Central Causes of Dizziness V

estibular physical therapy has become a mainstay in the manage-ment of patients with balance disorders manifesting as dizziness and disequilibrium. Numerous concept papers,1–20 case stud-ies,21–29 case series with no controls,30–44 and controlled stud-ies45–49 support the use of rehabilitation techniques for patients with periph-eral vestibular disorders. There is less evidence supporting the use of rehabilitation techniques for patients with central vestibular disorders. Several concept papers,6,9,17,50–54 case studies,4,23,55–59 and case series with no con-trols17,23,30,31,33,36,38–40 have been published regarding central vestibular disor-ders. In addition, 2 textbooks on the subject of vestibular rehabilitation60,61 provide ample evidence that this treatment for patients with balance disorders appears to be very promising (Tab. 1). Only a few controlled studies,45–49 however, have addressed the efficacy of physical therapy for patients with peripheral vestibular disorders, and none of these controlled studies have addressed patients with central vestibular pathology. Articles that specificall