Delayed Vestibular Physiotherapy in Chronic Post-Traumatic Vestibulopathy: A Clinical Case Analysis
Abstract
Background. Head trauma may cause persistent dizziness and impair balance, mobility, daily activities, and quality of life. Although vestibular rehabilitation is usually recommended early after injury, some patients do not receive timely treatment. Therefore, evidence on delayed vestibular physiotherapy remains limited.
Aim. To examine the effects of delayed vestibular physiotherapy initiated approximately two years after head trauma.
Methods. A single-case interventional clinical analysis was conducted in a 53-year-old male with chronic post-traumatic vestibular complaints. A 13-week home-based vestibular rehabilitation programme was adjusted according to symptoms and clinical response. Assessment included the Dix–Hallpike Test, Motion Sensitivity Quotient, Berg Balance Scale, Tinetti Test, Timed Up and Go Test, tandem standing, and single-leg stance. Measurements were performed at baseline, during follow-up, at the end of the intervention, and again four weeks later. The intervention included Brandt–Daroff exercises, the Epley manoeuvre, gaze stabilisation, and balance training.
Results. Positional symptoms gradually decreased and were no longer provoked at the final assessment. Motion sensitivity decreased to 0 and remained unchanged at re-assessment. Balance and functional mobility also improved over time, and the participant reported no dizziness during positional changes, head movements, or daily activities by the end of follow-up.
Conclusions. Delayed vestibular physiotherapy was associated with reduced positional symptoms and improved balance, mobility, and daily functioning in this clinical case.
Keywords: Vestibular rehabilitation; post-traumatic dizziness; vestibulopathy; delayed intervention
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