Vestibular Compensation

  • by
  • Course level: Intermediate
  • Total Enrolled 0
  • Last Update August 17, 2020


The neurologic phenomenon of vestibular compensation is based on central nervous reorganization, leading to functional rehabilitation and recovery. This functional recovery after either dysfunction or destruction of the labyrinth has long been known as an empirical fact, since Flourens introduced the topic in 1824 demonstrating functional recovery 1 week after labyrinthectomy in birds and frogs. Recent works using models of sensory deprivation as labyrinthectomy or unilateral vestibular neurotomy brought significant contribution to the mechanisms underlying vestibular compensation. The concept of vestibular rehabilitation was born during the Second World War, as two British practitioners (Sir Terence Cawthorne and Harold Cooksey) observed that head-injured soldiers with misbalance were likely to recover faster if they were mobilized in the early stage after injury instead of lying in bed for days. The technique has improved along with a better knowledge of the mechanisms of compensation that are promoted by the sensory reorganization and distinct weighing of vestibular, somatosensory and visual inputs that are specific to a single patient. This specificity justifies a careful and exhaustive evaluation of the patients before starting the vestibular rehabilitation. Nowadays, vestibular rehabilitation has proved to be effective in the course of unilateral and bilateral deficit, as well in the specificity of benign paroxysmal positional vertigo [28,33]

Topics for this course

18 Lessons

Introduction of vestibular rehabilitation

Vestibular Compensation
Behavioral and Cognitive Subsitution

Assessment of vestibular rehabilitation

Management of vestibular labyrinth

Exercises for vestibular rehabilitation

New Trends


How to conduct a vestibular rehabilitation program?