Bilateral Vestibular Hypofunction (BVH)


What is a Bilateral Vestibular Hypofunction?

A Bilateral Vestibular Hypofunction (BVH) can also been known as a Bilateral Vestibular Loss (BVL) or Bilateral Vestibular Weakness (BVW).

This means there is a reduction in function of vestibular (inner ear) function bilaterally (in both ears). BVH results in difficulty maintaining balance, especially when walking in the dark or on uneven surfaces, and difficulty seeing clearly when the head is moving. This increases the risk of falling and can be incredibly socially isolating.

Signs and Symptoms of BVH

The most common symptom experienced is significant imbalance with a high risk of falls. This imbalance is much worse in the dark or on uneven ground. . Other symptoms that can also be experienced include:

clouddy vision
Meniere Disease

What causes BVH?

In most cases, BVH is considered to be “idiopathic” because the underlying cause cannot be identified However, BVH can also occur as secondary to a number of different problems including: The diagnosis of a stroke is confirmed using a CT scan or MRI scan of your brain. A review by a neurologist is also performed to diagnose and manage the stroke.

Vestibular Physiotherapy for BVH

Your Vestibular Physiotherapist will complete a comprehensive assessment of your vestibular and balance systems to aid in diagnosis.

Based on your assessment results, your vestibular physiotherapist will then provide an individualised vestibular rehabilitation program which may include exercises to improve your gaze stability, balance and walking.

It is important to also focus on safety considerations during your rehabilitation program. Your vestibular physiotherapist may teach you how to use a cane or walker to decrease risk for falls and encourage you to pay more attention to your surroundings, feel your feet on the ground, and widen your base of support as well as other falls risk reduction strategies.