[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209202-en":3,"doc-seo-209202-105":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},209202,1236954412713,"McGucket","https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0",7,"Healthcare","Vestibular Rehabilitation and Factors That Can Affect Outcome - 30.12.2019","Vestibular rehabilitation focuses on recovery after vestibular dysfunction by accounting for developmental, environmental, medical, psychological, visual, and other sensory-related influences. Evidence is reviewed for peripheral and central vestibular disorders, emphasizing that effectiveness and prognosis depend on variables such as age, physical activity, congenital conditions, symptom duration, comorbid musculoskeletal and visual factors, neuromuscular status, cognition, sleep, and medications. Outcomes also reflect anxiety, depression, fear of movement, and fear of falling, with improved recovery when modifiable factors are identified and addressed.","Published online: 30.12.2019  \nVestibular Rehabilitation and Factors That Can Affect Outcome  \nSusan L. Whitney, DPT, PhD 1 Patrick J. Sparto, PT, PhD2 Joseph M. Furman, MD, PhD3  \n1 Department of Physical Therapy and Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania  \n2 Department of Physical Therapy, Otolaryngology, and Biomedical Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania  \n3 Department of Otolaryngology, Neurology, and Physical Therapy, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania  \nSemin Neurol  \nAddress for correspondence Susan L. Whitney, DPT, PhD, Department of Physical Therapy and Otolaryngology, University of Pittsburgh, Bridgeside Point I, 100 Technology Drive, Pittsburgh, PA 15219 ([e-mail: whitney@pitt.edu](e-mail: whitney@pitt.edu)).  \nAbstract Keywords  \n► vestibular rehabilitation  \n► vestibular physiotherapy  \n► physical therapy  \n► prognosis  \n► dizziness  \n► vertigo  \nThis review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.  \nDuring treatment planning, it is important to consider negative prognostic factors that relate to recovery in patients with vestibular disorders. Negative prognostic factors will affect the duration of the episode of care and need to be identified to set realistic expectations with the patient during goal setting. Factors that negatively affect recovery after a vestibular disorder will influence how interventions should be provided and will affect the person’s prognosis. This article will review multiple factors that impact recovery, including demographic, medical, and cognitive/behavioral factors ( ►Table 1 ). Factors that can be managed with pharmacological interventions will be discussed. Prognosis ofvarious subclassifications ofpatients with vestibular disorders will be discussed first followed by demographic factors.  \nType of Vestibular Disorder  \nCertain vestibular disorders may predict less favorable outcomes. Vestibular disorders discussed include unilateral vestibular hypofunction, benign paroxysmal positional vertigo (BPPV), Meniere’s disease, bilateral vestibular hypofunction,  \nIssue Theme Neuro-Otology; Guest Editor, Terry Fife MD, FAAN, FANS.  \nand central vestibular disorders including vestibular migraine (VM), mixed central and peripheral dysfunction, cerebellar disorders, and mild traumatic brain injury (concussion).  \nPeripheral Vestibular Disorders  \nUnilateral Vestibular Hypofunction  \nIn patients with unilateral peripheral vestibular dysfunction, there is moderate-to-strong evidence for improvement, and the interventions have been shown to be safe.1 A clinical practice guideline2 suggests that expected recovery inpatients undergoing vestibular rehabilitation (VR) with unilateral loss is 4 to 6 weeks and that customized exercises appear to be superior to optimize recovery.  \nBenign Paroxysmal Positional Vertigo  \nThe Barany Society has developed a consensus document to assist in the diagnosis ofBPPV.3 The mostrecent clinical practice guideline update for BPPV makes strong recommendations for making the diagnosis ofBPPV through the Dix–Hallpike and the supine roll tests.4 There is clear evidence that BPPV and  \nCopyright © by Th","cbCaig0HRgHe6BIf","https://ap.wps.com/l/cbCaig0HRgHe6BIf","pdf",151127,3,1,8,"English","en",105,"# Abstract\n# Type of Vestibular Disorder\n## Peripheral Vestibular Disorders\n### Unilateral Vestibular Hypofunction\n### Benign Paroxysmal Positional Vertigo\n### Meniere’s Disease\n# Table 1 Factors that may delay or alter recovery","[{\"question\":\"Which factors can influence the outcome of vestibular rehabilitation?