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Vestibular Rehabilitation is a specialised, exercise-based physiotherapy program designed to treat dizziness, vertigo, balance problems, and visual disturbances caused by vestibular disorders. These symptoms can affect daily activities, confidence, and overall quality of life.
At On The Way Physio, we provide home-based vestibular rehabilitation, delivered by licensed physiotherapists trained in vestibular assessment and treatment.
Although often used together, dizziness and vertigo are different:
Dizziness may include:
Light-headedness
Swaying or unsteadiness
Disorientation
Vertigo is a specific type of dizziness where you feel:
Spinning or movement
The environment moving around you
Vestibular physiotherapy focuses on identifying the exact cause and treating it appropriately.
Proper assessment is critical for effective treatment. Our physiotherapists perform detailed screening, which may include:
Medical and symptom history
Balance and eye-movement testing
Head movement assessments
Positional tests such as Dix-Hallpike (when appropriate)
If standard testing is contraindicated due to neck, back, or mobility issues, alternative safe testing methods are used during home visits.
Vestibular symptoms may result from:
Vestibular system disorders
Benign Paroxysmal Positional Vertigo (BPPV)
Inner ear conditions
Head trauma (concussion, whiplash)
Vestibular neuritis or labyrinthitis
Neurological conditions
Visual system issues
Age-related vestibular degeneration
Each condition requires a different treatment approach.
Meniere’s disease occurs due to pressure changes in the inner ear fluid.
Common symptoms include:
Ear fullness
Ringing in the ear (tinnitus)
Fluctuating hearing loss
Vertigo and imbalance lasting hours or days
Vestibular rehabilitation may help manage symptoms depending on the stage of the condition. Lifestyle changes such as reducing salt, caffeine, alcohol and nicotine may also help reduce dizzy episodes.
Treatment is always based on assessment findings and may include:
Epley Maneuver
Gans Maneuver
Barbecue Roll
Gufoni Maneuver
These techniques reposition inner ear crystals to reduce vertigo.
Vestibular adaptation exercises
Substitution exercises
Static and dynamic balance training
Walking exercises to improve stability
The goal is to safely provoke symptoms in a controlled way so the brain can adapt and compensate faster.
On The Way Physio offers professional vestibular rehabilitation at home, focusing on:
Licensed and trained physiotherapists
Proper vestibular assessment and screening
Personalised treatment plans
Safe home-based care
Ongoing progress monitoring
