{"id":14189,"date":"2025-08-01T16:30:51","date_gmt":"2025-08-01T14:30:51","guid":{"rendered":"https:\/\/ivrt.de\/?p=14189"},"modified":"2026-02-06T17:09:24","modified_gmt":"2026-02-06T16:09:24","slug":"vestibulaere-rehabilitation-nach-einem-schlaganfall","status":"publish","type":"post","link":"https:\/\/ivrt.de\/en\/studien-evidenz\/vestibulaere-rehabilitation-nach-einem-schlaganfall\/","title":{"rendered":"Vestibular rehabilitation after stroke"},"content":{"rendered":"<p><strong>For Healthcare Professionals:<\/strong><\/p>\n\n\n\n<p>Dizziness, balance problems, and gait instability are common sequelae after stroke and can severely affect patients\u2019 quality of life. Increasing attention is being paid to <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/vestibulaere-rehabilitationstherapie-und-gleichgewichtstraining\/\" data-type=\"post\" data-id=\"8932\">vestibular rehabilitation therapy<\/a> (VR)\u2014a treatment concept originally developed for vestibular organ disorders.<\/p>\n\n\n\n<p>A recent systematic review (Fan et al., 2025) analyzed 15 studies including 769 stroke patients. The findings: VR can achieve measurable improvements in centrally induced balance disorders, particularly in the subacute phase after stroke.<\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40520068\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Original study<\/strong><\/a><\/p>\n\n\n\n<p><strong>Key results<\/strong><\/p>\n\n\n\n<p>Concrete effects included:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Improved postural and gait stability (e.g., reduced time in the Timed Up and Go test)<\/li>\n\n\n\n<li>Reduced dizziness<\/li>\n\n\n\n<li>Better perceived balance in daily life<\/li>\n\n\n\n<li>Especially effective: programs lasting at least 4 weeks and combining <a href=\"https:\/\/ivrt.de\/en\/fuer-betroffene\/einstiegsuebungen\/\" data-type=\"page\" data-id=\"104\">eye\u2013head coordination<\/a> with rotational movements<\/li>\n<\/ul>\n\n\n\n<p><strong>Challenges<\/strong><\/p>\n\n\n\n<p>Despite encouraging results, study quality and designs remain heterogeneous. There are no standardized protocols regarding duration, intensity, and structure of exercises. Individual tailoring is often lacking, and many programs follow a \u201cone-size-fits-all\u201d approach. Objective vestibular testing is rarely implemented.<\/p>\n\n\n\n<p><strong>Conclusion for Practice<\/strong><\/p>\n\n\n\n<p>VR is promising, but to be effective it should be:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>individually tailored,<\/li>\n\n\n\n<li>conducted for at least 4 weeks,<\/li>\n\n\n\n<li>focused on central compensation mechanisms with high-repetition practice.<\/li>\n<\/ul>\n\n\n\n<p>The greatest benefits appear during the early post-stroke phase (1\u20136 months).<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Interested in learning how to apply <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/vestibulaere-rehabilitationstherapie-und-gleichgewichtstraining\/\" data-type=\"post\" data-id=\"8932\">vestibular rehabilitation<\/a> specifically for central vestibular disorders?<\/strong><br>Current further education opportunities can be found in the <strong><a href=\"https:\/\/ivrt.de\/en\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT Course search<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>For Patients \u2013 Easy to Understand<\/strong><\/p>\n\n\n\n<p><strong>Standing and walking safely again after stroke<\/strong><\/p>\n\n\n\n<p>Many people feel unsteady on their feet after a stroke. Dizziness, a sense of imbalance, or fear of walking are common and can greatly limit daily life.<\/p>\n\n\n\n<p><strong>The good news<\/strong><\/p>\n\n\n\n<p>There is a therapy that can help: <a href=\"https:\/\/ivrt.de\/en\/patientenedukation\/vestibulaere-rehabilitationstherapie-und-gleichgewichtstraining\/\" data-type=\"post\" data-id=\"8932\">vestibular rehabilitation<\/a>. Originally developed for balance organ disorders, it has also proven effective after stroke.<\/p>\n\n\n\n<p>\ud83d\udcc4 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40520068\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Original study<\/a><\/p>\n\n\n\n<p><strong>What does vestibular rehabilitation achieve?<\/strong><\/p>\n\n\n\n<p>\u2022 more security when walking and standing<br>\u2022 less dizziness<br>\u2022 more confidence in your own body<br><br>The exercises are simple, can be adapted individually, and are especially effective when practiced regularly over several weeks.<\/p>\n\n\n\n<p><strong>Important to know<\/strong><\/p>\n\n\n\n<p>Not every exercise is right for everyone. That is why it is important that specially trained therapists guide and support the treatment.<\/p>\n\n\n\n<p>\ud83c\udfaf <strong>Specially trained IVRT\u00ae dizziness and vestibular therapists<\/strong>with experience in post-stroke rehabilitation you can find via the <strong><a href=\"https:\/\/ivrt.de\/en\/fuer-betroffene\/therapeutensuche\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT therapist search<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Schwindel, Gleichgewichtsprobleme und Gangunsicherheit sind h\u00e4ufige Folgen nach einem Schlaganfall \u2013 und beeintr\u00e4chtigen die Lebensqualit\u00e4t vieler Patient:innen. Zunehmend r\u00fcckt dabei die sogenannte vestibul\u00e4re Rehabilitationstherapie (VR) in den Fokus \u2013 ein Therapieansatz, der urspr\u00fcnglich aus der Behandlung von Gleichgewichtsst\u00f6rungen des Vestibularorgans stammt. Eine aktuelle \u00dcbersichtsarbeit (Fan et al., 2025) hat 15 Studien mit insgesamt [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":14247,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":569,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-14189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/14189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/comments?post=14189"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/14189\/revisions"}],"predecessor-version":[{"id":17491,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/14189\/revisions\/17491"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media\/14247"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media?parent=14189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/categories?post=14189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/tags?post=14189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}