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Vertigo, Dizziness, Testing and Treatment

What is the difference?

Vertigo and dizziness, are symptoms rather than a disease. They do differ subtly with dizziness a potential symptom of someone suffering from vertigo. People often use the word "dizziness" when they are talking about a variety of symptoms, including:


- Vertigo (a feeling of spinning or whirling when you are not actually moving). 


- Unsteadiness (a sense of imbalance or staggering when standing or walking). 


- Lightheadedness or feeling as if you are about to faint (presyncope). This may mean there is a heart problem or low blood pressure. 


- Dizziness caused by breathing too rapidly (hyperventilation) or anxiety


WHAT IS THE DIFFERENCE BETWEEN:
-  Neurological Physiotherapy?

-  Vestibular Physiotherapy?

-  Physiotherapy? 


NEUROLOGICAL PHYSIOTHERAPY: 


Neurological Physiotherapists manage individuals with movement and function disorders involving the nervous system and neuromuscular systems such as the brain and spinal cord. -  People with neurological conditions can have a variety of impairments. These may include muscle tightness or spasm, weakness, tremors, poor balance, reduced coordination, and altered sensation. These symptoms can lead to problems with everyday activities such as walking, getting dressed and eating (to name a few).


-  Neurological Physiotherapy enables individuals with neurological injuries/disease to function as effectively as they can in everyday life. Therapists are trained in the analysis of ‘normal movement’. This involves understanding normal movement patterns, and how the biomechanics of the body work. If normal patterns are impaired, Neurological Physiotherapists can use a variety of techniques to facilitate better efficiency of movement.


-  Neurological rehabilitation works on the premise of neural plasticity i.e. the ability of the brain to reorganise itself by forming new neural connections throughout life. 


VESTIBULAR PHYSIOTHERAPY : 


Vestibular physiotherapists are trained in very specific assessment and treatment techniques to diagnose dizziness, vertigo and balance problems, as well as provide appropriate treatments to resolve symptoms. 


Vestibular rehabilitation is an exercise-based physiotherapy approach to the treatment of vestibular problems. It involves a customised program of exercises that are designed to re-calibrate the balance system. It is possible to significantly reduce dizziness and improve balance with this approach. Vestibular physiotherapy involves:

- Habituation exercises: these exercises involve specific movements that are designed to gently stimulate the symptoms of dizziness in order to desensitise the vestibular system to those movements. They are designed to reduce symptoms of dizziness.· 

- Eye—head coordination exercises: these exercises are designed to improve focus and reduce symptoms of dizziness.· Balance and gait exercises: these exercises involve challenging the vestibular balance system in order to strengthen it. They are designed to improve balance and confidence when walking.· 

- Re-positioning techniques: these techniques are used for a specific inner ear (vestibular) condition known as benign paroxysmal positional vertigo (BPPV). This condition results in significant symptoms of vertigo when changing position, such as when lying down or rolling over in bed. Techniques such as the Epley manoeuvre can successfully treat BPPV but should be performed by your physiotherapist with specific skills in vestibular rehabilitation

PHYSIOTHERAPY: 


Physiotherapists are experts in the structure of the human body and its movement. They work with people of all ages to treat a broad range of health conditions including sports injuries and musculoskeletal conditions as well as chronic health conditions such as diabetes, obesity, osteoarthritis and stroke. Physiotherapy is treatment to restore, maintain, and make the most of a patient's mobility, function, and well-being.  Physiotherapy helps through physical rehabilitation, injury prevention, and health and fitness.


Vertigo- by Dr Miriam Welgampola

Dr Miriam Welgampola, Director, Neuro-Otologist of the Balance Clinic & Laboratory talks about:  

Vertigo

 Vestibular Function Testing

Tests for specific balance disorders

Vestibular rehabilitation 

Common vestibular disorders 

Video simulations 


Contact:   Dr Miriam Welgampola:  

The Balance Clinic & Laboratory 

Suite 304 , RPA Medical Centre 

100 Carillon Avenue, Newtown NSW 2042


Phone 

0478 183 126
02 8004 5350
02 8330 6323


Vertigo and Diagnosis - Dr Miriam Welgampola (pdf)Download

Vertigo? Why does it happen

Vertigo can last for hours, days or longer – and it’s more common than you might think. Why does it happen?   


What is Vertigo?  What causes Vertigo? How do doctors confirm you have vertigo?  How is Vertigo treated? 


