Table 1.
Components | Movements | Rationale |
Oculomotor exercises | VOR×1 VOR×2 Smooth pursuits Saccades |
Improve gaze stability and VOR gain adaptation |
Head movement exercises | Shaking the head right and left, nodding the head up and down, and circumducting the head clockwise and counter clockwise while maintaining focus on a visual target | Habituate vestibular responses and relieve symptoms |
Gait and balance training | Static standing on varied base of support (feet apart, feet together, semi-tandem, tandem) Static standing with different arm positions (arms away from body, arms close to body, arms reaching forward, arms tossing a ball) Sitting to upright Sitting upright then bending down to pick up objects Walking with yaw head movement Walking with pitch head movement Tossing a ball above the eye level while walking Tandem walking on a level surface Tandem walking on a foam surface |
Facilitate the vestibulospinal response, improve postural stability and regain balance and physical function |
VOR, vestibulo-ocular reflex.