Vestibular Rehab Exercises for Dizziness and after Concussion

DISCLAIMER: This content (the video, description, and comments) is intended for general education and demonstration purposes and is not intended as medical advice or a treatment plan. Please use your common sense while performing the exercises. This content is not intended to be used to self-diagnose or self-treat any health or medical condition. Please do consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Woodbine Physiotherapy and its officers for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Woodbine Physiotherapy makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk.
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2 main types of VR ( Vestibular Rehab) Exercises to help decrease dizziness and improved balance. These exercises are useful to help with dizziness experienced after a concussion as well.
A) Theories and goals behind VR Exercises
a) VOR ( Vestibulo-Ocular Reflex) - coordinating eye & head movement
b) VSR (Vestibulospinal Reflex) - coordinating head & body movement
B) Adaptation Exercises - VOR ( 4:08 - 6:50)
a) Eye movements between 2 targets
b) Eye movements to track a moving target
c) Fixed gaze on a target during head movements
d) Fixed gaze on target with the opposite movement of target and head
C) Habituation Exercises - VSR and integration of all the systems (6:50 onward)
1) Lying to sitting to lying with head movements
2) Seated head movements - turning, looking up/down and head to thighs
3) Sitting to standing, then turn, side-bending of the body while standing
4) Static Balance in standing - feet together, tandem stance, one leg stand
5) Dynamic Balance - walking, scanning, walk-top-turn-walk, walking in the
crowd
6) Physical conditioning/Cardio Exercises
7) Running and Sports
D) Additional Exercise - Substitution

[@christophercauchi]

Adaptation Exercises 4:10 Eye movement between 2 targets 4:41 Eye & Finger movements 5:09 Fix gaze on finger while moving head 5:33 Head and finger going opposite directions 20 to 30 reps per set, if you get extremely dizzy, slow it down. Increase speed only if you can handle. Habituation Exercises 7:32 Sitting to Lying to Sitting with head motions 7:51 Seated - moving head and head to knees 8:14 Sitting to standing, turning and bending while standing 8:52 Static balance with eyes open/closed 10:37 Walking down a path and follow alternating targets 11:50 Physical conditioning/cardio exercises (20 min non-interrupted walk)

[@victors6988]

Great video - clear and thorough explanation - very helpful!! Thank you!!

[@sarahangeleski2027]

Thank you so much for such clear instructions. I concussed my head pretty hard a few days ago and need some physio exercises I can do at home. Great to find your video exactly when I need it! 🙂

[@ladyofthepurelight]

YOU JUST CHANGED MY LIFE❤️THANK YOU!!! You are so kind to share this help for free! For almost a month I have been dizzy! I could not type as I'm doing now without extreme dizziness! God bless you and your business for how you have given! May the Lord's richest blessings come back 100 fold and some more!!! I now have the possibility to go back to work symptom free🥰🙌🏽 “The LORD bless you and keep you; The LORD make His face shine upon you, And be gracious to you; The LORD lift up His countenance upon you, And give you peace.” Numbers 6:24-26🙏🏽

[@MzCAGOMEA]

Thank you! I will be trying these

[@johnlsx4547]

Thankyou for such an informative video. I have been battling post concussion syndrome for 2.5 years following assault. I will try follow this along with other mild exercise therapies.

[@Empireworld888]

Very helpful thank you I’ve been dizzy after a hit to the side of my head for the last 3 years... I will update🙏🏼

[@janayewill3883]

How are you now !!!

[@tlynn7043]

This is so helpful. I started vestibular therapy after my concussion but I was forced to return to work and I really have suffered

[@Richard_FitPku]

So going back before having time to do these harmed you? What do u do for a living?

[@ComandaKronikk]

Thanks! Great exercises. Should I expose myself to more screen time to get used to it or avoid it?

[@katherinepoli7929]

I have this problem …v.v. good explanation….I will try …thanks ..I will look for more kind of pain …hands ,elbow so on

[@sharonendler1467]

What about the proprioception in our neck muscles as a major contributor of vertigo and balance issues after concussion and whiplash typer injuries?

[@ImTash]

thank you this is really helpful. i got a concussion a month ago and although i started recovering when i had my covid jab it feels like i'm back to square one with dizziness which is just miserable. I'll try these! fingers crossed!

[@AarronnBlade]

I have been dizzy as well, did the covid vaccine help improve any symptoms?

[@ImTash]

@@AarronnBlade no, it actually made it much worse for me. I'd almost recovered from the concussion - i had several days of feeling perfectly normal before i had my jab (3 weeks after the injury) then 4 days after that i was back in bed too dizzy to walk and that was a month and a half ago and i'm still feeling dizzy every day, foggy, tired and spacy all the time and screens and stress mess me up. I can be up and about now at least but i still feel a bit drunk all the time - haven't had one day of feeling normal since. My MRI and bloods came back normal so i'm waiting to speak to a neurologist to find out what's going on with me. I wouldn't say no to getting the jab because it could be totally unrelated to the concussion and my dizziness could be caused by something else, but that was my timeframe

[@sslusshy]

@@AarronnBlade how would that help with being dizzy?

[@salmanahmed3743]

@@ImTash what did you do to improve concussions symptoms? I didn’t take my jabs, but feel like drunk, dizzy, vision darkness issues,plzzz help

[@ImTash]

@@salmanahmed3743 basically what happened with me is that because it was in the middle of covid no doctor wanted to see me. they prescribed me Cinnarizine over the phone to help with the dizzinness, but it wasn't til about 6 months later when I was still dizzy and being fobbed off by doctors STILL not wanting to see me just saying 'your blood tests are fine, your brain scan is fine, you are fine stop pestering us' that a physiotherapist i went to for another problem tested my ears to make sure i didn't have any crystals dislodged, and found out i actually had a very bad whiplash injury that nobody had diagnosed because nobody had bothered to see me. I'm feeling a lot better now but it takes 18 months to heal up so i still feel dizzy when i walk for a long time. I saw an osteopath recently who also discovered i have several vertabrae in my neck misaligned which wasn't helping. The only advice i can give you is pester doctors to look at you properly, advocate for your health and get an actual proper diagnoses and have a treatment plan from there. And also maybe see an osteopath. Hope that helps and you feel better soon!

[@life-mm5do]

You forgot heel to toe walking. Most important vestibular dynamic balance exercise.

[@AarronnBlade]

I have ringing in my left ear, is this connected to dizziness?

[@dianemccurdy5312]

What if you see double when doing these exercises?

[@loveyourlifewithlianne]

how long does it usually take for the exercises to start working? Also is it normal to feel worse at first, when should it subside?

[@polokev5532]

any update on this? because i just started and was wondering the same thing. hope you’ve been consistent with this and feeling better tho🙏🏼

[@loveyourlifewithlianne]

@@polokev5532 no i haven't been as consistent as i should and still wondering how long because i did them for about 3 weeks, 3 times a day then felt worse so i stopped

[@polokev5532]

@@loveyourlifewithlianne so sorry to hear that, are you better now?

[@katherinepoli7929]

Pitty you are not showing this exercises with legs