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If you are feeling dizzy, unsteady or like the world is spinning, it is very likely that you have a problem with component parts of the vestibular system. Vestibular Rehabilitation addresses problems of vestibular function.

Vestibular dysfunction occurs when the processing of information provided by your vestibular system is inadequate or inappropriate. Your ability to hold your gaze steady and keep yourself upright will be impaired. Your peripheral sensory apparatus (vestibular, visual and proprioceptive), a central processor (brain stem and cerebellum) and a mechanism for motor output integrate information to produce eye movements and postural adjustment to enable balance.

Impairment of any part of the system can lead to symptoms of vertigo, dizziness and imbalance.

The vestibulo-ocular reflex (VOR) generates eye movements, which enable clear vision while the head is in motion and the vestibulospinal reflex (VSR) generates compensatory body movements to maintain head and postural stability.

Assessment is conducted by specialist therapists with the skills to determine which part of your vestibular system is not functioning accordingly. There are only a handful of therapists with this skill in Sydney.

Vestibular conditions we can help with:

·     BPPV (Benign Paroxysmal Positioning Vertigo)

·     Unilateral vestibular dysfunction (Labyrinthitis, Vestibular Neuritis, Meniere’s Disease,  surgical or chemical (Gentamicin) ablation of the labyrinth, Acoustic neuroma (vestibular schwannoma), petrous bone fracture, Ramsay Hunt Syndrome)

·     Bilateral vestibular dysfunction (Gentamicin Ototoxicity, idiopathic bilateral vestibular loss, sequential viral neuritis, aging, other rare syndromes; Cogan’s, Susac’s)

·     Brain stem and cerebellar stroke or tumour, MS, skull # and TBI

·     Migrainous vertigo

Find out about our specialist physiotherapist, Vanessa Simpson here


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Improving the lives of people with neurological and complex therapy needs.