For vestibular rehabilitation, it is essential to assess the information receptors responsible for balance: the eyes, the vestibular system and the body’s proprioception (especially in the neck, foot and temporomandibular joint). With Neuroreceptor Therapy (P-DTR), I identify sensitivity points in order to eliminate them, then guide you through exercises to increase your body’s tolerance and capabilities.
– Marcos Jusdado
Vestibular rehabilitation focuses on treating patients who suffer from dizziness or a sense of imbalance.
As a physiotherapist and expert in P-DTR (Neuroreceptor Therapy or Functional Neurology), I approach balance and vestibular disorders from a holistic perspective, aiming to identify and address the root cause. Once serious conditions have been ruled out, I assess the different systems involved in your balance: the cervical spine, the eyes, the vestibular system, the temporomandibular joint and the proprioception of your feet.
In many cases, it’s a combination of several factors. After identifying and treating them, I guide you through specific exercises to improve your tolerance and stability, helping you recover fully and as quickly as possible.
The vestibular system is located in the inner ear, housed within the temporal bones of the skull, which means each person has a vestibular system in each ear. This system is made up of two main components: the canal system, formed by the three semicircular canals (horizontal, anterior, and posterior), and the macular system, which includes the saccule and the utricle. Within the saccule and utricle are calcium deposits known as otoliths (you can see this in the video on the right).
Vertigo is the sensation that everything around you is spinning. Even with your eyes closed, the feeling experienced by someone with vertigo is that everything continues to revolve.
Vertigo is caused by a dysfunction of the vestibular system and is characterized by an alteration in eye movement or reflex, known as nystagmus.
Instability is the inability to stand upright due to a balance deficit, and it is a very real sensation. It depends on the visual system, proprioception, and the vestibular system.
A very high percentage of vertigo cases are Benign Paroxysmal Positional Vertigo (BPPV), which is a short-lasting vertigo episode directly related to body position. Then there are medium-duration vertigo episodes, such as Ménière’s disease, and long-duration vertigo, which could be due to a neuritis.
Other symptoms that may appear in patients suffering from vertigo include neck stiffness and heaviness, nausea, and even vomiting.
