Increased independence and decreased vertigo after vestibular rehabilitation

Otolaryngol Head Neck Surg. 2003 Jan;128(1):60-70. doi: 10.1067/mhn.2003.23.


Objective: We sought to determine the effectiveness in decreasing some symptoms, such as vertigo, and increasing performance of daily life skills after vestibular rehabilitation.

Study design and setting: Patients who had chronic vertigo due to peripheral vestibular impairments were seen at a tertiary care center. They were referred for vestibular rehabilitation and were assessed on vertigo intensity and frequency with the use of the Vertigo Symptom Scale, the Vertigo Handicap Questionnaire, the Vestibular Disorders Activities of Daily Living Scale, and the Dizziness Handicap Inventory. They were then randomly assigned to 1 of 3 home program treatment groups.

Results: Vertigo decreased and independence in activities of daily living improved significantly. Improvement was not affected by age, gender, or history of vertigo.

Conclusion: For many patients a simple home program of vestibular habituation head movement exercises is related to reduction in symptoms and increasing independence in activities of daily living.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activities of Daily Living*
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Disability Evaluation
  • Dizziness / diagnosis
  • Dizziness / epidemiology
  • Dizziness / rehabilitation*
  • Exercise Therapy / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy / methods*
  • Patient Satisfaction
  • Probability
  • Prognosis
  • Risk Assessment
  • Severity of Illness Index
  • Sex Distribution
  • Treatment Outcome
  • Vertigo / diagnosis
  • Vertigo / epidemiology*
  • Vertigo / rehabilitation*
  • Vestibular Diseases / diagnosis
  • Vestibular Diseases / rehabilitation
  • Vestibular Function Tests