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October 1989

Physical Therapy Strategies for Vestibular Rehabilitation

Author Affiliations

Birmingham, Ala

Arch Otolaryngol Head Neck Surg. 1989;115(10):1162. doi:10.1001/archotol.1989.01860340016009

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At the 1989 Triological Society meeting in San Francisco, Calif, Donald B. Kamerer and coworkers Joseph M. R. Furman and Barry E. Hirsh, Pittsburgh, Pa, presented their findings regarding long-term management of vestibular disorders with intense physical therapy. A group of 95 patients unresponsive to standard medical and surgical therapy underwent intensive evaluation using a computerized questionnaire and physical therapy examination. They were also evaluated by complete otoneurological and platform testing.

Intensive physical therapy, including balancing, eye-hand coordination activities, and teaching of hip and ankle weight-shifting strategies, was incorporated into the treatment protocol. Patients were also taught various walking tasks utilizing nonvisual cues. These therapy methods were individualized based on the initial evaluation and the patients being divided into five diagnostic groups. The two largest groups consisted of patients with peripheral pathologic findings and with nonspecific causes; the other categories were mixed, central, and nonorganic. After several weeks utilizing these

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