\",\"answer\":\"Outcome is affected by demographic, medical, psychological, visual, and other sensory-related factors, including age, physical activity, congenital disorders, symptom duration, comorbidities, cognition, sleep, medications, and emotional factors such as anxiety and depression.\"},{\"question\":\"How does unilateral vestibular hypofunction respond to vestibular rehabilitation?\",\"answer\":\"For unilateral peripheral vestibular dysfunction, interventions have moderate-to-strong evidence for improvement and are considered safe. Guidance cited in the review suggests expected recovery of about 4 to 6 weeks with customized exercises.\"},{\"question\":\"What is discussed regarding negative prognostic factors in vestibular disorders?\",\"answer\":\"Negative prognostic factors should be identified during treatment planning to set realistic expectations. They affect the duration of the episode of care and influence how interventions are provided and how prognosis is determined.\"}]","Vestibular Rehabilitation and Factors That Can Affect Outcome - 30.12.2019 | PDF",1788610692,20,{"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},"vestibular-rehabilitation-and-factors-that-can-affect-outcome-30122019","",{"@graph":37,"@context":86},[38,54,69],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,49,51],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":48},"https://docshare.wps.com/document/","Document",2,{"item":50,"name":12,"@type":44,"position":20},"https://docshare.wps.com/document/healthcare/",{"item":52,"name":13,"@type":44,"position":53},"https://docshare.wps.com/document/vestibular-rehabilitation-and-factors-that-can-affect-outcome-30122019/209202/",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","2026-09-11","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},"Which factors can influence the outcome of vestibular rehabilitation?","Question",{"text":76,"@type":77},"Outcome is affected by demographic, medical, psychological, visual, and other sensory-related factors, including age, physical activity, congenital disorders, symptom duration, comorbidities, cognition, sleep, medications, and emotional factors such as anxiety and depression.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"How does unilateral vestibular hypofunction respond to vestibular rehabilitation?",{"text":81,"@type":77},"For unilateral peripheral vestibular dysfunction, interventions have moderate-to-strong evidence for improvement and are considered safe. Guidance cited in the review suggests expected recovery of about 4 to 6 weeks with customized exercises.",{"name":83,"@type":74,"acceptedAnswer":84},"What is discussed regarding negative prognostic factors in vestibular disorders?",{"text":85,"@type":77},"Negative prognostic factors should be identified during treatment planning to set realistic expectations. They affect the duration of the episode of care and influence how interventions are provided and how prognosis is determined.","https://schema.org",{"og:url":52,"og:type":88,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":93},[94,98,102,106,111,116,119,123,127,130,134],{"id":21,"doc_module":4,"doc_module_name":47,"category_name":95,"show_sort_weight":96,"slug":97},"Story & Novel",90,"story-novel",{"id":48,"doc_module":4,"doc_module_name":47,"category_name":99,"show_sort_weight":100,"slug":101},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":47,"category_name":103,"show_sort_weight":104,"slug":105},"Exam",70,"exam",{"id":107,"doc_module":4,"doc_module_name":47,"category_name":108,"show_sort_weight":109,"slug":110},5,"Comic",60,"comic",{"id":112,"doc_module":4,"doc_module_name":47,"category_name":113,"show_sort_weight":114,"slug":115},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":117,"slug":118},40,"healthcare",{"id":22,"doc_module":4,"doc_module_name":47,"category_name":120,"show_sort_weight":121,"slug":122},"Research & Report",30,"research-report",{"id":124,"doc_module":4,"doc_module_name":47,"category_name":125,"show_sort_weight":30,"slug":126},9,"Religion & Spirituality","religion-spirituality",{"id":30,"doc_module":4,"doc_module_name":47,"category_name":128,"show_sort_weight":30,"slug":129},"World Cup","world-cup",{"id":131,"doc_module":4,"doc_module_name":47,"category_name":132,"show_sort_weight":131,"slug":133},10,"Lifestyle","lifestyle",{"id":135,"doc_module":4,"doc_module_name":47,"category_name":136,"show_sort_weight":107,"slug":137},19,"General","general"]