"ALANCE 2ETRAINING
%XERCISES WHICH SPEED RECOVERY
FROM DIZZINESS AND UNSTEADINESS
This booklet was written by Professor Lucy Yardley and produced by the University of
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© Professor Lucy Yardley
^ *ÀœviÃÜÀ ÕVÞ 9>À`iÞ
The Ménière’s Society is the UK registered charity providing support and information
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161420 cover complete.indd 1
7RITTEN BY 0ROFESSOR ,UCY 9ARDLEY
13/08/2012 08:54:38
-Õ««i“i˜Ì vœÀ for
«iœ«i
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`ˆÃi>Ãi disease
Supplement
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3PECIAL EXERCISES CHOOSE AND WRITE DOWN ANY YOU THINK YOU NEED TO DO
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Can
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‘Balance
retraining’
a therapy
which
speed
recovery
from
any change
in balance
system
function
including
caused
by Ménière’s
if you
disease,
ˆ˜VÕ`ˆ˜} V- >˜}iÃ
V>ÕÃi`changes
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`ˆÃi>Ãi]
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̜ ՘`iÀÃÌ>˜`
you
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understand
difference
attacks
vertigo
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exercises
Ì i `ˆvviÀi˜Vi
>ÌÌ>VŽÃthe
œv ÛiÀ̈}œ
­Ü ˆV between
Ì i iÝiÀVˆÃiÃ
V>˜˜œÌofi«®
>˜` œ˜}‡>Ã̈˜}
`ˆâ∘iÃÃ
>˜` cannot
help)
and
long-lasting
dizziness
and
imbalance
(which
the
exercises
can
help).
ˆ“L>>˜Vi ­Ü ˆV Ì i iÝiÀVˆÃià V>˜ i«®°
ÌÌ>VŽ œvof
ÛiÀ̈}œ°
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ÃÕ``i˜Þ]
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Attack
vertigo.
is a strong
happens
suddenly,
lasts several
ÕÃÕ>Þ V>ÕÃiÃ
ÞœÕ Ìœ Licauses
ÈVŽ] >˜`you
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>ÌÌ>VŽÃ
œv In
hours,
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andÕ«]
to Ü>Ž
be unable
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walk or
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changes
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ÛiÀ̈}œ >Ài V>ÕÃi`
LÞ V attacks
>˜}ià ˆ˜ of
Ì ivertigo
ˆ˜˜iÀ i>À°are
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iÝiÀVˆÃiÃ
«ÀiÛi˜Ì
iÃiinner
>ÌÌ>VŽÃ
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Ì iÞ
cannot
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but they>ۈ˜}
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V>˜˜œÌ V>ÕÃi
Ì i“ these
iˆÌ iÀ° v
ÞœÕ >Ài -VÕÀÀi˜ÌÞ
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Žˆ˜`à œvthem
>ÌÌ>VŽÃeither.
ÛiÀÞ vÀiµÕi˜ÌÞ
ÈÝ
these
kinds
of
attacks
very
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six
weeks,
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often)
then
the
exercises
ÜiiŽÃ] œÀ “œÀi œvÌi˜® Ì i˜ Ì i iÝiÀVˆÃià V>˜˜œÌ i« ÞœÕ ÕÃÌ ˜œÜ] >à ÀiVœÛiÀÞ Ì>Žià >Ì i>ÃÌ ÃˆÝ ÜiiŽÃ iÛi˜ cannot
help
just now, as recovery takes at least six weeks even with the exercises.
ÜˆÌ Ì you
i iÝiÀVˆÃið
Long-lasting
dizziness
and imbalance.
œ˜}‡>Ã̈˜} `ˆâ∘iÃÃ
>˜` ˆ“L>>˜Vi°
The
the inner
which
cause
an attack
of vertigo
result
a change
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the signals
ˆ˜ > Vchanges
>˜}i ˆ˜ Ì in
i È}˜>Ã
}ˆÛi˜ear
œÕÌ LÞ
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given
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faulty balance
time,
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>««i˜Ã®]Over
>˜` Ü
ÞœÕ LiVœ“i
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(the
booklet
explains
how
this
happens),
and
so
you
become
less
dizzy.
