Expert: Harriet B Jacobster, Au.D. - 4/14/2009

Question
I have been referred to a neurotologist at the other end of the country (as there aren't any near me) and he's suspects that my constant disequlibrium and balance problems,that I've had for 6 months, as being otolithic in origin and recommended vestibular rehabilitation.The physiotherapist that works with him hurriedly gave me the instructions for gaze adaption exercises but I don't understand what it means when they say "Stop if the image blurrs,doubles-up or jumps then try again" because I don't know if that means counting head turns from scratch again or carrying on from the repetition that I was up to when it blurred. Also she told me that I could blink, but that obviously clears any blurring, so if I blink that seems like cheating when it says to stop if there is any blurring. Can you help me to clarify this confusing advise, as I can't get hold of this therapist by phone as she's only there one day a week and doesn't have a direct line and is always with patients- and my local doctor doesn't know anything about VRT.
Best wishes,
Geraldine

Answer
Hi Geralidine,
I wish I could help you, but I have never seen instructions such as these.  For otolithic problems, we generally perform otolith repositioning/Epley Maneuvers.

I would recommend you not perform these exercises until you are able to get a full explanation from your therapist. Perhaps there is a way to e-mail the therapist?

I am also providing the contact information for the Meniere's Society in Great Britain.  Try contacting them as they may be able to provide a lot more insight into your particular question:  http://www.menieres.co.uk/contact_details.html

Hope this helps.
Harriet B. Jacobster, AuD
Board Certified in Audiology