Many individuals may have come to accept the frequent sensation of losing balance, dizziness, or unsteadiness as part of daily life. However, these issues may stem from an underlying condition known as Bilateral Vestibular Hypofunction (BVH), which significantly affects balance and coordination. While relatively uncommon, BVH can severely impact a person’s ability to move confidently and perform everyday activities. Vestibular physiotherapy in Edmonton can help is crucial for those who experience recurrent balance problems.
What is Bilateral Vestibular Hypofunction (BVH)?
Bilateral Vestibular Hypofunction is a condition characterized by impairment or loss of function in both vestibular systems in the inner ear. The vestibular system maintains balance, spatial orientation, and coordination. It sends signals about head movement and position to the brain, helping individuals maintain balance, stabilize their vision, and adjust posture. When both vestibular systems fail to function correctly, it can lead to dizziness, vertigo, and instability.
Unlike unilateral vestibular hypofunction, where only one side is affected, BVH involves both sides of the vestibular system, leading to more pronounced and persistent symptoms.
Causes of Bilateral Vestibular Hypofunction
Bilateral Vestibular Hypofunction can result from a variety of causes, including:
- Age-related degeneration: As people age, the vestibular system can naturally weaken and lose its ability to function correctly.
- Head trauma: Concussions and other head injuries may lead to damage in the vestibular organs, leading to BVH.
Symptoms of Bilateral Vestibular Hypofunction
The symptoms of BVH can vary but often include:
- Persistent dizziness or a sensation of unsteadiness, especially when standing or walking.
- Difficulty focusing or visual disturbances when moving the head, particularly when turning quickly.
- Falls or near-falls due to lack of balance and coordination.
Treatment Options for Bilateral Vestibular Hypofunction
While BVH can’t permanently be fully cured, various treatment options help manage the symptoms, improve balance, and increase quality of life. Vestibular physiotherapy in Edmonton is crucial, particularly vestibular rehabilitation therapy (VRT).
Vestibular Rehabilitation Therapy (VRT)
VRT physical therapy is designed to help individuals with vestibular dysfunction improve balance and reduce dizziness. Through targeted exercises, VRT helps the brain adapt to the loss of vestibular input, enhancing balance and coordination.
- Gaze stabilization exercises: These exercises help improve the ability to focus on a target while moving the head. One common exercise is the VOR (Vestibulo-Ocular Reflex) exercise, where a person holds their gaze on a stationary object while turning their head from side to side.
To perform: Sit upright and focus on a target, such as a letter or an object, positioned at eye level. Slowly turn your head left and right while focusing on the target. First, increase the speed and duration as you get more comfortable. - Habituation exercises help the brain adjust signals from the inner ear and the visual system which results in inner ear disorders. The brain can adapt and reduce sensitivity by gradually exposing individuals to movements that cause dizziness.
Strengthening Exercises for BVH Recovery
Strengthening exercises are critical to managing Bilateral Vestibular Hypofunction (BVH) as they enhance balance, mobility, and stability. Core strengthening exercises like pelvic tilts and bridges help activate the abdominal muscles and glutes, which are key for spinal alignment and pelvic stability. For lower body strength, squats, lunges, and step-ups are essential for improving leg strength, gait, and overall control over movement. These exercises help stabilize the body, prevent falls, and improve balance, which is vital for individuals with BVH. By incorporating these strengthening exercises into a daily routine, individuals may build a strong foundation for improved mobility and a safer, more stable environment.
Postural Correction and Body Mechanics for BVH Management
Incorporating postural correction and body mechanics into rehabilitation is crucial for individuals with BVH, as proper alignment can help minimize dizziness and improve balance. Maintaining correct posture while standing and sitting can alleviate strain on the back and pelvis, enhancing stability. Physiotherapists teach patients techniques such as standing with knees slightly bent, aligning the spine, and keeping the head level to reduce discomfort and improve balance. Additionally, learning proper lifting and bending techniques helps prevent strain on the spine and pelvis, ensuring safe movement. These postural strategies support BVH recovery, assisting individuals to regain confidence in their movement and perform daily activities with greater ease.
Compensatory Strategies
In cases where full recovery is not possible, compensatory strategies can help manage BVH symptoms:
- A walker can provide additional stability while walking and reduce the risk of falls.
- Environmental modifications: Making changes at home to reduce tripping hazards (e.g., removing rugs, and installing handrails) can help patients feel safer.
- Adapted activity schedules: Breaking up tasks into smaller segments, taking frequent breaks, or avoiding overly busy environments can help get dizziness relief and fatigue.
Importance of Working with a Physiotherapist
A physiotherapist specializing in vestibular physiotherapy can significantly help manage BVH. They can provide personalized treatment plans, teach patient-specific exercises, monitor progress, guide patients in adapting to their environment to ensure safety and fall prevention and offer emotional support during recovery.
Take Control of Balance and Live Life Fully
If you frequently lose balance or struggle with dizziness, consider whether Bilateral Vestibular Hypofunction is the cause. With the help of vestibular physiotherapy in Edmonton, individuals can regain their confidence, improve balance and lead a more active life. A tailored treatment plan focusing on vestibular rehabilitation and balance therapy, strengthening, and postural correction can relieve symptoms and help those with BVH manage their condition effectively. Don’t wait to take control of your health if you’re experiencing persistent dizziness, unsteadiness, or balance issues. At Next Step Physiotherapy Clinic, our expert physiotherapists specialize in vestibular rehabilitation. We guide you through a personalized treatment plan to improve your balance, regain confidence, and live fully. Book an appointment today and start your journey toward better balance and well-being.
