Although the use of vestibular exercises for patients with persistent
vertigo and dysequilibrium has received some attention for many years,
organized vestibular rehabilitation therapy programs have only recent
ly been introduced. The benefits of such programs are becoming widely
accepted. They typically involve a three-pronged approach: habituation
exercises designed to facilitate central nervous system compensation
by extinguishing pathologic responses to head motion, postural control
exercises, and general conditioning activities. This article will des
cribe the programmatic approach to vestibular rehabilitation, emphasiz
ing selection criteria and reviewing results that may be anticipated w
hen this treatment modality is used in a variety of patient population
s.