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E. R. Anson and Y. Gimmon
patient had daily training with an IVA device, for 15min, for 645days. He demonstrated dramatically improved VOR gains. Additionally, his gait and balance ability
also improved. These results suggest a transfer effect from VOR adaptation training
to balance performances [302].
Team Approach toVestibular Rehabilitation
Optimal rehabilitation management for persons with vestibular disorders requires a
team approach [303]. Since rehabilitation strategies often depend on accurate differential diagnosis, multiple specialists may need to be involved [304, 305].
Comorbid symptoms of anxiety/depression and inappropriate compensatory strategies or catastrophizing should be identied and addressed concurrently with appropriate referrals [208, 306], hoping to prevent a transition to PPPD [105, 304, 307].
Open communication between vestibular rehabilitation providers and referring physicians is important especially for individuals who are not progressing along an
expected trajectory or may need additional medical management [306]. Ultimately,
a team approach is highly recommended and only serves to enhance patient care for
individuals with symptoms and impairments caused by vestibular dysfunction [308].
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