[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209198-en":3,"doc-seo-209198-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":20,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},209198,1374404997633,"Dipper","https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd",7,"Healthcare","Clinical Practice Guideline - Vestibular Rehabilitation for Peripheral Vestibular Hypofunction","Clinical practice guideline outlining best-evidence recommendations for vestibular rehabilitation in individuals with peripheral vestibular hypofunction. It explains how inner-ear or related nerve damage can cause dizziness, vertigo, visual blurring with head movement, unsteadiness, and falls, and clarifies exclusions for central vestibular disorders and isolated BPPV. The guideline describes who should receive care, why therapy reduces dizziness and improves balance and quality of life, and how treatment prioritizes supervised, customized exercises, including gaze stability, habituation, balance and gait, and endurance walking, with guidance on timing and when to stop therapy.","Clinical Practice Guideline: Vestibular Rehabilitation for Peripheral Vestibular Hypofunction  \nAuthors: Sara MacDowell, PT, DPT, Lisa Farrell PT, PhD, AT,C, Linda J. D’Silva PT, PhD  \nFact Sheet  \nProduced by  \nA Special Interest Group of  \nContact us:  \nANPT  \n5841 Cedar Lake Rd S. Ste 204  \nMinneapolis, MN 55416 Phone: 952.646.2038  \nFax: 952.545.6073  \n[info@neuropt.org](info@neuropt.org)  \n[www.neuropt.org](www.neuropt.org)  \na component of  \nWhat is a Clinical Practice Guideline  \nA clinical practice guideline is a statement that uses current best evidence to assist with the diagnosis and management of specific conditions. The goal is to help clinicians know who, what, how, and when to treat. This helps your doctor know when to recommend therapy and allows clinicians to stay consistent with treatment. This clinical practice guideline was developed by a team of vestibular rehabilitation experts to assist individuals with a specific inner ear condition called peripheral vestibular hypofunction.  \nWhat is Peripheral Vestibular Hypofunction?  \nPeripheral vestibular hypofunction is a condition in which there is damage to the inner ear or to the nerve that carries the information from the inner ear to the brain. This can occur in one ear (unilateral) or both ears (bilateral) . The problems that can occur include: dizziness, vertigo, visual blurring with head movement, unsteadiness, and/or falls. This guideline does not include recommendations for those with a central vestibular disorder due to diagnoses such as a stroke, multiple sclerosis, brain injury, or migraine nor does it include recommendations for someone who has only Benign Paroxysmal Positional Vertigo (BPPV) .  \nWhy is Vestibular Rehabilitation Important for Peripheral Vestibular Hypofunction?  \nVestibular rehabilitation is a type of physical therapy that has been shown to reduce dizziness, improve vision with head movements, improve balance and reduce risk for falls in individuals with peripheral vestibular hypofunction. Since dizziness is a major reason for falls, it is important to get treatment for this problem. Vestibular rehabilitation has been shown to improve quality of life and decrease psychological distress that can occur.  \nHow was this Clinical Practice Guideline Developed and what are the Recommendations?  \nA team of experts searched current best evidence regarding physical therapy for inner ear disorders. Research articles were appraised and issued a score to assign strength of the evidence. Based on this research, and combined with expert opinion, the following was recommended:  \nWHO do physical therapists treat?  \n• Individuals who are experiencing symptoms such as dizziness or imbalance from peripheral vestibular hypofunction.  \n• Individuals with symptoms from peripheral vestibular hypofunction can dowell with therapy regardless of age and gender  \nProduced by  \na Special Interest Group of  \na component of  \n• Vestibular rehabilitation can be helpful for those with long standing symptoms; however, it is advised to start as soon as possible as this helps with the chance of a shorter time in therapy and better recovery.  \n• Use of vestibular suppressants like meclizine (Antivert), dimenhydrinate (Dramamine) or diazepam (Valium), may negatively affect recovery and require longer time in therapy.  \n• Note that patients with a flare-up of dizziness due to Meniere’s Disease may not be appropriate for vestibular therapy during the flare-up, this will be determined by the physical therapist  \nWHAT do physical therapists treat?  \nThe problems that are due to peripheral vestibular hypofunction, including:  \n• Dizziness/vertigo  \n• Visual blurring with head movement  \n• Unsteadiness and/or falls  \nHOW do physical therapists treat?  \n• Exercises are the main form of treatment.  \n• There are improved outcomes with supervised, customized exercises rather than a generic exercise program with no regular supervision.  \n• The type of exercise that is performed depe","cbCair9ureV0dx9g","https://ap.wps.com/l/cbCair9ureV0dx9g","pdf",263293,3,1,"English","en",105,"# What is a Clinical Practice Guideline\n## What is Peripheral Vestibular Hypofunction\n## Why is Vestibular Rehabilitation Important for Peripheral Vestibular Hypofunction?\n# How was this Clinical Practice Guideline Developed and what are the Recommendations?\n## WHO do physical therapists treat?\n## WHAT do physical therapists treat?\n## HOW do physical therapists treat?\n## WHEN do physical therapists treat?","[{\"question\":\"What conditions are included or excluded by this clinical practice guideline?\",\"answer\":\"The guideline focuses on peripheral vestibular hypofunction due to inner-ear or related nerve damage. It excludes central vestibular disorders such as stroke, multiple sclerosis, brain injury, or migraine, and it does not provide recommendations for isolated BPPV or during acute flares in Meniere’s Disease when deemed inappropriate.\"},{\"question\":\"Why is vestibular rehabilitation important for peripheral vestibular hypofunction?\",\"answer\":\"Vestibular rehabilitation has been shown to reduce dizziness, improve vision with head movements, improve balance, and decrease fall risk. It can also improve quality of life and reduce psychological distress related to symptoms.\"},{\"question\":\"What exercise types are recommended, and how should they be delivered?\",\"answer\":\"Treatment mainly uses supervised, customized exercises rather than generic unsupervised programs. Recommended exercise types include gaze stability, habituation, balance and gait, and endurance/aerobic walking, with additional guidance that home gaze stability practice should occur at least three times per day for vision during head movement challenges.\"}]","Clinical Practice Guideline - Vestibular Rehabilitation for Peripheral Vestibular Hypofunction | PDF",1788610683,8,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"clinical-practice-guideline-vestibular-rehabilitation-for-peripheral-vestibular-hypofunction","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":20},"https://docshare.wps.com/document/healthcare/",{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/clinical-practice-guideline-vestibular-rehabilitation-for-peripheral-vestibular-hypofunction/209198/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":23,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-09-11","2026-09-05",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What conditions are included or excluded by this clinical practice guideline?","Question",{"text":75,"@type":76},"The guideline focuses on peripheral vestibular hypofunction due to inner-ear or related nerve damage. It excludes central vestibular disorders such as stroke, multiple sclerosis, brain injury, or migraine, and it does not provide recommendations for isolated BPPV or during acute flares in Meniere’s Disease when deemed inappropriate.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"Why is vestibular rehabilitation important for peripheral vestibular hypofunction?",{"text":80,"@type":76},"Vestibular rehabilitation has been shown to reduce dizziness, improve vision with head movements, improve balance, and decrease fall risk. It can also improve quality of life and reduce psychological distress related to symptoms.",{"name":82,"@type":73,"acceptedAnswer":83},"What exercise types are recommended, and how should they be delivered?",{"text":84,"@type":76},"Treatment mainly uses supervised, customized exercises rather than generic unsupervised programs. Recommended exercise types include gaze stability, habituation, balance and gait, and endurance/aerobic walking, with additional guidance that home gaze stability practice should occur at least three times per day for vision during head movement challenges.","https://schema.org",{"og:url":51,"og:type":87,"og:title":13,"og:site_name":58,"og:description":14},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,101,105,110,115,118,122,127,130,134],{"id":21,"doc_module":4,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":52,"doc_module":4,"doc_module_name":46,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":106,"doc_module":4,"doc_module_name":46,"category_name":107,"show_sort_weight":108,"slug":109},5,"Comic",60,"comic",{"id":111,"doc_module":4,"doc_module_name":46,"category_name":112,"show_sort_weight":113,"slug":114},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":116,"slug":117},40,"healthcare",{"id":29,"doc_module":4,"doc_module_name":46,"category_name":119,"show_sort_weight":120,"slug":121},"Research & Report",30,"research-report",{"id":123,"doc_module":4,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},9,"Religion & Spirituality",20,"religion-spirituality",{"id":125,"doc_module":4,"doc_module_name":46,"category_name":128,"show_sort_weight":125,"slug":129},"World Cup","world-cup",{"id":131,"doc_module":4,"doc_module_name":46,"category_name":132,"show_sort_weight":131,"slug":133},10,"Lifestyle","lifestyle",{"id":135,"doc_module":4,"doc_module_name":46,"category_name":136,"show_sort_weight":106,"slug":137},19,"General","general"]