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Vestibular Rehabilitation 

Vestibular Rehabilitation
Vestibular Rehabilitation

Robert W. Baloh

, Vicente Honrubia

, and Kevin A. Kerber

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date: 24 June 2021

When the vestibular system has been permanently damaged, the initial state of imbalance at the level of the brainstem nuclei results in acute vertigo (see Pathophysiology of vestibular symptoms in Chapter 1). Gradually, the patient adapts to this imbalance through a process of compensation that requires intact vision and depth perception, normal proprioception in the neck and limbs, and intact sensation in the lower extremities. Central pathways are also integral to compensation, and damage to these areas results in less effective recovery.

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