Vestibular Rehab

The Vestibular System is responsible for regulating balance, movement, muscle control, posture and eye position and stability.  The vestibular system is most often one of the major culprits in the sensory mismatch of feedback to our brain. By using sensory, motor and receptor based applications we can improve pathways to the brain which have become altered due to inappropriate feedback. Treatments are intended to integrate brain functioning and retrain the parts of the nervous system that may be malfunctioning by creating neuro-plasticity. Treatment is not a” one size fits all” approach. Rehabilitation programs are dependent on your exam findings. The longer someone’s brain is adapting to negative changes, the longer it will take to rehabilitate their way out of it.

Vestibular Rehabilitation Diagnosis and Treatment

A comprehensive evaluation is performed on each patient when he or she enters the program to determine the specific nature of the vestibular dysfunction. An individualized treatment plan is then developed.

Dr Sandra Cramer has 2 years of studies in Vestibular Rehabilitation and a decade of clinical vestibular application

We complete a very detailed advanced examination, including a host of sensitive tests (including VNG, computerized balance testing, detailed neurological exam, vestibular exam, and more) that we use to quantify, and objectively evaluate a patient with a vestibular disorder. These tests are used to access a peripheral, central or neurological problem

We rehabilitate a wide range of conditions that can result in vertigo, dizziness and imbalance—including, but not limited to:

  • Peripheral Vestibulopathy eg. BPPV
  • Central Vestibulopathy
  • Cervicogenic Dizziness
  • Cerebellar Ataxia
  • Dysautonomia eg. POTS (common in concussion)
  • Acoustic Neuroma, Brainstem tumor, Cerebellar Tumor
  • Traumatic brain injury (TBI), Post-concussion syndrome
  • Visual Processing Disorders, Autism
  • Auditory processing Disorders
  • Post Stroke
  • Multiple Sclerosis
  • Movement Disorders