Vestibular Physical Therapy and Fall Risk Assessment

Otolaryngol Clin North Am. 2021 Oct;54(5):1015-1036. doi: 10.1016/j.otc.2021.05.018. Epub 2021 Jul 23.


Vestibular physical therapy (VPT) is a specialized form of evidence-based therapy designed to alleviate primary (vertigo, dizziness, imbalance, gait instability, falls) and secondary (deconditioning, cervical muscle tension, anxiety, poor quality of life, fear of falling/fear avoidance behavior) symptoms related to vestibular disorders. This article provides an overview of VPT, highlighting various exercise modalities used to treat a variety of vestibular disorders. Patient safety and fall prevention are paramount; therefore, fall risk assessment and treatment are also addressed.

Keywords: Balance; Dizziness; Fall prevention; Vestibular physical therapy; Vestibular rehabilitation.

Publication types

  • Review

MeSH terms

  • Accidental Falls* / prevention & control
  • Fear
  • Humans
  • Physical Therapy Modalities
  • Postural Balance
  • Quality of Life*
  • Risk Assessment