Vestibular Rehabilitation Exercises

Vestibular Rehabilitation Exercises



hello I'm dr. Lisa Koch and it is a pleasure to have you in this class in this presentation I wish to demonstrate a few of the exercises that are used in vestibular rehabilitation therapy these exercises are referred to in the vestibular exercises page in your course content will not demonstrate all of these exercises just some that I use most often first you have patient sit in a chair to do these exercises of course the patient's safety is our chief concern while they're doing these exercises and we do not want to put the patient at increased risk of falling the patient will need to playing cards ready to use either to playing cards or to index cards the purpose of these cards is to give the patient something to focus on while doing these exercises if their eyes are wandering the exercises will produce little benefit the first few exercises are had application exercises the first exercise I want to demonstrate our head circles the patient rotates their head 360 degrees first to none direction with their eyes open and then in the other direction again with their eyes open and then the patient completes the exercise with their eyes closed first in one direction and then in the other direction about ten repetitions in each direction is acid visual tracking is a good adaptation exercise the patient holds one card they hold the card it's important to hold it up to eye level and at approximately arm's length many times I had a patient if they also become tired either tape their card to a wall or as long as they can sit and the card is approximately arm length they can they don't have to hold the card they can take for example to a wall or with a magnet put it on the refrigerator official tracking the patient holds the card and the head is maintained center while the card is moved back and forth and the eyes always maintain focus on the card so the card must be in the patient's field of vision focus with head turn is done click in by having the patient hold a card however this time the card remains still the head is moved first in one direction then the other while constantly keeping the I focused on the on the card for target exercises the patient is asked to select an object 190 degrees to the right and the other 90 degrees to the left for example a lamp on the left and make a picture on the right and the patient then while they're sitting in their chair looks first at one object then quickly over to the other side to the other object and then they stop in the midline and repeat this exercise first one side to the other then Center and repeat that approximately 10 times and then you can have the patient begin on the opposite side first then the other and then back to the midline the head movement exercises are completed in a similar way first looking to one side and set and to the other side then back to midline one way to make these exercises difficult is to do them at faster speeds well these exercises can be done horizontally as well as vertically pending on your patients needs the patient as the difficulty of the exercises increases can can also do them while standing or walking saccade exercise is the last one that I want to demonstrate patient needs both cards and they hold one card proximately 30 degrees to the left and the other card approximately 30 degrees to the right the patient that looks first to one card and then to the other and back and forth and maybe 25 repetitions of this one