Audio-Vestibular medicine physicians prescribe
the proper therapy plan that could be performed in collaboration with physiotherapist,
Clinicians should offer vestibular rehabilitation to patients with acute or
subacute UVH. (Strong recommendation), In acute cases; patient might
first take symptomatic treatment to control acute symptoms, anxiety and
autonomic complaints to be able to start the VRT. Also Clinicians are (strongly
recommended) to offer vestibular rehabilitation to patients with chronic
UVH and BVH. Clinicians should not offer
saccadic or smooth-pursuit exercises in isolation; as they are not specific
exercises for gaze stability to individuals with unilateral or bilateral
vestibular hypofunction (strong recommendation). Clinicians may provide targeted
exercise techniques to accomplish specific goals appropriate to address
identified impairments, activity limitations, and participation restrictions (strong
recommendation). Clinicians may prescribe static and dynamic balance
exercises and prescribe weekly clinic visits plus a home exercise program of
gaze stabilization exercises (strong recommendation). Clinicians should
offer supervised vestibular physical therapy in individuals with peripheral UVH
and BVH (strong recommendation). Clinicians may use achievement of
primary goals, resolution of symptoms, normalized balance and vestibular
function, or plateau in progress as reasons for stopping therapy; objective and
subjective outcome measures could be used, also Patient’s age and physical capabilities should
be considered. (Strong recommendation). Clinicians may evaluate factors
that could modify rehabilitation outcomes (strong recommendation). Clinicians
should offer vestibular rehabilitation therapy to persons with peripheral
vestibular hypofunction with the intention of improving quality of life (Strong
recommendation).