robert johnson the centennial collection rar

Treatment progression for gaze stabilization exercises involves a number of exercise parameters including duration, speed, background distraction, patient position, distance to target, target size and movement, as well as daily frequency of the exercises. Gaze stability exercises based on vestibular adaptation involve head movement while maintaining focus on a target whereas, gaze stability exercises based on vestibular substitution were developed to promote alternative strategies (e.g., smooth-pursuit eye movements or central pre-programming of eye movements) to substitute for missing vestibular function. The VOR has been shown to be modifiable and retinal slip has been identified as the primary error signal that drives VOR adaptation.

Gaze stability exercises involve head motion while maintaining focus on a target and were developed based on the concepts of vestibulo-ocular reflex (VOR) adaptation and substitution. As many as 75–88% (depending on the outcome measure) of patients with unilateral vestibular hypofunction experience meaningful improvements following VR. Studies suggest that vestibular rehabilitation improves symptoms and function in most but not all patients.

Current vestibular rehabilitation (VR) for peripheral vestibular hypofunction is an exercise-based approach that typically includes a combination of four different exercise elements: 1) gaze stabilization exercises 2) habituation exercises as needed based on symptoms 3) balance and gait training and 4) endurance and strength exercises.

Robert johnson the centennial collection rar