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E. R. Anson and Y. Gimmon
patient had daily training with an IVA device, for 15min, for 645days. 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 toVestibular 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 identied 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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