Vestibular Rehabilitation

The 3rd edition of Vestibular Rehabilitation! I never
expected that the little black book published in 1994
would have multiple editions, much less that we would
(or even could) provide a CD with the book to augment
the written word with videos of patients. These videos
have been chosen to provide the reader with examples of
both normal and abnormal clinical tests, with visual
examples of some of the exercises used in the treatment
of BPPV and of vestibular hypofunction, and with examples of non-vestibular oculomotor and gait signs that
should help with differential diagnosis. As I reviewed a
multitude of video clips of patients we made over the past
20 years, I found that I remembered these people and
their individual personalities and problems. What a wonderful experience this has been and how thankful I am for
everything they taught me. If I had only one person to
thank, it would be the accumulation of all these people.
Once again, we have extended the material presented to include several new chapters and have augmented
the material presented in all the chapters to reflect
changes in our understanding of management of vestibular disorders. The new chapters include management of
persons with mal de débarquement syndrome, and persons with dizziness that is unrelated to the vestibular system such as disuse disequilibrium and central disorders.
The third new chapter presents new information about
the mechanisms that underlie compensation for vestibular hypofunction. In addition to these new chapters, there
are a number of new topics presented within different
chapters such as differential diagnosis in BPPV to identify disorders that mimic BPPV, differentiation among
Ménière’s, migraine, and motion sensitivity, and the role
of chemical labyrinthectomy in the management of
episodic vertigo.