Vestibular & Concussion Rehabilitation
Welcome to our clinic, where our board certified clinician specialize in vestibular rehabilitation in acquired brain injury. We offer a comprehensive an advance best to be there testing, exercise, therapies designed to support individuals experiencing dizziness concussions vertigo brain fog blurred vision and more.
Discover Burlington's Premier Vestibular Rehabilitation Clinic!
Here, your personalized treatment program is built upon cutting- edge diagnostic testing, including state of the art videonystagmography (VNG) and specialized computerized balance assessments.
We also utilize cognitive processing speed and neuro-visual speed testing, as well as computerized reading skills evaluations. With our advance technology, we precisely identify the root causes of your health challenges, allowing us to develop a highly specialized Vestibular rehabilitation plan tailored to your unique needs. Experience the difference in your recovery journey with us!
- The Neuro Sensorimotor Integrator (NSI) is a sophisticated Vestibular and Brain rehabilitation program. It features a large screen designed to replicate real-world stimuli, enhancing a range of neurological skills. These skills encompass pursuits, saccades, eye-hand coordination and speed, visual reaction time, computerized balance targeting on both flat and foam surfaces, visual-vestibular integration, ocular motor skills, visual motor skills, neuro-cognitive skills, and mental processing speed.
Computerized Balance Training on the NSI to the use of specialized technology to assess and evaluate the function of the vestibular system, which is responsible for maintaining balance and spatial orientation. It provides quantifiable and objective feedback on postural control, stability and coordination.
The Right Eye program enables you to carry out highly specialized vestibular exercises tailored to your individual results at home.
The vestibular treatments include Galvanic Vestibular Stimulation.
With proper treatment, vestibular rehabilitation can help improve balance and reduce dizziness. If left untreated, many vestibular patients can suffer devastating and debilitating consequences.
What Is A Vestibular System?
The vestibular system NOT about shaking your head! It is about stabilizing images in your environment ‘whilst’ you have a head movement. It is a reflex: Vestibular Ocular Reflex.
It is a sensory system that contributes to balance and spatial orientation. It takes in information from your environment and your brain interprets that information. Dysfunction in this system may lead to symptoms such as dizziness, vertigo, nausea, blurred vision, and eye fatigue, affecting one’s balance and orientation.
The vestibular system plays a vital role in stabilizing images in our environment ‘as’ we have a head movement.
What Are Symptoms Of A Vestibular Disorder?
People with vestibular disorders often have vestibular dysfunction. Symptoms can include:
- Vertigo
- Dizziness
- Migraines
- Light-headedness
- Balance and hearing problems
- Blurred vision
- Double vision
- Motion sensitivity
- Nausea
- Difficulty reading
- Brain Fog
The areas of the brain that control the stability and integration of the vestibulo-ocular reflex (VOR) are crucial. The VOR stabilizes our gaze during head movements, which is essential for maintaining balance and spatial orientation during activities such as standing and walking. Dysfunction in this system can lead to symptoms like dizziness, vertigo, nausea, blurred vision, and eye fatigue, affecting our balance and orientation.
The vestibular system transmits information to the brain through the vestibular cochlear nerve. Subsequently, the brain, along with the cerebellum, temporal lobe, and neck proprioceptors, integrates this information to produce suitable responses.
What Is Dizziness And Why Is Balance Important?
Dizziness includes a variety of symptoms, differing from vertigo which specifically involves a spinning sensation of oneself or one’s surroundings. Causes of dizziness may include dehydration, autonomic dysfunctions, cervicogenic factors, medications, and more.
Your ability to maintain balance is dependent on the correlation between your central nervous system (i.e. brain) and your sensory system, which comprises of:
- The vestibular labyrinth, located in the inner ear, comprises the semicircular canals and otolith organs. These organs respond to head movements and changes in gravity and movement, respectively.
- Meanwhile, the eyes provide the brain with impulses that help determine the body’s position in relation to objects.
- In addition, the skin, joints, and muscles send signals to the brain when the body moves, indicating its position in space.
