Balance and Vestibular Rehabilitation


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Vestibular Rehabilitation

Vestibular conditions can range in presentation from balance problems to very nauseating and disabling symptoms of vertigo and dizziness. They can result from dysfunction in the vestibular apparatus (the inner ear), an infection of the vestibular nerve, or even an insult to the brain. Sometimes they can come on spontaneously, and other times are a result of trauma (concussion) or disease. While the many vestibular symptoms and conditions can have a variety of causes, they can be debilitating and generally benefit from some sort of vestibular management and treatment.

We provide vestibular physiotherapy and rehabilitation at Neuromotion. Our therapists have taken various courses in vestibular rehabilitation and are trained in taking a detailed history and performing a comprehensive assessment which covers coordination, balance, and vestibular nerve function. Treatment and rehabilitation are specifically tailored to the assessment findings in order to address the client’s symptoms and needs.


Audio Vestibular Clinic

by Erica Zaia, MSc, Registered Audiologist, Certified in Vestibular Assessment and Management

A pioneer interdisciplinary initiative in British Columbia, the Audio-Vestibular Clinic offers patients timely and tailored highly specialized vestibular assessment and management all in one clinic.

Erica uses state-of-the-art goggles to record and accurately analyze eye movements that occur in response to head and body movements. These computerized tests assess how the inner ear balance sensors are working and integrating with the eyes, body and brain to maintain balance. Results are known immediately.

Interpreting test results in addition to a hearing test and a detailed description of your symptoms allows us to carefully tailor a rehabilitation program carried out by Erica and our qualified vestibular physiotherapists.

Tests offered include:

  • Video Head Impulse (vHIT) and the newest SHIMP testing (Suppression Head Impulse Paradigm). These are the fastest, least invasive and most accurate tests of vestibular function available to clinicians to date.
  • VNG (videonystagmography) including oculomotor and positional testing. These tests allow for a precise diagnosis of abnormalities of the eye movements, Benign Paroxysmal Positional Vertigo (BPPV) and Central Positional Vertigo. Precise canalith repositioning maneuvers and/or tailored vestibular rehabilitation can be implemented right away by Erica if appropriate.

Within the Audio-Vestibular Clinic, Erica also offers hearing tests (audiometry – air and bone conduction and speech audiometry) and management of tinnitus (ringing in the ears) and hyperacusis (decreased tolerance to sounds).
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Erica also offers audio-vestibular treatment that is guided based on the results of the testing.