PT Tips: Why Does It Take So Long To See Results From Vestibular Rehabilitation Therapy (VRT)?

[@rblightchild]

i noticed small things and only been doing for a couple weeks, i used to be horrified to drive and to shop at grocery store, or close my eyes in shower. i noticed less anxiety first and less symptoms. closing my eyes in shower was the first one. i also walk daily and usually im feeling off. the last couple of walks i took i almost felt normal. i used my walks to do some of the vestibular exercises you presented. i cant wait to get my life back but will gladly take it a day at a time. i realize that ive been told to do the exercises once a day but you said that we could work up to doing them 3 times a day or for at least 20 minutes a day. my hardest is the stand on one leg and tandem. i cant keep my eyes closed but for a second so i opened up my stance on the tandem and do one leg while holding onto something while opening and closing my eyes for 30 secs. oh i meant to tell you that when i first started i would feel dizziness at bedtime as i was laying down. has anyone ever told you this? it lasted a couple days but i started doing my exercises in morning because of it.

[@MovementFunction]

Rasheedah, it's great to hear the progress you're making and the way you have adjusted the exercises to make them work well for where you are! Bravo!! Yes, others have mentioned feeling dizzy (and other descriptions of discomfort) when lying down in bed after doing the exercises in the evening. For them and for you, morning tends to be a better time to do the exercises. Still others report that mid-day works better for their symptoms and their lifestyle. I'm so glad you're tweaking the exercises and the timing to be most effective and tolerable for you. Keep up the great work!

[@smca7271]

Great video...Ive been recovering for 4yrs....my takeaway is that after trying just about every exercise I could find,the excercise that affects you the most is the one you need to focus on (we tend to not want to do this one), once you progress and its easy,make it harder by adding complexity (single leg stands open to closed eyes,move to foam board) once you find it easy, move on to another exercise you find hard. For eg standing one leg look left look right,progress open eyes closed eyes onto foam,once its easy move on....mines a central issue,and it does take a long time,like a baby learning to walk.

[@maxtroy]

Curious, I’ve recently been laid low by this condition, they found a brain tumour in 4th ventricle, but neurosurgeon seems to think my unilateral vestibular hypofunction and this are totally unrelated … What was the central cause of your vestibular issues? I feel like I’m going mad here talking to medical professionals

[@smca7271]

@maxtroy they wont be a lot of help...mine was tumor on cerrebellum,the treatment actually did the damage not the melanoma, vistibular issues,spacial issues,memory and cognition...the good news is the brain is amazing at rewiring itself,but takes effort and a lot of time...there is a lady on utube "treatdizzyness at home" who has lots of great excercises...treatment is pretty much symptom based.

[@maxtroy]

@@smca7271 thank you sir very helpful

[@DiamondForevah]

Are relapses common? After 3 months of vrt I was feeling way better but I got exposed to too much visual stimulation (bumper cars and too many people moving) and I feel as bad as day 1. Have I lost my progress? It’s been over 2 weeks now

[@MovementFunction]

L, yes relapses are very common following a sudden increase in stimulation as you experienced. Everyone is different... For some people the relapse is just a speed bump and recovery occurs faster and easier than the initial rehabilitation process. I suggest checking back in with your vestibular therapist for a tune-up appointment so that you do the specific exercises that are best for you at this time. All the best to you!!

[@pigjones2724]

R u better now I been doing exercises for 2 weeks I don’t see no changes, how long does it take

[@MovementFunction]

@@pigjones2724 for most people, it takes about 6 weeks of consistent performance to notice improvement. Hang in there!

[@pigjones2724]

@@MovementFunction Thank you 🙏 gives me hope

[@darkangel3052]

Same here. Been suffering w this for almost 5 months. But in VRT consistently for one month and home exercises twice a day. Praying i get relief soon! I have some but need more. TY for all your videos!!

[@ImTixip]

If you need vrt then please please please find someone that specifically tailors the exercises to you and your condition, there are so many doctors and (specialists) that have never seen your test results or previous medical history that give you exercises that you can find on google, you need a specific plan that works on correcting your condition. It makes soooo much different

[@mattrizzo7821]

Thank you.. great videos.. is there any benefit to doing a diagonal motion? Or is it strictly horizontal and vertical?

[@MovementFunction]

Great question, Matt! Yes, diagonal movements are beneficial in addition to horizontal and vertical directions. I typically incorporate them in the 'advanced' stage of rehab after horizontal and vertical movements become 'easy'. They are not for everyone, though, because diagonal movements tend to be a little more difficult to coordinate and any cervical issues might be exacerbated by the diagonal head (and therefore neck) movement.

[@psunand7843]

I hav vertigo last two months back suffering with left ear .now there is no spinning sensation but inside the left ear maybe vesibular adaptation ..I'm feeling dizzines and headache , severe neck pain and unable to walk , feeling irritation by sounds . Shall I do vestibular arehablitation exercises ? How many days it will take to recover 🙄.help me in this

[@MovementFunction]

With severe neck pain and inability to walk, it is very important that you see a medical provider before you start any exercise program on your own. If your doctor clears you to start vestibular rehabilitation, I strongly suggest seeing a physiotherapist for individualized evaluation and treatment plan to address your specific condition. I wish you all the best!

[@rofiqulislam-bw7hd]

While i walking and standing few time i feel imbalance.. is it pppd. Pls ans me

[@krunalkavlekar]

Hello, After a couple weeks of vertigo spells and doing log roll Maneuver exercises, My ENT doctor told me to start with VRT exercises after verifying that I don't have any vertigo symptoms i.e. crystals in my left horizontal canal. but if I do these exercises, can I get crystals back in the canal?

[@MovementFunction]

Krunal, the key to starting VRT exercises without experiencing a BPPV relapse (crystals becoming loose in the canal again) is to avoid rapid head movements and limit repetitions initially. Start with slow, smooth head motion and perform only a few (3-5) repetitions. Gradually increase the repetitions and then increase the speed of motion slowly. This gradual progression helps to decrease the chance of recurrence AND it helps you get used to moving your head again.

[@LovelyHomes-g3n]

Can one make improvements if vor or cor are severely damaged and eyes have bvd misalignment and neck propception is off after 5 years of chronic dizziness and no balance? If so how long would it take to repair? Thank you

[@MovementFunction]

All of those components must be taken into consideration when creating an individualized vestibular rehab program and the combination of issues would have an effect on recovery but improvement is still likely possible. I cannot say how much improvement or how long it would take to see noticeable changes because every individual is unique and an in-depth evaluation would be necessary to suggest specific recovery expectations. I recommend seeing a physiotherapist skilled in vestibular rehab for a thorough evaluation and detailed conversation about treatment options and recovery prognosis.

[@debbiebrown5466]

I did the physical therapy exercises for 5 weeks but just got worst and worst. My PT told me to stop. I'm not sure what to do next.

[@AliBaba-ke5jn]

Is this for Pppd? I have sickening dizziness 24/7 for 3 months. Cannot cope.

[@Hun0r.2002]

And now?