J Neurol Phys Ther 2022 Apr;46(2):118-177
Hearing and Balance Research Program, James H. Quillen VAMC, Mountain Home, and Physical Therapy Program, Department of Rehabilitative Sciences, East Tennessee State University, Johnson City, Tennessee (C.D.H.); Department of Physical Medicine and Rehabilitation, School of Medicine (Emerita), Emory University, Atlanta, Georgia (S.J.H.); Department of Physical Therapy, School of Health and Rehabilitation Science, University of Pittsburgh, Pittsburgh, Pennsylvania (S.L.W., J.M.F.); Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania (S.L.W., J.M.F.); Department of Otolaryngology, University of Rochester, Rochester, New York (E.R.A.); Department of Otolaryngology, Michigan Medicine, University of Michigan, Ann Arbor (W.J.C.); Army-Baylor University Doctoral Program in Physical Therapy, Fort Sam Houston, Texas (C.W.H.); Otolaryngology, University of Colorado School of Medicine, Denver (S.P.C.); Department of Physical Therapy, The University of Alabama at Birmingham, Birmingham (J.B.C.); Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas (H.S.C.); Balance Disorders and Vestibular Neurology, Barrow Neurological Institute, Phoenix, and Department of Neurology, University of Arizona College of Medicine, Phoenix, Arizona (T.D.F.); Otorhinolaryngology, Mayo College of Medicine, Rochester, Minnesota (N.T.S.); Department of Orthopaedics, Doctor of Physical Therapy Division and Department of Head and Neck Surgery & Communication Sciences, Duke University Medical Center, Durham, North Carolina (R.A.C.); College of Chiropractic, Parker University, Dallas, Texas (J.D.D.); Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, Saint Louis, Missouri (J.A.G.); Trinity Biomedical Sciences Institute, Trinity College, Dublin, Ireland (D.M.); Vestibular Disorders Association (VeDA), Portland, Oregon (C.R.); and Quillen College of Medicine Library, East Tennessee State University, Johnson City (N.J.W., R.L.W.).
Background: Uncompensated vestibular hypofunction can result in symptoms of dizziness, imbalance, and/or oscillopsia, gaze and gait instability, and impaired navigation and spatial orientation; thus, may negatively impact an individual's quality of life, ability to perform activities of daily living, drive, and work. It is estimated that one-third of adults in the United States have vestibular dysfunction and the incidence increases with age. There is strong evidence supporting vestibular physical therapy for reducing symptoms, improving gaze and postural stability, and improving function in individuals with vestibular hypofunction. Read More