Vestibular Rehabilitation Therapy (VRT) for Central dizziness

This page is intended to be a reference for physical therapists who are providing physical therapy.

Timothy C. Hain, MD • Page last modified: July 31, 2022

Persons with central lesions will generally improve partially by themselves given sufficient time, but the process can be sped up by VRT.

Compared to inner ear disorders, prognosis is poorer and retention is worse. (Suarez et al, 2003). Practically, while persons with a 50% loss of inner ear function can recover to almost 95% of their previous balance, most people with a similarly significant central disorder (i.e. due to a large cerebellar stroke damaging half of the cerebellum), will not ever recover completely.

Goals of VRT


Also see the main page on VRT.