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VESTIBULAR DYSFUNCTION PATIENT INFORMATION DIZZY PATIENT INFORMATION 1. Keep active but avoid fatigue Plan you activities and pace yourself Get out of the house at least once a day 2. Drink at least 6 to 8 glasses of water per day Watch your diet Limit salt and sugar intake Keep your weight normal 3. Discuss all medications with your ENT Doctor Avoid alcohol, caffeine, cigarettes, drugs Tranquilizers, narcotics, sleeping pills These medications will make you more dizzy STOP smoking. 4. Avoid rapid changes in head position Turn side to side slowly Get up or down slowly 5. Avoid extremes of head motion Looking up Turning very fast or twisting. 6. Wear flat or low-heeld shoes with firm soles. Don’t climb ladders 7. Place rubber mats or non-skid strips in your bathtub or shower When showering hold onto a bar or wall Keep your eyes open at all times Avoid tipping your head back Sit down in the shower if needed. 8. Wear sunglasses outside in bright sunlight Avoid fluorescent lights Replace fluorescent bulbs with borad-sprectrum bulbs. 9. Avoid excessive visual input Avoid loking at busy patterns in wall paper or rugs Don’t read in the car 10. Decrease visual input Go slowly down grocery or shopping aisles Take one side of an aisle at a time Don’t go back and forth, side to side 11. Keep a night light on Keep your path to the bathroom clear Use solid soled slippers at night 12. Keep your home clear of obstacles Keep phone and light cords out of the way Keep kids toys and animal dishes out of the way Eliminate all loose rugs, like throw rugs 13. Hold securely to support rails on stairs or escalators Go up and down stairs slowly Don’t look around when on stairs Keep looking at a stationary object 14. Use caution when walking on uneven surfaces Go slowly on rocky shorlines, icy roads, gravel, sand Plan your path on sidewalks and parking lots. 15. If necessary, get help when walking Use a cane Take someone’s arm for support 16. Sit or lie down if you feel dizzy Don’t continue what you are doing Your safety is most important 17. Discuss driving with your ENT doctor Safety is most important Don’t drive if dizzy or taking medications. 18. Sit in the front seat of the car or bus Focus on the horizon Don’t read in the car 19. If you have sudden attacks Don’t drive Don’t swim 20. Try “grounding” Let your hand glide along a wall or support Touch furniture Hold on to railings 21. Try “spotting” Focus on a non-moving object when changing directions Keep your focus if there is excessive visual input Department of Otolaryngology Head and Neck Surgery University of California, Davis Medical Center VESTIBULAR EXERCISES GENERAL EXERCISE INFORMATION The goal of exercise is to help your body adapt to normal movements without making you dizzy. First we find the most provocatiove, or dizzy producing activity you are able to do safely. You will work on that activity until you are safe and not dizzy. We then add more activities as you improve. You physical therapist will select the correct activity and exercise for you. Include an aerobic axercise program in addition to your specific vestibular exercises. Work with your physical therapist to develop your best complete program. A schedule of twenty minutes three times a week is a good aerobic activity program. Safety during exercise is very important, work with your physical therapist about safety in exercise. If you experience any back or neck pain, stop exercising and contact your physical therapist. If you experience any of the following symptoms, stop exercising and contact your ENT Physician. 1. Sudden hearing loss or changes in hearing. 2. Pressure and fullness to the point of discomfort 3. Fluid draining from your ears. 4. Severe ringing in your ears 5. Any change that you are concerned about. UCDMC ENT Otolaryngology Department (916) 734-5400 UCDMC Physical Therapy (916) 734-7039 Department of Otolaryngology Head and Neck Surgery University of California, Davis Medical Center VISUAL EXERCISES VESTIBULAR REPEAT EACH EXERCISE FIVE (5TIMES) TWICE (2 TIMES) A DAY 1. Visual fixation eyes open stationary target Slow head movements 2. Imaginary visual fixation eyes closed Small head movements, self selected speed 3. Visual fixation eyes open stationary taraget Fast and slow movements near targets 4. Visual fixation eyes open moving target Opposite direction slow head movements 5. Visual fixation eyes open stationary target Fast and slow head movements near and far targets 6. Visual fixation eyes open moving target Slow and fast head movements Department of Otolaryngology Head and Neck Surgery University of California, Davis Medical Center