Treat Dizziness with Vestibular Rehabilitation Therapy

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Dizziness is a common symptom, best described as the sensation of feeling light-headed, unsteady, or faint. This is not to be confused with vertigo which has a rotational or spinning component to it (VeDA, n.d.). Dizziness occurs when information from one or more of the three balance-related systems; proprioception, vestibular, and visual is abnormal. When there is a mismatch of sensory information and processing, dizziness can be the result. Individuals who suffer from dizziness can experience nausea, vomiting, tachycardia, and sweating (Eren, O. E., Filippopulos, F., Sönmez, K., Möhwald, K., Straube, A., & Schöberl, F., 2018).

The most common methods of treatment for dizziness involve anti-anxiety medications, vestibular suppressant medications, SSRIs, and behavioral therapies. These interventions are not always effective on reducing or eliminating dizziness. An effective way to improve dizziness is to assess and rehabilitate the vestibular system.

Vestibular rehabilitation can include therapies such as repetitive peripheral somatosensory stimulation (RPSS), gaze stabilization training, eye movement training, and somatosensory integration therapies. All of these are non-invasive and drug-free methods to target the areas of the vestibular system that are dysfunctional and rehabilitate them. In fact, a research study focused on individuals suffering from Persistent postural-perceptual dizziness (PPPD) assessed how effective non-invasive Vagus nerve stimulation was on reducing their symptoms. The results showed that the stimulation reduced their symptoms of depression, improved their quality of life, and significantly decreased the severity of their dizziness attacks (Eren, O. E., Filippopulos, et al, 2018). Through targeting the root cause of the dizziness, whether it is brain-stem related or nervous-system related, symptoms can be reduced or eliminated. Vestibular rehabilitation techniques are a safe and effective way to accomplish improvements.

References

Eren, O. E., Filippopulos, F., Sönmez, K., Möhwald, K., Straube, A., & Schöberl, F. (2018). Non-invasive vagus nerve stimulation significantly improves quality of life in patients with persistent postural-perceptual dizziness. Journal of Neurology, 265(1), 63-69.

DOI: http://dx.doi.org.ezproxy.humber.ca/10.1007/s00415-018-8894-8

Vestibular Disorders Association (VeDA). (n.d.). Dizziness, vertigo, disequilibrium. Retrieved from: https://vestibular.org/about-vestibular-disorders/causes-dizziness

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Nata Bekurishvili

Nata Bekurishvili

Shejan Magana

Shejan Magana

Shaelah Reis

Shaelah Reis

Dr. Yotam Heineberg, Psy.D.

Dr. Yotam Heineberg

Dr. Shai Aharonov, B.Sc, DC

Dr. Shai Aharonov

Dina Mezhiborsky, R.Kin

Dina Mezhiborsky

Dina is a dedicated Kinesiologist at the b3 Neurological Institute, applying a comprehensive, evidence-informed approach to neurological rehabilitation. With a specialized academic background in Kinesiology, she brings a strong foundation in human movement science and a deep commitment to helping individuals improve their functional abilities and overall quality of life.

Her clinical practice integrates a diverse range of therapeutic modalities, including neurofeedback, biofeedback, vestibular rehabilitation strategies, and somatosensory integration techniques. This multifaceted approach allows her to tailor care plans that address the unique needs of each individual, supporting recovery in a way that is both effective and empowering.

Dina’s path into healthcare was shaped by personal experience. An active childhood and early exposure to sports-related injuries led to a firsthand understanding of physical pain and recovery. Over time, this evolved into a strong interest in alternative and movement-based rehabilitation strategies, especially those that connect physical with neurological function. That journey sparked a lifelong passion for exploring how the brain and body work together in the healing process.

Today, Dina’s work is guided by empathy, curiosity, and a deep respect for the individuals she serves. She is continually inspired by the resilience of her clients and is especially passionate about helping them reconnect with their bodies through movement. Her goal is to support meaningful, lasting improvements in both physical function and overall well-being.

Kalee Boyer, RN

Kalee Boyer

I am a Registered Nurse (RN) at b3 Neurological Institute and I started working here in September of 2017. Working at b3 has completely re-shaped and changed the way I view health, wellness, and the medical field. Every day that I come to the clinic, I get to witness something incredible—the brain’s ability to change, adapt, and recover—and it never stops inspiring me.

My passion for neuroscience comes from a deep curiosity about how the brain and nervous system works, but more importantly, from seeing how life-changing this work can be for real people. At our clinic, we offer advanced therapies like neurofeedback, biofeedback, vestibular rehabilitation, sensory-motor integration training, and much more. I am part of both providing direct care to clients, as well as training and managing our clinical team members.

To be a part of an organization that is changing the future of neurological health, is not something I take for granted. This clinic truly is a special place and I am proud to show up to work here every day. If you’re ready to take the next step in your healing, I’d be grateful to be a part of your journey.

Dr. Jarrod Goldin, B.Sc, DC

Jarrod Goldin

Dr. Jarrod Goldin is an Assistant Professor and clinician as well as a partner in a venture called Exrastep Inc, a company which specializes in providing orthotics and orthopedic shoes. He was previously Director of Chiropractic for Blue Rock Systems and Chiroclininix.com and was later the President of Community Health Management Inc, with four clinics in Toronto. 

After earning an undergraduate degree in Science from York University, he completed a Doctor of Chiropractic from the Canadian Memorial Chiropractic College. He is currently pursuing a fully funded Masters in Public Health at Lakehead University. Dr. Goldin’s research focuses on chiropractic education for aborginal health centres. He has contributed articles to Topics in Clinical Chiropractic and other academic journals. 

He is recipient of the Canadian Chiropractic Association “Top 20 Future Leaders in Chiropractic under the age of 40” Award. He currently teaches Clinical Practice Internship (CE 4405) at CMCC