Physiotherapy Oakville Physiotherapy Etobicoke Physiotherapy Mississauga Physiotherapy North York Physiotherapy Toronto
Vestibular Rehabilitation

Vestibular Rehabilitation

Vestibular Rehabilitation

Vestibular Rehbilitation

Vestibular Dysfunction or Vestibular System Disorders are more common than most people think.

Quick facts:

1)      A recent study has indicated that as many as 35% of Americans over 40 years old (70 million people) have experienced some form of vestibular dysfunction (Agrawal et al, 2009).

2)      80% of people over 65 years have experienced dizziness and BPPV (Benign Paroxysmal Positional Vertigo) is the cause of approximately 50% of dizziness in older persons (Parnes et al, 2003).

Vestibular Dysfunction or Vestibular System Disorders may involve a number of symptoms including:

a)      Dizziness

b)      Vertigo (sensation of spinning)

c)       Nausea

d)      Sense of imbalance or unsteadiness

e)      Poor gaze stability

f)       Vision disturbance

What is the vestibular system?

  • Comprises five sensory organs that provide your brain with information about head position and movements including head rotation, linear movements and static positions of the head relative to gravity
  • Five sensory organs including 3 semicircular canals and 2 otoliths

Vestibular rehabilitation involves:

  • A detailed assessment of the Oculomotor System, Vestibulo-ocular System, Motion Sensitivity Testing, and a BPPV (Benign Paroxysmal Positional Vertigo) assessment

Your Vestibular Physiotherapist will then determine:

  • The cause of your symptoms
  • Appropriate treatment including in-clinic physiotherapy and home exercise program as indicated
  • Whether referral to another health professional is indicated

Please ask your Physiotherapist for more information regarding Vestibular Rehabilitation.

Visit the following links for more information:

Vestibular Disorders Association:

Vestibular Rehabilitation for Unilateral Peripheral Vestibular Dysfunction – Cochrane Review:

Hillier, S.L., & McDonnell, M. (2007). Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database of Systematic Reviews, 4.  DOI:10.1002/14651858.CD005397.pub2.


Agrawal, Y., Carey, J.P., Della, Santina, C.C., Schubert, M.C., & Minor, L.B. (2009).  Disorders of balance and vestibular function in US adults. Arch Intern Med, 169(10), 938-944.

Parnes, L.S., Agrawal, S.K., Atlas, J. (2003). Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ, 169, 681–693.