Neurological & Autonomic
Vestibular Rehabilitation
A prescribed course of gaze stabilisation, habituation and substitution exercises, dosed and progressed weekly.
- Duration
- 45 min per session
- Cadence
- Course of 8–16 sessions · reassessed at 6 weeks
- Available at
- Langley · Virtual
Overview
Training the deficit you can measure
Vestibular rehabilitation is a prescribed exercise course, not a passive treatment. Specific movements are used to drive adaptation in the vestibulo-ocular and vestibulo-spinal pathways, and the dose is the exercise itself — frequency and progression determine whether it works.
It has among the strongest evidence of anything on our menu. That is precisely why we assess before we prescribe it: it is effective for a defined set of deficits and does nothing for the rest. The assessment exists to tell those apart.
Progress is judged on repeated measurement — VOR gain, dynamic visual acuity, posturographic sway and symptom scoring — at six weeks. If those have not moved, the course is stopped and reconsidered rather than extended.
Findings that suggest central, vascular or progressive neurological disease are referred to a neurologist rather than treated in-house.
What it does
The clinical rationale, stated plainly
Adaptation
Repeated, controlled gaze-and-head movement error drives recalibration of vestibulo-ocular reflex gain, restoring stable vision during head motion.
Habituation
Graded, repeated exposure to the specific movements that provoke symptoms reduces the central response to them over a course of weeks.
Substitution
Where vestibular input is permanently reduced, training shifts weighting toward visual and somatosensory channels so balance is maintained by a different route.
Measured progression
Difficulty is advanced against your own re-tested numbers, not on a fixed weekly schedule.
The protocol
How the course runs
Assessment
Oculomotor, vestibular and postural testing with symptom provocation mapping. Red flags are screened and referred before any exercise is prescribed.
Prescription
A specific exercise set, dose and progression rule written for the deficit found, with a home programme that carries most of the training volume.
Supervised course
Weekly or twice-weekly supervised sessions to progress difficulty and correct execution, which is where most home programmes fail.
Reassessment
Objective retesting at six weeks. Continue, modify, or stop.
Included
- Full vestibular and oculomotor assessment with written findings
- Individualised exercise prescription and home programme
- Supervised progression sessions across the course
- Objective reassessment at six weeks
- Referral coordination where findings fall outside our scope
Who it is for
- Assessed and cleared by an Anagennis physician, with central and vascular causes excluded first
- A measured vestibular or oculomotor deficit — not dizziness alone
- Able to complete daily home exercises, which carry most of the effect
- Not appropriate as a treatment for undiagnosed dizziness; assessment comes first
Interventions restricted under Canadian regulation are delivered at our Costa Rica clinic, under the same physicians and the same protocol.
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Request a consult
Discuss Vestibular Rehabilitation with a physician
Choose the clinic and the dates that suit you. Every course begins with an assessment, and we will tell you plainly if this is not the right intervention for you.
Interventions restricted under Canadian regulation are delivered at our Costa Rica clinic, under the same physicians and the same protocol.