The central nervous system gathers information and uses it to instruct the body on how to maintain balance. If the system’s connection is disrupted, the information processing abilities of the central nervous system are affected.
Vestibular Rehabilitation and Treatment
There are numerous types and causes of vestibular based problems; if left untreated, many vestibular patients can suffer devastating and debilitating consequences.
What Is Vestibular Rehab?
The basis of a vestibular rehab program is to use the already existing neural pathways for adaptation, plasticity, and compensation in the human brain.
A comprehensive Videonystagmography (VNG) is performed to determine the specific nature of the vestibular dysfunction. These results are used to develop an individualized treatment plan.
The Benefits of Vestibular Rehab
Vestibular Conditions We See
dizziness and imbalance—including, but not limited to:
- Vestibular Migraines
- Peripheral Vestibulopathy (eg. BPPV - Benign Paroxysmal Positional Vertigo)
- Concussion/Post-Concussion Syndrome
- Functional Neurological Disorder
- Dizziness Disorder
- Balance Disorders
- Dysautonomia (eg. POTS - postural orthostatic tachycardia syndrome)
- Central Vestibulopathy
- Suboccipital Neuralgia
- Cervicogenic Dizziness/Vertigo
- Cerebellar Ataxia
- Dysautonomia (eg. POTS)
- Acoustic Neuroma
- Brainstem & Cerebellar Strokes
- Traumatic brain injury (TBI)
- Post Stroke
- Movement Disorders
Patient with Post-Concussion Syndrome receiving vagus nerve stimulation with a moving optokinetic background and balance training.
What Vestibular Rehab Treatments Are Available?
The Neuro Sensorimotor Integrator (NSI) is a sophisticated vestibular and brain rehabilitation program. It features a large screen designed to replicate real-world stimuli, enhancing a range of neurological skills. These skills encompass pursuits, saccades, eye-hand coordination and speed, visual reaction time, computerized balance targeting on both flat and foam surfaces, visual-vestibular integration, ocular motor skills, visual motor skills, neuro-cognitive skills, and mental processing.
Computerized Balance Training on the NSI to the use of specialized technology to assess and evaluate the function of the vestibular system, which is responsible for maintaining balance and spatial orientation. It provides quantifiable and objective feedback on postural control, stability and coordination.
The Right Eye program enables you to carry out highly specialized vestibular exercises tailored to your individual results at home.
The vestibular treatments include Galvanic Vestibular Stimulation.
Osteopathy, Kinesiology and Physiotherapy geared specifically to those suffering from Vestibular and brain disorders eg Concussion, Acquired brain Injuries, Movement Disorders and more.
If left untreated, many vestibular patients can suffer devastating and debilitating consequences.
How Do We Determine And Test For Vestibular Dysfunction?
We need you to give us a thorough explanation of your symptoms including what makes them worse or better, when they first appeared, changes that have happened over time, your medical history, and how it affects your day-to-day life. This will help us understand your condition better.
A comprehensive Videonystagmography (VNG) is performed to determine the specific nature of the vestibular dysfunction.
Computerized Balance Testing utilizing advanced technology to provide a comprehensive and objective assessment of an individual’s balance. It can detect subtle balance impairments that may not be apparent through traditional clinical examinations, allowing for early detection and intervention.
Neurological tests can be useful in identifying the cause of vestibular and concussion dysfunctions. These dysfunctions are often linked to the nervous system. These tests involve simple arm and leg movements. They also examine the muscles, reflexes, and voluntary eye movements of the head.
These results are then used to develop an individualized treatment plan. The amount of treatments needed differs based on the diagnosis and the individual patient. After your assessment, your vestibular therapists will have the information they need. They will use it to discuss your prognosis and estimate how many sessions you will need.
Can Vestibular Rehabilitation Help Me?
If you are suffering and experiencing some of the symptoms as listed above, the answer is…. YES!
Located in Burlington our Functional Neurology & Vestibular Rehabilitation clinic has been helping clients for over ten years.