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Community and Internet Resources


Health and Care: Therapy and Rehabilitation: Disability Specific: Vestibular Disorders

Includes Dizziness, Inner Ear Disorders and Meniere's Syndrome.
New Horizons Un-limited is not endorsing and assumes no responsibility in guaranteeing the products, services, programs or conditions as described. If you are interested in a resource listed below, call or contact the resource to verify the current situation. Evaluate the information, analyze your unique circumstances, use your best judgment and make your own decisions when using the information. Before making any change, consult your health care professional.

National

Dizziness-and-Balance.com is the website of Dr. Timothy C. Hain, MD. On this site is an article, Balance and Vestibular Rehabilitation Therapy which is written about vestibular rehabilitation therapy by Dr. Hain. The article covers the indications for using this kind of therapy, why it might be useful, and information about different kinds of therapy including "dynamic balancing exercises", "gaze stabilization exercises", "habituation exercises", and several others. Dr. Hain also covers the question of the proven effectiveness of these various kinds of therapy. For more information, send e-mail to cdb@dizziness-and-balance.com

VEDA (Vestibular Disorders Association) has an article about vestibular rehabilitation therapy. This short article Vestibular Rehabilitation Therapy (VRT)covers the reasons for needing VRT, the purpose of VRT, what the therapist and patient do during VRT, and how this kind of therapy will help a vestibular patient. VEDA offers three publications about VRT which can be ordered from their website. Therapists that provide VRT can be found by state or world region in VEDA's list of health professionals that treat vestibular disorders. Vestibular Disorders Association, PO Box 13305, Portland, Oregon 97213-0305, phone: 800-837-8428 (voice mail), fax: 503-229-8064, or send e-mail to info@vestibular.org More publications on vestibular disorders are offered in VEDA's online store. A list of health professionals are found by state or world region that offer VRT services.


State Listings


Nevada

Werner Institute of Balance and Dizziness is a physical therapy clinic in Las Vegas that specializes in treating dizziness and balance disorders. The clinic treats both patients referred by physicians and those who contact the clinic without a physician's referral. This clinic treats people with a variety of balance problems including patients with vestibular disorders, head injuries, vascular problems, and amputees (See "For Physicians" page for a complete list.) The clinic also uses the same treatment methods to develop individualized programs for people that want to enhance their athletic skills. This website includes information about the balance system and how it works, what a balance disorder is, and what vertigo is. For more information contact the Werner Institute Of Balance and Dizziness, Inc. at 7660 W. Cheyenne Ave. - Suite 114, Las Vegas, Nevada 89129, phone: 702-880-1515, fax: 702-880-1511, or send e-mail to info@nomorevertigo.com


New York

Ear Surgery Information Center-Meniere's Disease is an article that provides information about several surgical procedures that are available for treating Meniere's Disease when more conservative treatments and lifestyle changes are not successful. This article describes Meniere's Disease including its symptoms, diagnosis, and standard treatments. Then, the article describes the following surgical procedures: endolymphatic sac decompression, labyrinthectomy, vestibular neurectomy, and chemical labyrinthectomy. This article, written by Dr. Mark J. Levenson, MD of the Saratoga Ear & Sinus Surgery Center in Saratoga Springs, NY, will interest anyone that would like to learn more about these procedures. The Saratoga Ear & Sinus Surgery Center, PC is located at 195 Church St. Saratoga Springs, NY 12866, Phone: 518-587-2300 or send e-mail to howard@sharkane.net


