Dizziness, vertigo, and balance problems are among the most common complaints in patients and at least 50% of patients out of balance need some form of physical therapy. Besides the excellent evidence that the specific physical maneuvers are effective for treatment in benign paroxysmal positional vertigo (level 1), there is also sufficient evidence that vestibular rehabilitation therapy (VRT) improves outcome in unilateral (level 1) and bilateral (level 1) vestibular hypofunction.
The principles of treatment go back to the 1940s when Cawthorne and Cooksey first described exercises to improve balance after vestibular injuries.