specified technique used in physiotherapy which incorporates a set of exercises and maneuvers who’s particularly aims to improve the balance, reduce the dizziness by sending impulse to the central nervous system and overcome the other problems related to that which are worsening the patient’s symptoms.  Vestibular rehabilitation therapy (VRT) is also known as Balance therapy rehabilitation and Balance retraining.


Physiotherapists,  vestibular rehab therapists and occupational therapists are the archived  professionals to provide vestibular rehabilitation. Otolaryngologists or ENT specialists, audiologists won’t treat this condition without having certification in VRT.  To add on the years in the quality of life and to treat the cause of vertigo, dizziness Bristol rehab clinic providing a Balance therapy rehabilitation, Balance retraining and Vestibular rehabilitation therapy (VRT) for all ages. 


Once the patient booked his appointment he had his basic balance function (BBFF) test . The BBFF test comprises physical tests aimed to assess  anatomical lesions involvement  and the severity of symptoms. After that final recommendations were made whether a patient needs a VTR or needs a referral. 


  1. There is no vertigo, dizziness, imbalance, floating nausea treatment, they subside at its own. *No vertigos, lightheadedness, off-balance and associated conditions that can relapse over time if not treated and could be more lethal.
  2. VRT provokes symptoms! *if they performed incorrectly or overly.
  3. Long treatment.     * No session varies from 1 to 2 per week to 6 to 8 weeks.


Assured vow! VRT is the most effective treatment of choice only in a few conditions’ surgery is indicated [3-4].



  1. https://www150.statcan.gc.ca/n1/pub/82-624-x/2014001/article/14010-eng.htm#n1
  2. https://onlinelibrary.wiley.com/doi/full/10.1097/00005537-200210000-00015
  3. Hillier SL, Hollohan V. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database of Systematic Reviews 2007. Issue 4. CD005397. Pub. 2; 2007. 
  4. Hilton M, Pinder D. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database of Systematic Reviews 2004. Issue 2. CD003162. Review; 2004.