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Balance Disorders

Houston, Texas

The Center for Balance Disorders at Baylor College of Medicine provides in-depth services for the diagnosis and management of patients with vestibular disorders.
Bobby R. Alford Department of Otolaryngology - Head and Neck Surgery, Center for Balance Disorders
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Vestibular Rehabilitation

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What is vestibular rehabilitation?

  • A non-invasive approach for patients with vestibular and balance disorders.
  • A systematic, individually designed regimen of exercises and activities that address the unique needs of individual patients.

What are the justifications for referral?

  • Positional vertigo
  • Persistent vertigo
  • History of falls
  • Motion sensitivity
  • Headache, stiff neck
  • Visual motion disturbances
  • Blurred vision
  • Agoraphobia (fear of open spaces)
  • Poor balance
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What are the goals of therapy?

  • Decrease frequency, intensity, and duration of vertigo
  • Decrease related symptoms such as headache, nausea, and lightheadedness
  • Improve balance
  • Increase independence in daily life
  • Develop compensatory strategies for coping with dizziness, disequilibrium, and anxiety
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What are typical diagnoses?

  • Benign Paroxysmal Positional Vertigo
  • Labyrinthitis
  • Vestibular neuronitis
  • Chronic vestibulopathy
  • Disequilibrium of aging
  • Post-surgical imbalance
  • Connective tissue disorders
  • Bilateral vestibular weakness from ototoxicity
  • Vertigo of unknown etiology
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What does the evaluation assess?Patient on balance board.

  • Level of vertigo or other dizziness
  • Motions that stimulate vertigo
  • Functional balance
  • Mobility skills
  • Musculoskeletal function
  • Independence in basic self-care skills and other daily life tasks
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What kind of rehabilitation is done?

  • Exercises and activities to decrease vertigo
  • Repositioning maneuvers and exercises for positional vertigo
  • Balance retraining
  • Counseling for safety equipment
  • Safety training and other mobility skills
  • Training in activities of daily living
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How do I get a referral?

  • Must have a written prescription for occupational therapy from a physician
  • Physician should indicate diagnosis
  • CFBD Hours: Monday-Friday, 8 a.m.-5 p.m. Therapy clinic days are Tuesdays and Thursdays 10 a.m. to 5 p.m.
  • Phone: 713-798-6336
  • Fax: 713-798-8658
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