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Updated: May 12, 2026
05:02
Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
Vestibular Rehabilitation for Post-Concussive Vestibular Dysfunction: Pathophysiology, Evidence-Based Practice, and
Ki Hun Shin1, Byung-Mo Oh2,3,4, Hoo Young Lee5
1Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
Korean Journal of Neurotrauma
|May 11, 2026
Summary
Post-concussive vestibular dysfunction (PCVD) after mild traumatic brain injury (mTBI) requires integrated assessment for effective rehabilitation. This review details precise diagnosis and evidence-based vestibular rehabilitation therapy (VRT) strategies.
Area of Science:
- Neuroscience
- Vestibular System Disorders
- Rehabilitation Medicine
Background:
- Mild traumatic brain injury (mTBI), a "silent epidemic," often leads to overlooked long-term issues like post-concussive vestibular dysfunction (PCVD).
- PCVD significantly impacts patients' return to daily life, necessitating targeted interventions.
- Current rehabilitation often focuses on symptom relief rather than underlying pathophysiology.
Purpose of the Study:
- To provide updated insights into precise diagnosis and evidence-based, individualized vestibular rehabilitation therapy (VRT) for PCVD.
- To address differential diagnosis of cervicogenic dizziness and structural peripheral lesions.
- To explore the role of advanced technologies in mTBI rehabilitation.
Main Methods:
- Review of current literature on mTBI, PCVD, and VRT.
- Discussion of diagnostic approaches for PCVD, including cervicogenic dizziness and persistent postural-perceptual dizziness.
- Exploration of emerging technologies like virtual reality and wearable sensors for rehabilitation.
Main Results:
- PCVD results from complex interactions within the vestibular system, CNS, and cervical spine, often involving sensory reweighting failure.
- Accurate diagnosis is crucial for effective, mechanism-based treatment.
- Advanced technologies offer potential for digital therapeutics and AI-driven precision rehabilitation.
Conclusions:
- An integrated, mechanism-based assessment is essential for optimizing PCVD rehabilitation outcomes.
- Individualized VRT, considering differential diagnoses, is key.
- Emerging technologies promise to enhance precision and accessibility of rehabilitation for mTBI patients.
Keywords:
Brain concussionDigital technologyPersistent postural-perceptual dizzinessRehabilitationVestibular systemWearable electronic devicesMore Related Videos
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