Habituation therapy for chronic vestibular dysfunction: preliminary results

• Published in: Otolaryngology-head and neck surgery Vol. 103; no. 1; p. 89
• Main Authors: Telian, S A, Shepard, N T, Smith-Wheelock, M, Kemink, J L
• Format: Journal Article
• Language: English
• Published: England 01-07-1990
• Subjects: Adult; Aged; Aged, 80 and over; Exercise; Female; Habituation, Psychophysiologic; Humans; Male; Middle Aged; Posture; Vertigo - therapy; Vestibular Diseases - therapy
• ISSN: 0194-5998
• DOI: 10.1177/019459989010300113

Chronic vestibular dysfunction is often a frustrating problem for both patient and physician. A program of customized vestibular habituation therapy is introduced and its efficacy in a group of 65 patients is evaluated. Preliminary findings suggest that 59% of patients will have a dramatic improvement, after which their vestibular symptoms no longer cause any restriction in their lifestyles. An additional 23% of patients note considerable improvement, but have persistent symptoms that continue to restrict their activities. Vestibular habituation therapy is a rational, multidisciplinary approach to the treatment of chronic vestibular dysfunction that is a significant alternative to traditional pharmacologic management. Failure of vestibular compensation after involvement in a disciplined program of habituation therapy constitutes a much stronger indication for vestibular surgery in patients with unilateral peripheral lesions.