about us   facilities   admissions   medical staff   inpatient programs   outpatient programs   success stories   news & events   overview outpatient programs satellite locations   what's new? directions contact us home     outpatient  |   programs Vertigo & Balance Program   The Vertigo and Balance Program at HEALTHSOUTH Outpatient in Ludlow, Massachusetts evaluates patients with persistent disequilibrium using a comprehensive assessment of balance, gaze stabilization, strength, endurance, range of motion and overall function in daily activities. This comprehensive evaluation allows for a timely, cost-effective, accurate assessment of the condition, thus enabling the appropriate intervention.   Indications for Referral Individuals who will benefit from an evaluation include those with: A history of falls due to vertigo or dizziness Vertigo or dizziness not responsive to usual forms of medical management Significant balance dysfunction in conjunction with normal ENG Gait or balance disorders insufficiently explained by neurological examination Postoperative inner ear surgery Severe, disabling disequilibrium Identification of symptom magnification   Assessment Battery A complete battery of basic balance function testing may be necessary to fully assess the cause of dizziness or disequilibrium. Tests may include: A thorough medical history Vestibular ocular reflex testing Specialized physical therapy evaluation   Rationale for Vestibular Rehabilitation There are three generally accepted models that explain why this type of therapy works: Adaptation: The central vestibular mechanisms learn to adapt to the imbalanced signal coming from the impaired peripheral sensory receptors. Substitution: This is a compensatory shift that occurs when one or more sensory systems is lost or impaired. Repositioning/Liberatory/Desensitation: These are three different approaches (commonly referred to as BPPV) used to manage otolith dysfunction. Program Referral Patients can be referred to the program if they have had a pattern of clinical findings, as well as a collection of symptoms and complaints in: Vestibular loss/BPPV (peripheral and central otolith) Disequilibrium (central motor or movement coordination deficit Central dizziness (vascular or neurological) If you would like to refer a patient to our Vertigo & Balance Program, please contact HealthSouth Outpatient LUDLOW at 413-547-2616.     Overview • Outpatient Programs • Satellite Locations