Balance and Vestibular Treatments Provided

Goals for Therapy

Conditions which can benefit from Balance Retraining

• Computerized postural assessment with Neurocom Balance Master      Platform

• Computerized dynamic visual acuity and gaze stabilization assessments with Neurocom inVision equipment

• Balance assessment using standardized tests

• Oculomotor assessment to evaluate eye movements in various positions with and without magnified goggles

• Gait and postural assessment

• Assessment of muscle strength, range of motion, tone, and sensation

• Balance retraining to improve the coordination of muscle and joint responses with input from the eyes and inner ears

• Canalith repositioning maneuvers: removing deposits from a patient's semi-circular canal by moving the patient's head in a sequence of positions

• Vestibular adaptation, habituation, and substitution exercises to improved the brain's ability to interpret the input from the inner ear

• Gait training, including recommendations for an appropriate assistive device if needed

• Range of motion, strengthening, and endurance exercises of the trunk and extremities

• Benign Paroxysmal Positional Vertigo (BPPV): Calcium deposits (often called crystals or rocks) break off from a bone in the inner ear and fall into one of the semi-circular canals. Symptoms include spinning sensations for a few seconds after specific movements such as getting in and out of bed or looking up and down.

• Vestibular neuritis: an infection of the vestibular nerve contributing to dizziness and imbalance

• Ototoxicity: toxic damage to the inner ear such as from certain medications

• Recovery after acoustic neuroma removal: benign tumor of the nerve from the brain to the ear

• Central or neurological vertigo: problems in the balance centers of the brain from:

     • stroke

     • head injury

     • multiple sclerosis

     • seizure disorder

     • brain tumors or cysts

     • cerebellar dysfunction

     • migraine

• Long-term effects from Méniére's Disease

• Motion sensitivity

• Other conditions of the ear resulting in problems with dizziness and balance

We maintain balance with input from our eyes, inner ears, and muscle and joint receptors in our bodies. This input is processed in a part of the brain called the cerebellum, which uses this information to tell us where we are in space. If any of these inputs becomes damaged, we may become unsteady or dizzy.

675 C South Jefferson Avenue

Cookeville, TN  38501



Balance and Vestibular Rehabilitation Program

Balance and Vestibular Evaluation​

Conditions which can benefit from Vestibular Rehabilitation



• Decrease dizziness

• Reduce the risk of falls

• Improve balance and postural control

• Improve the ability to walk

• Recommend appropriate walking aid if needed

• Remove debris from semi-circular canals to alleviate benign paroxysmal positional vertigo

• Increase independence in activities of daily living

• Peripheral neuropathy such as from diabetes

• History of falls

• Ataxia: difficulty coordinating movement

• Decline in quality of gait such as from Parkinson's Disease or from a prolonged hospital stay or illness

• Abnormalities of the upper cervical spine

• Trunk or lower extremity weakness