Semin Neurol 2020; 40(01): 165-172
DOI: 10.1055/s-0039-3402062
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Vestibular Rehabilitation and Factors That Can Affect Outcome

Susan L. Whitney
1  Department of Physical Therapy and Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania
Patrick J. Sparto
2  Department of Physical Therapy, Otolaryngology, and Biomedical Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania
Joseph M. Furman
3  Department of Otolaryngology, Neurology, and Physical Therapy, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
› Author Affiliations
Further Information

Publication History

Publication Date:
30 December 2019 (online)


This review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.