Vestibular Rehabilitation

Vestibular Rehabilitation is a specific approach of physical therapy aimed at decreasing dizziness and imbalance in those patients who have vestibular dysfunction.

What to Expect

The physical therapy evaluation consists of the following:
Extensive interview with the patient regarding symptoms, chief complaint and functional limitations.
Neuromusculoskeletal examination (muscle strength, range of motion, sensation, posture, and tone)
Oculomotor exam (smooth pursuit, vestibule-ocular reflex, saccades)
Positioning exam (i.e. Dix-Hallpike maneuver)
Balance/Postural Control evaluation

General Objectives of the Vestibular Program:
Decrease patient’s feelings of vertigo/dizziness
Improve balance and postural control
Improve gaze stability
Improve overall conditioning/endurance

Each patient would then participate in an individualized treatment program that may include:
Repositioning Maneuvers
Habituation exercises
Balance exercises
Eye exercises
Patient education
Home exercise program
Therapeutic conditioning exercises

Who Would Benefit

Dizziness, Dysequilibrium, Labyrinthitis

Benign Paroxysmal Positional Vertigo

Vestibular Schwannoma, Autoimmune inner ear disease

Vestibular Neuritis, Mal de debarquement

Meniere’s disease, Migraine associated vertigo

Headaches, Cervicogenic dizziness


You are all AMAZING!!! Amber and Jolene are the best! When Abbie became injured 1 1/2 years ago in dance- something she loved to do, she went through 3 doctors, another physical therapists, many painful procedures and finally found a Dr. Hedlund who sent us to Hulst Jepsen where she was blessed with 2 amazing therapist and their staff! Abbie thought she may never dance again! She had many ups and downs in her therapy but no one ever gave up on her. They always listened to her and helped her do her best! Now she has finished her therapy, is starting dance again in a few weeks, is auditioning for the Nutcracker and her dance team at school!!!


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