Bilateral Vestibular Hypofunction Treatment Edmonton

Bilateral Vestibular Hypofunction (BVH) is a rare but life-altering condition that affects both inner ears, leading to chronic imbalance, dizziness, and difficulty with vision during movement. At Next Step Physiotherapy , we offer specialized Vestibular physiotherapy Edmonton (VRT) tailored to individuals with BVH, helping them regain stability, confidence, and quality of life.

What Is Bilateral Vestibular Hypofunction?

BVH occurs when the vestibular organs in both inner ears lose function. These organs play a critical role in balance, spatial orientation, and coordination of eye movements. When both are impaired, the brain receives limited information about head movement and position.

Common symptoms include:

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  Unsteady walking, especially in the dark or on uneven surfaces

  
  


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  Blurred or bouncing vision (oscillopsia) during head movement

  
  


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  Dizziness or disorientation when turning quickly

  
  


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  Difficulty maintaining balance without visual cues

  
  


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  Frequent falls or fear of falling

  
  

This condition is often caused by ototoxic medications (like certain antibiotics), autoimmune disorders, infections, or can be idiopathic (without a known cause).

Vestibular Rehabilitation at Next Step Physiotherapy

Although BVH cannot be fully reversed, vestibular physiotherapy is the gold standard for managing symptoms and improving daily function. At Next Step Physiotherapy in Edmonton, our approach is evidence-based and personalized, aiming to retrain the brain and body to adapt to the reduced vestibular input.

Key Treatment Components

Gaze Stabilization Exercises

Our physiotherapists teach adaptation and substitution exercises to improve visual tracking and reduce oscillopsia. These may include:

VOR x1 and x2 exercises (focusing on a target while moving the head)

Smooth pursuit and saccadic eye movements

Practicing reading or watching screens during head motion

Balance Training

Customized balance exercises help you use visual and proprioceptive cues more effectively. We may work on:

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  Standing and walking with eyes closed

  
  


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  Navigating uneven surfaces

  
  


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  Dual-tasking (adding cognitive tasks to balance activities)

  
  


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  Functional tasks like getting up from a chair, stair climbing, and turning

  
  

Habituation Techniques

Repeated exposure to movements that trigger dizziness can desensitize the system over time. Our therapists design safe, progressive routines to build tolerance and reduce symptom severity.

Strength and Conditioning

Weakness and fatigue can worsen instability. Our programs include strengthening of core and lower body muscles to provide a stronger foundation for balance and movement.

Fall Prevention and Safety Education

We emphasize practical strategies for preventing falls at home and in the community, including the use of assistive devices if needed.

Our Collaborative and Supportive Environment

We take a multidisciplinary approach, sometimes collaborating with ENT specialists, neurologists, or audiologists to ensure a well-rounded care plan.

We track your progress regularly and adjust your exercises as you improve, always keeping your comfort and goals in mind.

Conclusion

Bilateral Vestibular Hypofunction can feel overwhelming—but with expert support and a targeted treatment plan, meaningful improvement is possible. At Next Step Physiotherapy in Edmonton, we’re here to help you regain balance, reduce your symptoms, and restore confidence in your movements.

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