Balance
retraining
iÝiÀVˆÃià V>˜ ëii` Ì ˆÃ «ÀœViÃà œv ÀiVœÛiÀÞ°
exercises can speed this process of recovery.
'ENERAL ACTIVITIES CHOOSE AND WRITE DOWN ANY YOU WOULD LIKE TO DO
ÌÌ>VŽÃ œv ÛiÀ̈}œ `œ ˜œÌ ˜œÀ“>Þ œVVÕÀ ÛiÀÞ œvÌi˜ ‡ ÕÃÕ>Þ Ì iÀi >Ài “>˜Þ “œ˜Ì à œÀ iÛi˜ Þi>Àà LiÌÜii˜
Attacks
vertigo
normally
occur
very
often -œVVÕÀ
usually
there are
many
months
Ì iÀido
>Àinot
ܓï“iÃ
«iÀˆœ`Ã
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Ì i >ÌÌ>VŽÃ
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“>Þ vˆ˜`
Ì >Ì ˆ˜or even
>ÌÌ>VŽÃ] >ÌofœÕ}
years
between
attacks,
although
there
are
sometimes
periods
when
the
attacks
occur
LiÌÜii˜ Ì i >ÌÌ>VŽÃ œv ÛiÀ̈}œ ÞœÕ >Ûi œ˜}‡>Ã̈˜} Ãޓ«Ìœ“Ã] ÃÕV >à `ˆâ∘iÃÃ] ˜>ÕÃi>] ՘ÃÌi>`ˆ˜iÃÃ] frequently.
But
you may
thatviiˆ˜}°
in between
the attacks
vertigo
youÜhave
long-lasting
such
̈Ài`˜iÃÃ]
œÀ > ¼ find
>˜}œÛiÀ½
/ iÃi Ãޓ«Ìœ“Ã
œvÌi˜ofLiVœ“i
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i˜ ޜÕ
>Ài « ÞÈV>Þsymptoms,
>V̈Ûi]
as
dizziness,
nausea,
unsteadiness,
tiredness,
or
a
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feeling.
These
symptoms
often
̈Ài`] ÃÌÀiÃÃi`] œÀ Ü i˜ ÞœÕ ÌÀ>Ûi° / i iÝiÀVˆÃià V>˜ i« ÞœÕ Ìœ Vi>À Õ« Ì iÃi Ãޓ«Ìœ“à `ÕÀˆ˜} Ì i
become
worse >ÌÌ>VŽÃ
when œv
you
are physically active, tired, stressed, or when you travel. The exercises
«iÀˆœ` ˆ˜ LiÌÜii˜
ÛiÀ̈}œ°
can help you to clear up these symptoms during the period in between attacks of vertigo.
"v VœÕÀÃi] >vÌiÀ ÞœÕ >Ûi Vi>Ài` Õ« Ì i œ˜}‡>Ã̈˜} Ãޓ«Ìœ“Ã] ÞœÕ “>Þ >Ûi >˜œÌ iÀ >ÌÌ>VŽ œv ÛiÀ̈}œ° ˜
Of
you̜have
cleared
up the
symptoms,
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Ì ˆÃcourse,
V>Ãi] ޜÕafter
܈ >Ûi
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œÛiÀ >}>ˆ˜]
ÕȘ}long-lasting
Ì i iÝiÀVˆÃià ̜
ëii` ÀiVœÛiÀÞ°
ÕÌ «iœ«i
܈Ìanother attack of
vertigo.
this Ücase,
you
will
have
to start
using
the exercises
to Li
speed
j˜ˆmÀi½Ã In
`ˆÃi>Ãi
œ >Ûi
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Ì iÃi
iÝiÀVˆÃiÃ
Ã>Þall
Ì >Ìover
Ì iÞ again,
}ˆÛi Ì i“
Vœ˜vˆ`i˜Vi
Ì >Ì Ì iÞ Üˆ
>Li ̜recovery.
