What are the benefits of vestibular rehabilitation in patients with Parkinson's disease (PD)?

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Last updated: May 13, 2025View editorial policy

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From the Research

Vestibular rehabilitation therapy (VRT) is highly recommended for Parkinson's disease patients as it significantly improves balance impairments and reduces fall risk, with benefits persisting over time 1.

Benefits of Vestibular Rehabilitation

The therapy targets the vestibular system through customized exercises focusing on gaze stabilization, balance training, and habituation activities. Patients typically attend 1-2 sessions weekly for 6-12 weeks, with daily home exercises lasting 15-20 minutes. VRT improves postural stability, reduces dizziness, enhances gait parameters, and increases confidence in movement.

Key Findings

  • A recent study published in 2025 found that vestibular-oriented balance training had a significant and lasting impact on postural control and fall risk in patients with Parkinson's disease 1.
  • Another study from 2009 also showed that vestibular rehabilitation improved overall stability in patients with Parkinson's disease, with benefits persisting for at least 1 year after treatment 2.
  • The therapy works by promoting neuroplasticity, helping the brain compensate for vestibular deficits and improving sensory integration between visual, proprioceptive, and vestibular systems.

Implementation

For optimal results, VRT should complement standard Parkinson's treatments like levodopa therapy and be initiated early in disease progression. Patients should wear comfortable clothing and supportive shoes during sessions and continue exercises consistently at home, as improvements typically develop gradually over several weeks of dedicated practice.

Key Takeaways

  • VRT is a valuable adjunct therapy for Parkinson's disease patients, addressing balance impairments and reducing fall risk.
  • The therapy should be customized to individual patient needs and implemented in conjunction with standard Parkinson's treatments.
  • Consistent practice and adherence to the exercise program are essential for optimal benefits.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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