Better Balance of North Dakota

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Vestibular Rehab Therapy

Vestibular rehabilitation therapy (VRT) is an exercise-based program designed to promote central nervous system compensation for inner ear deficits. VRT can help with a variety of vestibular problems, including benign paroxysmal positional vertigo (BPPV) and the unilateral or bilateral vestibular hypofunction (reduced inner ear function on one or both sides) associated with Ménière’s disease, labyrinthitis, and vestibular neuritis. Even individuals with long-term unresolved inner ear disorders who have undergone a period of medical management with little or no success may benefit. VRT can also help people with an acute or abrupt loss of vestibular function following surgery for vestibular problems.

When the vestibular organs are damaged with disease or injury, the brain can no longer rely on them for accurate information about equilibrium and motion, often resulting in dizziness, vertigo, balance problems, and other symptoms. Many people are able to recover from these symptoms on their own after a few weeks of normal activity because the brain has adapted with a process called vestibular compensation. However, if the vestibular compensation process is not successful, a person's ability to maintain posture and coordinate balance may become overly dependent on input from the eyes (vision) and muscles and joints (proprioception). In addition, the person may develop new patterns of head and body movement in an attempt to avoid dizziness and nausea. For example, a person with a vestibular disorder might adopt an exaggerated hip sway as a method of balancing, swivel the entire body rather than just the head when turning to look at something, or always look down at the floor to avoid what appears to be a confusing swirl of activity. Unfortunately, these strategies can make vestibular compensation even more difficult, worsening symptoms and often causing headache, muscle tension, and fatigue.

The goal of VRT is to retrain the brain to recognize and process signals from the vestibular system in coordination with vision and proprioception. This often involves desensitizing the balance system to movements that provoke symptoms.

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Many neurological, vestibular, and postural problems never present any obvious symptoms to patients. If a patient has no complaints they are, much too often, not examined.

Which brings about the basic premise of our philosophy – You can't help a balance patient if you don't know who they are. Our ultimate goal is to improve the quality of life for those who have balance problems as well as those at risk of having balance problems.

The Neurocom VSR Posturography platform is perfect for not only screening, assessing and diagnosing balance disorder/falls-risk patients, but also provides effective rehabilitation, because the highly sensitive force platforms and proprietary software used by our Neurocom VSR systems provide much greater insight into a patient's balance problems than ever before possible.

Our system is a unique and advanced computerized posturography balance and fall risk assessment and treatment tool. But the VSR is not just a posturography product: it is also an extremely advanced physical performance testing and rehabilitation tool that can be used for a variety of applications besides assessing balance and dizziness, and for fall prevention. In fact, the VSR platform allows us to obtain a subject’s detailed medical history, with special emphasis on falls, balance disorders, hearing and tinnitus; to test our patient’s balance in various combinations of head, arm, leg, body and force platform positions. We also can establish Limit of Stability (LOS) in eight (not just four) positions; and to improve each patient’s lower extremity strength, reaction time, stamina and more with our unique LOS modality.




Better Balance of North Dakota

Admin contact:
Skip Frappier
Ph: 701-238-3170

For appointments call:
Pro Rehab, Physical Therapy Clinic
1711 Gold Drive, #120, Fargo, ND 58103

Call for appointment: 701-451-9417

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