But
people
with
Ménière’s
disease
who
have
tried
these
exercises
say
that
they
give
them
}iÌ œÛiÀ Ì iˆÀ ˜iÝÌ >ÌÌ>VŽ œv ÛiÀ̈}œ “œÀi µÕˆVŽÞ] ÕȘ} Ì i iÝiÀVˆÃià ̜ i« ̜ Vi>À Õ« Ãޓ«Ìœ“ð
confidence that they will be able to get over their next attack of vertigo more quickly, using the
exercises to help to clear up symptoms.
'ENERAL COMMENTS NOTE ANYTHING WHICH SEEMS TO HELP OR ANY SETBACKS
- ,
/ ˆÃ LœœŽiÌ ˆ˜VÕ`ià iÝiÀVˆÃiÃ Ì >Ì >Ài ÃՈÌ>Li vœÀ «iœ«i ÃÕvviÀˆ˜} vÀœ“ L>>˜Vi «ÀœLi“à >˜` `ˆâ∘iÃð / iÞ >Ài ÌÞ«ˆV> œv Ì i
ÜÀÌ œv iÝiÀVˆÃiÃ Ì >Ì >Ài «ÀœÛˆ`i` ˆ˜ « ÞÈœÌ iÀ>«Þ Ài >LˆˆÌ>̈œ˜ «Àœ}À>““ið
DISCLAIMER: This booklet includes exercises that are suitable for people suffering from balance problems and dizziness. They are typical
of the sort of exercises that are provided in physiotherapy rehabilitation programmes. These exercises can be used for a range of balance
/ iÃi iÝiÀVˆÃià V>˜ Li ÕÃi` vœÀ > À>˜}i œv L>>˜Vi «ÀœLi“à >˜`ɜÀ `ˆâ∘iÃÃ] œÜiÛiÀ Ì iÞ `œ ˜œÌ >``ÀiÃà ëiVˆvˆV>Þ Ì i
problems and/or dizziness, however they are not effective for all kinds of dizziness and it is important to check with your doctor whether
V>ÕÃi œv Ì i Ãޓ«Ìœ“à >˜` >à ÃÕV ] LivœÀi i“L>ÀŽˆ˜} œ˜ iÝiÀVˆÃiÃ] Ì i V>ÕÃi œv Ì i Ãޓ«Ìœ“Ã à œÕ` Li >ÃViÀÌ>ˆ˜i` “i`ˆV>Þ°
they are suitable for you or whether some other treatment might help your dizziness. Exercises such as these take many weeks to start
ÝiÀVˆÃià ÃÕVthe>Ãbalance
Ì iÃi Ì>Ži
“>˜Þ
̜ ÃÌ>ÀÌ
i L>>˜Vi
ÃÞÃÌi“
>˜` Ìbalance
iÞ >Ài and/or
Ì iÞworse.
“>Þ “>Ži
>À` ܜÀŽ°
˜ˆÌˆ>Þ
recalibrating
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andÜiiŽÃ
they are
hardÀiV>ˆLÀ>̈˜}
work. InitiallyÌ they
may make
general
giddiness
seem
If unsure
}i˜iÀ>
>˜`ɜÀ
Ãii“ ܜÀÃi°
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`œ Ì i“ ޜÕ
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to do them
you}ˆ``ˆ˜iÃÃ
need to discuss
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In V>Ài
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œv ޜÕÀ
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supplying
booklet
the Ménière’s
Society
accepts no responsibility for the response to, or outcome from, undertaking such exercises.
