Vertigo (Dizziness) and Vestibular Rehabilitation

-What is Vertigo?

Vertigo; literally means dizziness and is an illusion of movement.

When dizziness is mentioned, all kinds of problems in maintaining the balance of the patient are understood. This

The situation is so severe that the patient cannot even open his eyes by putting him to bed, only from time to time.

can range from a slipping sensation. It may even appear as just a blackout.

-What kind of complaints are felt?

Complaints may vary depending on the cause of vertigo. All around is turning, the ground is at my feet

It’s slipping under me, I’m slipping to the side, my head is emptying, my eyes are blacking out

explanations are common. When vertigo is very severe, jerking in the eyes in patients,

There may also be symptoms such as nausea and vomiting, inability to stand. due to ear diseases

dizziness, tinnitus, hearing loss, feeling of pressure in the ear, nausea-

Complaints such as vomiting, ear discharge may be added. Dizziness due to neurological diseases

headache, numbness, paralysis, eye movements may be abnormal. with vertigo

Other complaints that may be found can be very variable. However, in many patients only

rotation is available.

-What are the Causes of Vertigo?

Vertigo is divided into peripheral and central vertigo according to the structures it originates from.

In vertigo, the cause of vertigo is the inner ear, the balance organs. If the cause of vertigo is in the brain

This type of vertigo is called central vertigo. Central

some additional neurological findings such as vertigo, speech disorders, double vision, swallowing disorder

accompanies. Severe balance disorder is often present.

Vertigo may occur in the development of a tumor in the brainstem-cerebellum junction.

Because there is a balance nerve in this region and it occurs as a result of the tumor pressing on this nerve.

may come out.

Multiple Sclerosis (MS) disease.

Heart diseases.

Severe anemia.

metabolic disorders.

Deformations and calcifications in the neck bones also affect the brain stem and cerebellum.

It can cause vertigo by compressing the veins.

Elderly and those with many diseases (especially diabetes)

Inner ear involvement after URTI (upper respiratory tract infections).

Spread of chronic middle ear infections to the inner ear (labyrinthitis)

Meningitis or other febrile diseases affecting the inner ear.

Tumor diseases of the inner ear or inner ear nerve.

Meniere’s disease: It is a disorder of the inner ear. Increase in endolymphatic fluid in the inner ear

(endolymphatic hydrops). Severe dizziness lasting more than a few minutes

Severe tinnitus in one or both ears, feeling of fullness in the ear, imbalance, nausea and vomiting symptoms

It is a type of peripheral vertigo. Complaints of ringing in the ear gradually fail to hear fully.

can reach. It comes at certain intervals, the patient may be normal in the interim periods.

Vestibular Neuronitis (inflammation of the nerve that transmits balance signals in the inner ear to the brain);

It is one of the most common causes of vertigo. upper respiratory tract shortly before illness

may or may not have an infection. Complaints such as vertigo, imbalance and nausea and vomiting

Symptoms and complaints related to hearing and brain stem are not accompanied. Complaints up to 1 week

continues and ends with decreasing intensity. The complaints are very severe and leave the patient out of work.

power, because moving causes dizziness, patients

They prefer to lie still. In the treatment, the use of medication for 1-2 weeks is sufficient.

It is possible. The patient’s subsequent period without medication affects the adaptation of the brain to vertigo.

important in providing Starting vestibular rehabilitation early

it is useful.

Benign paroxysmal positional vertigo (BPPV); Usually less than 1 minute in duration, head or

They are attacks of dizziness that occur with a certain movement of the trunk (for example, when looking up).

Patients may complain of a slight imbalance in walking in the absence of dizziness.

It is the most common cause of dizziness. The lifetime probability of occurrence in humans is 10%.

It may occur after trauma to the ear area. in the inner ear

calcification is expressed in terms such as stone making or crystal play. The most effective treatment

It is the repositioning of the crystals in the channel with various maneuvers.

As it can be understood from the above, the majority of the source of the disease is heard.

related ailments.

-How Is Vertigo Treated?

In the period when the dizziness is severe, the aim of the treatment is to eliminate the dizziness,

to prevent nausea and vomiting. Since vomiting often accompanies the event in patients, it should be taken orally.

The effectiveness of the drugs taken will be insufficient. For this reason, the patient is hospitalized and administered through the vascular access.

It is more appropriate to be treated with drugs to be given. In the patient whose complaints decreased, the drugs were taken for a moment.

Balance exercises should be started by cutting first. balance exercises

It is very important for the development of compensation. In addition, stress is an important factor that triggers the disease.

factor.

– What is Vestibular Rehabilitation?

Vestibular rehabilitation, accustoming the patient to dizziness with repetitive movements,

done to reduce rotation. Reducing the patient’s complaints depending on the cause

It is possible to accelerate recovery with a rehabilitation program. vestibular

Vestibuloocular exercises and special maneuvers are the main components of rehabilitation.

creates. These exercises and maneuvers are arranged according to the individual with certain session intervals.

and applied. Reducing dizziness with vestibular rehabilitation

feeling safe, not having problems in active participation in daily life, falling and

prevention of injuries and isolation from society, anxiety, panic disorder and major

It is aimed to get away from additional psychological disorders such as depression. For these purposes, with the ENT

With the cooperation of the Physical Therapy and Rehabilitation departments, a suitable rehabilitation for the patient

program is prepared, certain recommendations are made and the use of drugs is determined as soon as possible.

It is aimed to be cut off and take one’s place in social life.

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