[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209119-en":3,"doc-seo-209119-105":31,"detail-sidebar-cat-0-en-105":92},{"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":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},209119,8796095461610,"Oliver","https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c",7,"Healthcare","Pediatric Vestibular Rehabilitation: A Case Study","Pediatric vestibular rehabilitation case report describes a 9-year-old child with a 9-month history of dizziness, headache, and motion sensitivity that interfered with play, running, car travel, screen viewing, fluorescent lighting exposure, and rapid head movements. Initial assessment combined oculomotor, vergence, visual acuity, head impulse, subjective visual vertical, balance, and pediatric vestibular symptom measures, plus caregiver dizziness handicap and a visual vertigo analog scale. After 10 sessions including virtual reality, adaptation, habituation, and balance exercises, symptoms and questionnaire scores improved, supporting quality-of-life gains.","Downloaded from [https://journals.lww.com/pedpt by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3JIQl/9XFzqTXd1VCej3A2tzSWLP1MEoQ0FTKX9J50HDqyHBeHmJJFA== on 05/28/2020](https://journals.lww.com/pedpt by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3JIQl/9XFzqTXd1VCej3A2tzSWLP1MEoQ0FTKX9J50HDqyHBeHmJJFA== on 05/28/2020)  \nC A S E R E P O R T  \nPediatric Vestibular Rehabilitation: A Case Study  \nCamilla Cavassin Alves, PT; André Luis Santos Silva, PT, DSc  \nBrazilian Institute of Vestibular Physical Therapy and Balance (IBRAFIVE), São Paulo, São Paulo, Brazil.  \nBackground: A 9-year-old child with a 9-month history of complaints of dizziness, headache, and motion sensitivity came to physical therapy. The child complained of difficulties playing on a playground, running, riding in a car, watching “action movies,” sitting under fluorescent lights, and making quick head movements.  \nMethods: An initial evaluation included a clinical oculomotor examination, vergence testing, static and dynamic visual acuity testing, head impulse testing, subjective visual vertical, balance testing, the pediatric vestibular symptom questionnaire, the Dizziness Handicap Inventory—child caregivers version (DHI-PC) and a visual vertigo analog scale. Physical therapy included virtual reality with Xbox games plus adaptation, habituation, and balance exercises. She was seen once per week and given a home program of exercises 2 to 3 times a day.  \nResults: After 10 treatment sessions, she reported that playing was easier, headaches had reduced, she could travel as a passenger in a car for long distances without complaints, and that she could watch 3-dimensional action movies without symptoms. Her pediatric vestibular symptom questionnaire scores had reduced from 0.7 to 0.1 . The DHI-PC had decreased from 22 to 12 points and her visual vertigo analog scale scores were improved.  \nConclusions: Vestibular rehabilitation improved this child’s quality of life. She was able to return to her daily living activities with fewer symptoms. (Pediatr Phys Ther 2019;31:E14–E19)  \nKey words: balance, child, dizziness, headache, quality of life, vestibular rehabilitation  \nINTRODUCTION  \nLi et al 1 suggested a prevalence of vestibular dysfunction in children of 5 .3%(3 .3 million children) . Prevalence increases with age from 4.1% in children between the ages of 3 and 5 years to 7 . 5% in children aged 15 to 17 years.1 Although most children rated their symptoms as a “small problem,” 18.6%(600 000 American children) described their symptoms as a“moderate,”“large,” and even “very large” problem. Approximately 36% of children seek help to solve their dizziness problems and only 29% receive treatment.1 Migraine is the most common cause of dizziness in children (17%-40%) .2 Dizziness, disequilibrium, and nausea, associated or not with headache, are frequent symptoms.3 Children with migraine often experience motion sickness.4 Cuomo-Granston and Drummon5 report that  \n0898-5669/110/3104-00E14  \nPediatric Physical Therapy  \nCopyright © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association  \nCorrespondence: Camilla Cavassin Alves, PT, IBRAFIVE Instituto Brasileiro de Fisioterapia Vestibular, Rua Pirapitingui 80, Sala 708, Bairro Liberdade, São Paulo, São Paulo, Brazil, 01508-020 (camillacavassin@yahoo.[com.br](com.br)) .  \nThe authors declare no conflicts of interest. DOI: 10.1097/PEP.0000000000000654  \nmigraine and motion sickness both involve mechanisms in the brainstem with the headache and motion sickness symptoms sharing the same neural circuitry. The persistence of disturbances in these brainstem pathways increases vulnerability torecurrent attacks of migraine and increases susceptibility to motion sickness. Vestibular tests are often normal in persons with migraine.6 Anxiety is another symptom frequently found in children who experience dizziness and desequilibrium.7 According to Tarantino et al,8 anxiety","cbCailMiqlWtrmp0","https://ap.wps.com/l/cbCailMiqlWtrmp0","pdf",345609,2,1,6,"English","en",105,"# Introduction\n# Description\n## Oculomotor Testing\n# Methods\n# Results\n# Conclusions","[{\"question\":\"What symptoms did the child have before vestibular rehabilitation?\",\"answer\":\"The child reported dizziness, headache, and motion sensitivity for 9 months, with difficulty playing outdoors, riding in a car, watching action movies, sitting under fluorescent lights, and making quick head movements.\"},{\"question\":\"What evaluation and treatment components were used?\",\"answer\":\"Assessment included oculomotor testing, vergence, static and dynamic visual acuity testing, head impulse testing, subjective visual vertical, balance testing, and pediatric dizziness symptom questionnaires and scales. Treatment used virtual reality with Xbox games plus adaptation, habituation, and balance exercises, along with a home exercise program.\"},{\"question\":\"What were the outcomes after 10 treatment sessions?\",\"answer\":\"After 10 sessions, the child reported easier play, reduced headaches, improved tolerance of long car rides, and ability to watch 3D action movies without symptoms. PVSQ, DHI-PC, and visual vertigo analog scale scores improved.\"}]","Pediatric Vestibular Rehabilitation: A Case Study | PDF",1788609695,15,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":29},"pediatric-vestibular-rehabilitation-a-case-study","",{"@graph":37,"@context":86},[38,54,69],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,48,51],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":20},"https://docshare.wps.com/document/","Document",{"item":49,"name":12,"@type":44,"position":50},"https://docshare.wps.com/document/healthcare/",3,{"item":52,"name":13,"@type":44,"position":53},"https://docshare.wps.com/document/pediatric-vestibular-rehabilitation-a-case-study/209119/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":24,"description":14,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":42,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-09-10","2026-09-05",true,{"@type":66,"interactionType":67,"userInteractionCount":20},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What symptoms did the child have before vestibular rehabilitation?","Question",{"text":76,"@type":77},"The child reported dizziness, headache, and motion sensitivity for 9 months, with difficulty playing outdoors, riding in a car, watching action movies, sitting under fluorescent lights, and making quick head movements.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"What evaluation and treatment components were used?",{"text":81,"@type":77},"Assessment included oculomotor testing, vergence, static and dynamic visual acuity testing, head impulse testing, subjective visual vertical, balance testing, and pediatric dizziness symptom questionnaires and scales. Treatment used virtual reality with Xbox games plus adaptation, habituation, and balance exercises, along with a home exercise program.",{"name":83,"@type":74,"acceptedAnswer":84},"What were the outcomes after 10 treatment sessions?",{"text":85,"@type":77},"After 10 sessions, the child reported easier play, reduced headaches, improved tolerance of long car rides, and ability to watch 3D action movies without symptoms. 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