˜ ÃÕ««Þˆ˜} Ì ˆÃ LœœŽiÌ Ì i j˜ˆmÀi½Ã -œVˆiÌÞ >VVi«Ìà ˜œ Ài뜘ÈLˆˆÌÞ vœÀ Ì i Ài뜘Ãi ̜ œÀ œÕÌVœ“i vÀœ“ ՘`iÀÌ>Žˆ˜} ÃÕV iÝiÀVˆÃið
161420 cover complete.indd 2
13/08/2012 08:54:39
-Õ««i“i˜Ì vœÀ for
«iœ«i
ÜˆÌ j˜ˆmÀi½Ã
`ˆÃi>Ãi disease
Supplement
people
with Ménière’s
3PECIAL EXERCISES CHOOSE AND WRITE DOWN ANY YOU THINK YOU NEED TO DO
>˜ L>>˜Vi
ÀiÌÀ>ˆ˜ˆ˜}
iÝiÀVˆÃiÃ
i« ܓiœ˜i
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`ˆÃi>Ãi¶
Can
balance
retraining
exercises
help someone
with
Ménière’s disease?
¼ >>˜Vi ÀiÌÀ>ˆ˜ˆ˜}½
ˆÃ > ÌisiÀ>«Þ
Ü ˆV V>˜
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vÀœ“
>˜Þ V >˜}i
ˆ˜ L>>˜Vi
ÃÞÃÌi“ v՘V̈œ˜
‡
‘Balance
retraining’
a therapy
which
speed
recovery
from
any change
in balance
system
function
including
caused
by Ménière’s
if you
disease,
ˆ˜VÕ`ˆ˜} V- >˜}iÃ
V>ÕÃi`changes
LÞ j˜ˆmÀi½Ã
`ˆÃi>Ãi°
ÕÌ ˆv ÞœÕ >Ûidisease.
j˜ˆmÀi½ÃBut
`ˆÃi>Ãi]
ޜÕhave
˜ii` Ménière’s
̜ ՘`iÀÃÌ>˜`
you
need toLiÌÜii˜
understand
difference
attacks
vertigo
(which the
exercises
Ì i `ˆvviÀi˜Vi
>ÌÌ>VŽÃthe
œv ÛiÀ̈}œ
­Ü ˆV between
Ì i iÝiÀVˆÃiÃ
V>˜˜œÌofi«®
>˜` œ˜}‡>Ã̈˜}
`ˆâ∘iÃÃ
>˜` cannot
help)
and
long-lasting
dizziness
and
imbalance
(which
the
exercises
can
help).
ˆ“L>>˜Vi ­Ü ˆV Ì i iÝiÀVˆÃià V>˜ i«®°
ÌÌ>VŽ œvof
ÛiÀ̈}œ°
/ ˆÃ This
ˆÃ > ÃÌÀœ˜}
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œv 눘˜ˆ˜}of
Ü spinning
ˆV >««i˜Ãwhich
ÃÕ``i˜Þ]
>ÃÌà ÃiÛiÀ>
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Attack
vertigo.
is a strong
happens
suddenly,
lasts several
ÕÃÕ>Þ V>ÕÃiÃ
ÞœÕ Ìœ Licauses
ÈVŽ] >˜`you
̜ Lito՘>Li
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œÀ `ÀˆÛi°to˜stand
j˜ˆmÀi½Ã
>ÌÌ>VŽÃ
œv In
hours,
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andÕ«]
to Ü>Ž
be unable
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Ménière’s
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byV>˜˜œÌ
changes
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ear.
The
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ÛiÀ̈}œ >Ài V>ÕÃi`
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>˜}ià ˆ˜ of
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ˆ˜˜iÀ i>À°are
/ icaused
iÝiÀVˆÃiÃ
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iÃiinner
>ÌÌ>VŽÃ
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Ì iÞ
cannot
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but they>ۈ˜}
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V>˜˜œÌ V>ÕÃi
Ì i“ these
iˆÌ iÀ° v
ÞœÕ >Ài -VÕÀÀi˜ÌÞ
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ÛiÀÞ vÀiµÕi˜ÌÞ
ÈÝ
these
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very
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six
weeks,
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often)
then
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exercises
ÜiiŽÃ] œÀ “œÀi œvÌi˜® Ì i˜ Ì i iÝiÀVˆÃià V>˜˜œÌ i« ÞœÕ ÕÃÌ ˜œÜ] >à ÀiVœÛiÀÞ Ì>Žià >Ì i>ÃÌ ÃˆÝ ÜiiŽÃ iÛi˜ cannot
help
just now, as recovery takes at least six weeks even with the exercises.
