02/13/2026
Vestibular therapy not helping after brain injury?
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It may not be because therapy “doesn’t work.”
It may be because the entire network hasn’t been addressed.
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The vestibular system doesn’t function in isolation. It’s deeply connected to the cerebellum, brainstem, ocular motor nuclei, autonomic nervous system, and higher cortical centers responsible for attention, spatial awareness, and cognitive load. After concussion or acquired brain injury, dysfunction is rarely confined to one pathway.
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Advanced Video Oculography (VOG) allows us to objectively measure eye movements and evaluate how well the vestibular system is communicating with higher brain centers. When these networks are out of sync, progress can stall — even with consistent therapy
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Here’s what we commonly see:
• Persistent dizziness driven by ocular motor instability
• “Failed” vestibular therapy due to unaddressed autonomic dysregulation
• Visual–vestibular mismatch from cerebellar timing deficits
• Symptom flares because metabolic capacity wasn’t respected
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Brain injury recovery is not just about stimulating a weak system. It requires understanding:
– Network-level dysfunction
– Neurovascular and mitochondrial capacity
– Autonomic load
– Cognitive demand
– Proper sequencing and dosing of interventions
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This is where functional neurology becomes a powerful solution.
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A functional neurology approach identifies underperforming circuits, respects the brain’s metabolic capacity, and applies targeted stimulation at the right intensity to drive adaptive neuroplastic change — without overwhelming the system.
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It’s not about doing more therapy.
It’s about doing the right therapy, in the right order, at the right dose.
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Assessment matters.
Sequencing matters.
Metabolic respect matters.
👇 Save this for later or share it with someone stuck in recovery.
VestibularRehab VestibularTherapy TBIRecovery AcquiredBrainInjury BalanceDisorders FunctionalNeurology Neuroplasticity
PostConcussionDizziness OculomotorRehab AutonomicDysfunction NeuroPerformance BrainOptimization PerformanceMedicine
