Clinical Articles
The following journal articles represent a good overview of the benefits and methodology of vestibular rehabilitation.
Observations and suggestions on better managing the dizzy and imbalanced patient
(Shane Smith, MD). This exclusive article gives an active physician's perspective regarding treating dizziness in patients and his suggestions on the best way to utilize the treatments available through the Werner Institute for Balance and Dizziness. Link to Article.
Treatment of Vertigo (Swartz & Longwell, Am Fam Physician, 2005). A nice review of the treatment of vertigo presented for family physicians, but a good read for patients with a moderate knowledge of balance problems as well. Link to Article.
Vestibular Rehabilitation for the Dizzy Patient (Tee & Chee, Ann Acad Med Singapore, 2005). This is a great review of the "how and why" vestibular therapy works for physicians, and for patients who have a moderate understanding of the balance system. Link to Abstract. Download Article PDF.
An Analysis of Referral Patterns for Dizziness in the Primary Care Setting (Byrd, et al., Bri Jnl of Gen Prac, 1998). Conclusion. Patients with chronic symptoms of dizziness, particularly the elderly, are under-referred for specialist consultation and, therefore, do not have access to appropriate treatment regimes. This suggests a need for further training of GPs and evaluation of therapeutic needs of elderly dizzy patients. Link to Abstract. Download Article PDF.
Prevention of Falls in Older Patients (Rao, Am Fam Physician, 2005). This is an excellent review from the American Academy of Family Practice. It gives powerful insight to physicians looking for answers about fall risk patients. A good read for those interested in reducing fall risk. Link to Article.
Key Statements Regarding Vertigo and Treatment:
Vertigo is a common symptom in general medical practice. Neurological, ENT-related, cardiologic, and psychiatric disorders are the most frequent differential diagnoses. Results so far indicate that vertigo, independent of its etiology, has a tendency to become chronic. In more than 80% of all patients seeking consultation for vertigo, the vertigo symptoms did indeed improve within half a year, but only a third reached a full recovery. (Yardley L, Luxon L. Treating dizziness with vestibular rehabilitation. Br Med J 1994;308:1252-3).