ÜˆÌ Ì you
i iÝiÀVˆÃið
Long-lasting
dizziness
and imbalance.
œ˜}‡>Ã̈˜} `ˆâ∘iÃÃ
>˜` ˆ“L>>˜Vi°
The
the inner
which
cause
an attack
of vertigo
result
a change
in ˜iÜ
the signals
ˆ˜ > Vchanges
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given
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faulty balance
time,
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(the
booklet
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how
this
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and
so
you
become
less
dizzy.
Balance
retraining
iÝiÀVˆÃià V>˜ ëii` Ì ˆÃ «ÀœViÃà œv ÀiVœÛiÀÞ°
exercises can speed this process of recovery.
'ENERAL ACTIVITIES CHOOSE AND WRITE DOWN ANY YOU WOULD LIKE TO DO
ÌÌ>VŽÃ œv ÛiÀ̈}œ `œ ˜œÌ ˜œÀ“>Þ œVVÕÀ ÛiÀÞ œvÌi˜ ‡ ÕÃÕ>Þ Ì iÀi >Ài “>˜Þ “œ˜Ì à œÀ iÛi˜ Þi>Àà LiÌÜii˜
Attacks
vertigo
normally
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very
often -œVVÕÀ
usually
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many
months
Ì iÀido
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>ÌÌ>VŽÃ] >ÌofœÕ}
years
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attacks,
although
there
are
sometimes
periods
when
the
attacks
occur
LiÌÜii˜ Ì i >ÌÌ>VŽÃ œv ÛiÀ̈}œ ÞœÕ >Ûi œ˜}‡>Ã̈˜} Ãޓ«Ìœ“Ã] ÃÕV >à `ˆâ∘iÃÃ] ˜>ÕÃi>] ՘ÃÌi>`ˆ˜iÃÃ] frequently.
But
you may
thatviiˆ˜}°
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the attacks
vertigo
youÜhave
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such
̈Ài`˜iÃÃ]
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/ iÃi Ãޓ«Ìœ“Ã
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>V̈Ûi]
as
dizziness,
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unsteadiness,
tiredness,
or
a
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feeling.
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symptoms
often
̈Ài`] ÃÌÀiÃÃi`] œÀ Ü i˜ ÞœÕ ÌÀ>Ûi° / i iÝiÀVˆÃià V>˜ i« ÞœÕ Ìœ Vi>À Õ« Ì iÃi Ãޓ«Ìœ“à `ÕÀˆ˜} Ì i
become
worse >ÌÌ>VŽÃ
when œv
you
are physically active, tired, stressed, or when you travel. The exercises
«iÀˆœ` ˆ˜ LiÌÜii˜
ÛiÀ̈}œ°
can help you to clear up these symptoms during the period in between attacks of vertigo.
"v VœÕÀÃi] >vÌiÀ ÞœÕ >Ûi Vi>Ài` Õ« Ì i œ˜}‡>Ã̈˜} Ãޓ«Ìœ“Ã] ÞœÕ “>Þ >Ûi >˜œÌ iÀ >ÌÌ>VŽ œv ÛiÀ̈}œ° ˜
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you̜have
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ÕÌ «iœ«i
܈Ìanother attack of
vertigo.
this Ücase,
you
will
have
to start
using
the exercises
to Li
speed
j˜ˆmÀi½Ã In
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œ >Ûi
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Ì iÃi
iÝiÀVˆÃiÃ
Ã>Þall
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Ì iÞ again,
}ˆÛi Ì i“
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Ì >Ì Ì iÞ Üˆ
>Li ̜recovery.
