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Balance disorder
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==Treatment== There are various options for treating balance disorders. One option includes treatment for a disease or disorder that may be contributing to the balance problem, such as ear infection, [[cerebrovascular accident|stroke]], [[multiple sclerosis]], [[spinal cord injury]], [[Parkinson's]], neuromuscular conditions, [[acquired brain injury]], cerebellar dysfunctions and/or [[ataxia]], or some tumors, such as [[acoustic neuroma]]. Individual treatment will vary and will be based upon assessment results including symptoms, medical history, general health, and the results of medical tests. Additionally, tai chi may be a cost-effective method to prevent falls in the elderly.<ref name="pmid18505980">{{cite journal | vauthors = Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, Hain TC, Herdman S, Morrow MJ, Gronseth GS | title = Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology | journal = Neurology | volume = 70 | issue = 22 | pages = 2067β74 | date = May 2008 | pmid = 18505980 | doi = 10.1212/01.wnl.0000313378.77444.ac | s2cid = 24158281 | doi-access = free }}</ref> === Vestibular rehabilitation === Many types of balance disorders will require balance training, prescribed by an occupational therapist or physiotherapist. [[Physiotherapist]]s often administer standardized outcome measures as part of their assessment in order to gain useful information and data about a patient's current status. Some standardized [[Balance (ability)|balance]] assessments or outcome measures include but are not limited to the Functional Reach Test, Clinical Test for Sensory Integration in Balance (CTSIB), [[Berg Balance Scale]] and/or [[Timed Up and Go test|Timed Up and Go]]<ref>{{cite book |title=Physical Rehabilitation |vauthors=O'Sullivan S, Schmitz T |date=August 2006 |isbn=978-0-8036-1247-1 |veditors=O'Sullivan S |volume=5 |chapter=8|publisher=F.A. Davis }}</ref> The data and information collected can further help the physiotherapist develop an intervention program that is specific to the individual assessed. Intervention programs may include training activities that can be used to improve static and dynamic postural control, body alignment, weight distribution, [[ambulation]], fall prevention and sensory function.<ref>{{cite book | vauthors = O'Sullivan S, Schmitz T| title = Physical Rehabilitation | chapter = 13 | volume = 5 |veditors = O'Sullivan S| date = August 2006 | location = F. A. Davis Company | isbn = 978-0-8036-1247-1}}</ref> ===Bilateral vestibular loss=== Dysequilibrium arising from bilateral loss of vestibular function β such as can occur from ototoxic drugs such as [[gentamicin]] β can also be treated with balance retraining exercises (vestibular rehabilitation) although the improvement is not likely to be full recovery.<ref>{{cite journal | author=Horak FB | title=Postural compensation for vestibular loss and implications for rehabilitation | journal=Restor Neurol Neurosci | year=2010 | volume=28 | issue=1 | pages=57β68 |doi=10.3233/RNN-2010-0515 | pmid=20086283 | pmc=2965039}}</ref><ref>{{cite journal |vauthors=Alrwaily M, Whitney SL | title=Vestibular rehabilitation of older adults with dizziness | journal=Otolaryngologic Clinics of North America | year=2011 | volume=44 | issue=2 | pages=473β496 |doi=10.1016/j.otc.2011.01.015| pmid=21474018 }}</ref>
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