(This article refers to Kathee DeLapp one of the few neuro- physiotherapists in Australia who works exclusively in the area of vestibular rehabilitation treating patients with vertigo, dizziness, and imbalance due to inner ear disorders.  Comments from Dr Luke Chen, Associate Professor David Szmulewicz incl) 


Source:   SMH 19 March 2023 

Written by:   Samantha Selinger-Morris 


Vertigo (pdf)

Download

Vanessa Simpson - Vestibular Physiotherapist

Vanessa Simpson - Vestibular Physiotherapist

Vanessa Simpson - Vestibular Physiotherapist

Vanessa works at the Advance Rehab Centre as a senior vestibular and neurological physiotherapist.  She has more than 15 years experience and has extensive expertise in all areas of neurological physiotherapy.  In particular you have a special interest in vestibular rehabilitation


Find out more

The Balance Clinic & Laboratory

Vanessa Simpson - Vestibular Physiotherapist

Vanessa Simpson - Vestibular Physiotherapist

Vestibular Function Testing done at this clinic  

Tests commonly used in the clinic:   Video Head Impulse Test (VHIT) , Vestibular Evoked Myogenic Potentials (VEMP) ,  Bithermal Caloric Test , Auditory Brainstem Response (ABR),  Rotational Chair Test, Audiometry (Hearing Test), Electrocochleography (ECochG)


Find out more

Dr Carlo Rinaudo Chiropractor

Vanessa Simpson - Vestibular Physiotherapist

Dr Carlo Rinaudo Chiropractor

Dr Rinaudo is a clinic focused on vestibular neuro-rehabilitation.


 His clinic focuses on dizziness and vertigo conditions, poor balance, migraines, whiplash and concussion symptoms.



Find out more

Professor Lucy Yardley - Health Psychology

Joey Remenyi, a vestibular audiologist, neuroplasticity therapist

Dr Carlo Rinaudo Chiropractor

Professor of Health Psychology at University of Southampton and University of Bristol, Director of Life Guide Research Program, a Director of Behavioural Science theme of NIHR BioMedical Research Centre at University of Southampton.  She has  longstanding interest in empowering patients and people in the community to take control over their illness and treatment. 

Find out more

Alice Thorn - Acupuncturist/Physiotherapist

Joey Remenyi, a vestibular audiologist, neuroplasticity therapist

Joey Remenyi, a vestibular audiologist, neuroplasticity therapist

Alice Thorn is both an acupuncture therapist and physiotherapist, with an interest in vestibular physiotherapy. Alice may use both physiotherapy and acupuncture when treating patients.  Her interest for vestibular disorders grew with the very diverse and interesting workload she has. 

Find out more

Joey Remenyi, a vestibular audiologist, neuroplasticity therapist

Joey Remenyi, a vestibular audiologist, neuroplasticity therapist

Joey Remenyi, a vestibular audiologist, neuroplasticity therapist

Joey is the Founder of Seeking Balance International.   She supports people globally to overcome their chronic symptoms of dizziness or tinnitus.




Find out more

Vertigo - Why does it happen?

Vertigo - Why does it happen?

Vertigo - Why does it happen?

Vertigo can last for hours, days or longer – and it’s more common than you might think. Why does it happen?

FIND OUT MORE

Vanessa Simpson

Vanessa works at the Advance Rehab Centre as a senior vestibular and neurological physiotherapist.  She has more than 15 years experience and has extensive expertise in all areas of neurological physiotherapy.  In particular you have a special interest in vestibular rehabilitation

Interview - Vanessa Simpson 2019 (pdf)Download

Lucy Yardley

Professor of Health Psychology at University of Southampton and University of Bristol, Director of Life Guide Research Program, a Director of Behavioural Science theme of NIHR BioMedical Research Centre at University of Southampton.  She has  longstanding interest in empowering patients and people in the community to take control over their illness and treatment. 

Controlling your symptoms (pdf)Download
Balance Retraining (pdf)Download
Dizzyness and Vertigo - by Luzy Yardley (pdf)Download

Dr Carlo Rinaudo

Dr Rinaudo is a clinic focused on vestibular neuro-rehabilitation.
His clinic focuses on dizziness and vertigo conditions, poor balance, migraines, whiplash and concussion symptoms.

Carlo Rinaudo(June 2018) (pdf)Download

Alice Thorn

Alice Thorn is both an acupuncture therapist and physiotherapist, with an interest in vestibular physiotherapy. Alice may use both physiotherapy and acupuncture when treating patients.  Her interest for vestibular disorders grew with the very diverse and interesting workload she has. 

Alice Thorn - Acupuncture (August 2018) (pdf)Download

Joey Remenyi

Joey is the Founder of Seeking Balance International.   She supports people globally to overcome their chronic symptoms of dizziness or tinnitus.

Joey Remenyi - April 2018 (pdf)Download

The Balance Clinic & Laboratory

Dr Miriam Welgampola, is an Associate Professor of Neurology at the Central Clinical School, University of Sydney. 

She is a neuro-otologist and Director of Clinical Research at The Balance Clinic.  

Attached in information about the various vestibular unction testing this clinic provides  

Vestibular Function Testing (pdf)Download

Copyright - Anne Elias - All Rights Reserved.