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Vestibular Rehab Exercises for Dizziness and after Concussion

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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

 

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  2. 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!

    1. @Aaron 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

  3. 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! 🙂