Balance Function Assessment and Rehabilitation Program - Vestibular Testing
Director:
William Michael King, Ph.D.
Co-Director:
Jaynee Handelsman, Ph.D.
The Vestibular Testing Center (VTC) is a state-of-the-art facility for providing a comprehensive assessment of patients that have dizziness and balance problems resulting from inner ear (vestibular) dysfunction and other causes. In addition, customized vestibular physical therapy programs are provided when appropriate to reduce the symptoms of disequilibrium and dizziness associated with a vestibular disorder.
There are three sensory systems that control balance including the visual system (eyes), vestibular system (inner ear) and somatosensory system (sensory input from the skin, muscles and joints of the feet and legs). Balance function testing evaluates each of the sensory systems as well as the brain¿s ability to integrate the information from them. A problem with any sensory system may result in dizziness or disequilibrium. The vestibular and oculomotor testing is completed by recording and evaluating eye movements using digital video technology while the patient watches a visual target and while the vestibular system is being stimulated. Postural control is assessed by having the patient stands on a platform while vision and somatosensory input are manipulated. Sensory integration is evaluated by activating more than one system at a time. This test battery helps the physician distinguish between peripheral (inner ear) and central (brain) disorders in order to make a diagnosis and form a treatment plan.
The purpose of vestibular rehabilitation is to retrain the brain to recognize and process signals from the vestibular system in coordination with information from the eyes and somatosensory system. Vestibular rehabilitation typically begins with an evaluation by a physical therapist with specialized vestibular training. The evaluation includes objective tests to measure dynamic vision (visual stability during head movement), posture, balance and gait. Additional tests include positional and motion sensitivity testing. The physical therapist uses the results of the evaluation to develop an individualized treatment program. Vestibular rehab may include regular visits to a physical therapy clinic, or a home based exercise program. A regular walking program is also recommended to promote physical conditioning. Treatment for dizziness and unsteadiness varies from patient to patient, depending on the cause of the symptoms. Treatments can include any combination of medication, surgery and/or vestibular rehabilitation therapy. Also see Vertigo Management Program.
Appointment Number: 734-936-9420
Clinic location:
Med Inn Building
1500 East Medical Center Drive
Floor 1, Room C166A, Reception: C
Ann Arbor, MI 48109-5816
Phone: 734-936-9420
Fax: 734-936-9412
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