Open AccessVestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association
Author(s) -
Courtney D. Hall,
Susan J. Herdman,
Susan L. Whitney,
Eric Anson,
Wendy J. Carender,
Carrie W. Hoppes,
Stephen P. Cass,
Jennifer Braswell Christy,
Helen S. Cohen,
Terry D. Fife,
Joseph M. Furman,
Neil T. Shepard,
Richard A. Clendaniel,
J. Donald Dishman,
Joel A. Goebel,
Dara Meldrum,
Cynthia Ryan,
Rick L. Wallace,
Nakia J. Woodward
Publication year - 2021
Publication title -
journal of neurologic physical therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.046
H-Index - 52
eISSN - 1557-0584
pISSN - 1557-0576
DOI - 10.1097/npt.0000000000000382
Subject(s) - medicine , physical medicine and rehabilitation , vestibular system , guideline , rehabilitation , systematic review , oscillopsia , quality of life (healthcare) , physical therapy , randomized controlled trial , psychology , medline , audiology , surgery , pathology , political science , law , nursing
Uncompensated vestibular hypofunction can result in symptoms of dizziness, imbalance, and/or oscillopsia, gaze and gait instability, and impaired navigation and spatial orientation; thus, may negatively impact an individual's quality of life, ability to perform activities of daily living, drive, and work. It is estimated that one-third of adults in the United States have vestibular dysfunction and the incidence increases with age. There is strong evidence supporting vestibular physical therapy for reducing symptoms, improving gaze and postural stability, and improving function in individuals with vestibular hypofunction. The purpose of this revised clinical practice guideline is to improve quality of care and outcomes for individuals with acute, subacute, and chronic unilateral and bilateral vestibular hypofunction by providing evidence-based recommendations regarding appropriate exercises.