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  1. UAMS Health
  2. Treatments and Procedures
  3. Balance and Vestibular Rehabilitation 

Treatment/Procedure: Balance and Vestibular Rehabilitation 

Specialized physical therapy to restore balance, confidence, and quality of life

Our balance requires us to coordinate input from our inner ear, our awareness of where our body is in space, and the visual system to work properly. Dizziness, vertigo, and balance problems can stem from a variety of conditions that may affect one or more of these systems, including inner ear disorders, neurological conditions, or head injuries. These symptoms can be disorienting, frightening, and significantly impact quality of life. 

Vestibular Rehabilitation (VRT) is an exercise-based program designed to reduce symptoms of vestibular disorders as well as train the balance systems. This is done by training the brain and body to adapt to changes in the inner ear, compensate for loss of function, and utilize other senses more effectively. Our physical therapists will evaluate and tailor individualized care to your specific diagnosis, help you move better, feel more confident with movement, and restore your quality of life. 

Symptoms that we can help with include:

  • Vertigo (BPPV, Vestibular Hypofunction, Meniere’s disease, Vestibular Neuritis)
  • Persistent Postural-Perceptual Dizziness 
  • Dizziness following stroke, concussion, or traumatic brain injury
  • Acute, abrupt dizziness or loss of balance following a surgical procedure – such as an acoustic neuroma removal or a cochlear implant
  • Neuropathy and balance deficits from diabetes or orthopedic conditions
  • Frequent falls or fear of falling

Targeting Dizziness and Vertigo

BPPV (Benign Paroxysmal Positional Vertigo) is a common vestibular condition that causes brief, intense episodes of dizziness with head movement and often visual disturbances. Individuals with BPPV often feel like “the room is spinning” with lying down or sitting up. Our therapists are trained in repositioning maneuvers to reduce symptoms quickly and effectively. 

In some cases, chronic reduced inner ear function can cause disequilibrium, imbalance, and persistent dizziness. Our team will offer graded exposure exercises, balance retraining, and other strategies to improve sensory integration tailored to your specific situation.

Targeting Balance and Stability

Balance issues can develop from neurological conditions, vestibular dysfunctions, weakness, or deconditioning. This can often lead to falls, fear of falling, or the loss of ability to perform daily activities. Our treatment will focus on the patient’s specific challenges and develop a program to improve their coordination and confidence. This may include gait training, fall prevention strategies, strength training, and dual tasking. 

Targeting Motion Sensitivity and Visual Disturbances

Some patients may also experience nausea, dizziness, or visual blurring with head movement or in busy environments. This often happens in grocery stores or crowds. These symptoms can also be common for patients who experience vestibular dysfunction or post-concussion syndrome. Our treatments may include visual integration exercises, habituation techniques to reduce sensitivity, and strategies for managing symptoms in daily life. 

Contents

  • Areas of Expertise
  • Make an Appointment

Areas of Expertise for Balance and Vestibular Rehabilitation 

physiatrist performing exercises on a patient

Physical Medicine and Rehabilitation

Physical Medicine and Rehabilitation (PM&R), also known as physiatry, is a medical specialty focused on restoring function for people with physical impairments

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Physical therapy consultation with senior patient.

Physical Therapy (Part of Rehabilitation and Therapy Services)

At UAMS Health, our physical therapists use the latest equipment, methods and exercises, providing one-of-a-kind treatment plans to adults of all ages.

View Area of Expertise

Make an Appointment

Request an appointment by contacting a clinic directly or by calling the UAMS Health appointment line at (501) 686-8000.

UAMS Health LogoUAMS HealthUniversity of Arkansas for Medical Sciences
Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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