Vestibular Rehabilitation Therapy (VRT)

Vestibular Rehabilitation Therapy (VRT)

VRT is an exercise-based program for reducing the symptoms of dizziness and feeling imbalance that can be associated with a vestibular dysfunction.

Nearly 40% of people will suffer from symptoms of Vestibular dysfunction or Vertigo during their lifetime. These symptoms can be caused by an inner ear problem or neck stiffness or dysfunction. They can be a side effect of certain medications or even signify a more serious problem to be further investigated.


Benign Paroxysmal Positional Vertigo (BPPV) is the most common reason for feeling dizziness or spinning and is usually associated with changes in head position. The symptoms may only last for a few seconds. This disorder can usually be diagnosed and treated very successfully with only a couple maneuvers performed in the clinic.


Other conditions known to cause these symptoms include Meniere’s disease, vestibular neuritis / labyrinthitis, vestibular migraine, PPPD, or if you are recovering from ear surgery.


Melanie Reis is our VRT specialist physiotherapist here at Total Physio. She has done extensive post-graduate training in this area and devotes 40% of her working week to caring for patients with these symptoms.

Will Vestibular Rehab Therapy (VRT) help you?

If you notice any of the following symptoms, it could be a sign of Vestibular dysfunction.

  • Struggling when you walk through crowded areas, especially in the supermarket
  • Difficulty scrolling through your phone or tablet
  • Difficulty watching TV, using your computer, or even when reading
  • Feeling unbalanced or clumsy
  • Nausea or vomiting
  • Headaches and migraines
  • Changes in hearing
  • Tinnitus (ringing in your ears)
  • Sensitivity to noises or light
  • Difficulty concentrating
  • Anxiety or fear of falling
  • Difficulty driving

What to expect when you come for VRT assessment:

The aim of VRT is to reduce your symptoms of dizziness and to improve your balance when you are moving.

Melanie will go through an extensive assessment of your vestibular system which will include a thorough neck and balance assessment. The initial session will last 60 minutes. It is best if you have someone to drive you home from this appointment.

Your treatment plan will be based on the assessment findings and will always include some exercises for you to work on between sessions.

The VRT treatment techniques are very specialized, so please ensure that you book in with Melanie for this treatment.

If you are unsure about any aspect of our VRT care offered, please contact the clinic for more information.


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