Texas

New Sign Center for Balance Disorders at Baylor College of Medicine in Houston, Texas offers "diagnosis and management of patients with vestibular disorders". The home page for the Center's website lists and describes the tests used in diagnosing vestibular disorders. Click on "Vestibular rehabilitation" at the bottom of their home page to access a page about this kind of therapy. The page describes vestibular rehabilitation, conditions and diagnoses that might lead to being referred for this kind of therapy (such as persistent vertigo or labyrinthitis), the goals of this kind of therapy (such as to improve balance), the kind of activities involved in this kind of therapy (such as balance retraining), and how to get a referral. Testing and therapy at this Center requires referral from a physician. Click on "Patient Information" on the left side of their home page to access information about nystagmus, BPPV, and surgery for acoustic neuroma. The Center also does research on how the vestibular system functions. Click on "research" on the home page to see a list of research topics and studies done and published under those topics. The following link will take you to more information about the Department of Otolaryngology-Head and Neck Surgery at Baylor College of Medicine, or click on "OTO Home" on the left side of their home page. Click on "Patient Information" on their page to find a phone number for making appointments with physicians in this department. For more information contact the Center for Balance Disorders, Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, One Baylor Plaza, NA315, Houston, TX 77030 or The Neurosensory Center of Houston, 6501 Fannin, Suite NA315, Houston, TX 77030, Phone: 713-798-6336, Fax: 713-798-8658 or send e-mail to: vertigo@bcm.edu This website also offers many resources at "Helpful Links." Also included is a list of Hospitals in Houston and various organizations including The Acoustic Neuroma Association and VEDA, the "Otorhinolaryngology patient information at Baylor" includes articles mentioned in text above and the "Dizziness & Meniere's Disease" lists a number of articles found on the web.


Wisconsin

Aurora Health Care - Balance and Vestibular Program offers a comprehensive vestibular rehabilitation and vestibular therapy program. Approximately half of all cases of dizziness – also referred to as vertigo, spinning or an off-balance sensation – are caused by a vestibular (inner ear) disturbance. Their staff of physical therapists and audiologists have extensive training and experience in this specialty. The interdisciplinary team approach to rehabilitation involves close communication between the physical therapist and audiologist, as well as with the patient’s primary care doctor, ear, nose and throat physician and other specialists as needed. All patient treatment plans are highly individualized depending on the medical history, general health, symptoms and test results, as well as input from patients, their physician(s) and family members. Vestibular therapy emphasizes on the prevention of symptoms and decreasing the risk of falls, fractures and other injuries. Aurora's headquarters are located at 3000 W. Montana St., Milwaukee, WI 53215 or phone (414) 647-3000. To find the facility located nearest you fill in the form at Aurora Health Care Facilities Index

Medical College of Wisconsin offers information about treatment of inner ear disorders on the Department of Otolaryngology & Communication Sciences website. The Medical College of Wisconsin Department of Otolaryngology & Communication Sciences is located at 8701 Watertown Plank Road, Milwaukee, WI 53226, Phone: 414-456-8296 or e-mail Webmaster@mcw.edu (Office of Public Affairs).


International


Canada

Quebec

New Sign Vestibular Neurophysiology & Gaze Control Laboratory at McGill University in Montreal, Quebec, studies how the vestibular system interacts with other systems, particularly vision, to help us know where we are in the environment and help us move through it. Three research projects are described in one paragraph for each. One project is studying how the brain distinguishes between vestibular messages generated by a person's own movement and those generated by activity in the environment. A second project, of particular interest to people with vestibular disorders, is studying "the physiological mechanisms that underlie vestibular compensation." This project is studying the vestibulo-ocular reflex (VOR) and how it recovers from vestibular damage. The third project is studying eye movements and nystagmus.

This website also includes a good basic description of the vestibular system and how it works. The fifth page of this introduction to the vestibular system explains the vestibulo-ocular reflex. For more information, write the Department of Physiology, 3655 Prom. Sir William-Osler, McGill University, Montreal, Quebec, Canada H3G 1Y6, Phone: 514-398-5709, Fax: 514-398-8241 or send e-mail to kathleen.cullen@mcgill.ca. The section named "Publications" lists papers and books to which Kathleen E. Cullen has contributed.


For more on the topic of Vestibular Disorders


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[Originated June 30, 2006, Updated May 31, 2008]
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