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Outpatient Rehabilitation Services

Vestibular Rehabilitation

According to the National Institute of Health (NIH) more than four out of ten Americans will experience an episode of dizziness significant enough to send them to a physician. the NIH also reported nearly eight million American adults have a chronic problem with balance. As part of the aging process a person may develop difficulty with their balance. If your balance is impaired you may feel a sensation of the room spinning. When you try to walk you may feel unsteady, stagger or even fall. And according to the Center for Disease control one-third of adults age 65 years and older fall each year.

Vestibular Rehabilitation is a specialized form of physical therapy to promote compensation and normal vestibular function for people with balance and inner ear disorders. The goal of vestibular rehab is to decrease dizziness, decrease sensitivity to motion, improve balance and postural control and reduce the risk of falls. Because each patient's symptoms are different a physical therapist specializing in vestibular disorders will design a customized program based on the cause of the problem. Other healthcare providers may be included in your treatment plan, such as an Audiologist, ENT, Occupational Therapist and/or Neurologist.



The program is designed for patients with vestibular or balance disorders. The most common symptoms include:
  • Vertigo/Dizziness
  • Nausea
  • Difficult with Vision
  • Frequent Falls/Near Falls
  • Disequilibrium/Unsteadiness
  • Difficulty Walking
  • Sensitivity to Motion
  • Anxiety
  • Ringing of the Ears or Hearing Loss
  • Restrictions of Daily Activity


Many conditions cause balance and vestibular problems including:
  • BPPV (Benign Paroxysmal Positional vertigo
  • Vestibular Neuritis
  • Labyrinthitis
  • Vestibular Migraines
  • Head Trauma
  • Cerviocogenic Dizziness (Whiplash Injuries)
  • Meniere's Disease
  • Frequent Falls
  • Multifactorial Disequilibrium of the Elderly
  • Vertigo of unkown origin
  • Acoustic Neuroma
  • Stroke
  • Motion Sensitivity
This is not a complete list. Often balance disorders are a combination of problems.


Physician Referral

Patients must be referred by a physician. Your physician must indicate the diagnosis on the prescription. The first visit is the initial evaluation which usually takes about one hour. During the evaluation the medical history relative to each patient's balance problem is reviewed. Strength and mobility are assessed, functional balance is tested, an oculomotor evaluation and position testing for vertigo are performed. Typically patients attend therapy two times per week for four to six weeks. Treatment sessions for vestibular rehabilitation include home exercise instruction.

Please print and fill out the Vestibular Rehab Patient Questionnaire and bring with you at your first appointment.


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Mercy Center for Health Promotion at St. Charles
1001 Isaac Streets Drive
Oregon, OH 43616
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