But
people
with
Ménière’s
disease
who
have
tried
these
exercises
say
that
they
give
them
}iÌ œÛiÀ Ì iˆÀ ˜iÝÌ >ÌÌ>VŽ œv ÛiÀ̈}œ “œÀi µÕˆVŽÞ] ÕȘ} Ì i iÝiÀVˆÃià ̜ i« ̜ Vi>À Õ« Ãޓ«Ìœ“ð
confidence that they will be able to get over their next attack of vertigo more quickly, using the
exercises to help to clear up symptoms.
'ENERAL COMMENTS NOTE ANYTHING WHICH SEEMS TO HELP OR ANY SETBACKS
- ,
/ ˆÃ LœœŽiÌ ˆ˜VÕ`ià iÝiÀVˆÃiÃ Ì >Ì >Ài ÃՈÌ>Li vœÀ «iœ«i ÃÕvviÀˆ˜} vÀœ“ L>>˜Vi «ÀœLi“à >˜` `ˆâ∘iÃð / iÞ >Ài ÌÞ«ˆV> œv Ì i
ÜÀÌ œv iÝiÀVˆÃiÃ Ì >Ì >Ài «ÀœÛˆ`i` ˆ˜ « ÞÈœÌ iÀ>«Þ Ài >LˆˆÌ>̈œ˜ «Àœ}À>““ið
DISCLAIMER: This booklet includes exercises that are suitable for people suffering from balance problems and dizziness. They are typical
of the sort of exercises that are provided in physiotherapy rehabilitation programmes. These exercises can be used for a range of balance
/ iÃi iÝiÀVˆÃià V>˜ Li ÕÃi` vœÀ > À>˜}i œv L>>˜Vi «ÀœLi“à >˜`ɜÀ `ˆâ∘iÃÃ] œÜiÛiÀ Ì iÞ `œ ˜œÌ >``ÀiÃà ëiVˆvˆV>Þ Ì i
problems and/or dizziness, however they are not effective for all kinds of dizziness and it is important to check with your doctor whether
V>ÕÃi œv Ì i Ãޓ«Ìœ“à >˜` >à ÃÕV ] LivœÀi i“L>ÀŽˆ˜} œ˜ iÝiÀVˆÃiÃ] Ì i V>ÕÃi œv Ì i Ãޓ«Ìœ“Ã à œÕ` Li >ÃViÀÌ>ˆ˜i` “i`ˆV>Þ°
they are suitable for you or whether some other treatment might help your dizziness. Exercises such as these take many weeks to start
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supplying
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accepts no responsibility for the response to, or outcome from, undertaking such exercises.
˜ ÃÕ««Þˆ˜} Ì ˆÃ LœœŽiÌ Ì i j˜ˆmÀi½Ã -œVˆiÌÞ >VVi«Ìà ˜œ Ài뜘ÈLˆˆÌÞ vœÀ Ì i Ài뜘Ãi ̜ œÀ œÕÌVœ“i vÀœ“ ՘`iÀÌ>Žˆ˜} ÃÕV iÝiÀVˆÃið
161420 cover complete.indd 2
13/08/2012 08:54:39
"ALANCE 2ETRAINING
%XERCISES WHICH SPEED RECOVERY
FROM DIZZINESS AND UNSTEADINESS
This booklet was written by Professor Lucy Yardley and produced by the University of
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ˆÃ LœœŽiÌ Ü>Ã
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© Professor Lucy Yardley
^ *ÀœviÃÜÀ ÕVÞ 9>À`iÞ
The Ménière’s Society is the UK registered charity providing support and information
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more information about balance disorders, or to make a
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donation,
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us:
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info@menieres.org.uk
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161420 cover complete.indd 1
7RITTEN BY 0ROFESSOR ,UCY 9ARDLEY
13/08/2012 08:54:38