01/27/2026
⬆️ ⬇️ ✅ Why work on up and down movement in vestibular rehab?
🎯 Trains functional movements that require up and down like stairs and sitting up from lying down;
🛗 Stimulates the saccule, the part of the inner ear that senses up and down motion;
🥇 Enhances balance, core strength, and proprioception, particularly when proper cuing and weight (handheld, wrist cuff weights, and/or a weighted vest) are added.I
📝 🌈 Bridge these activities:
🚦 Start with slow movements.
🌳 Cue the patient to feel their feet planted like roots from a tree, while looking at stationary targets during movement/transitions. Progress to eyes closed if/when safe to do so.
⏰ Pace the activities: start short duration of 30 seconds or 3-5 reps.
💃🏻 Make it fun with favorite music or a game in between transitions.
⚠️ 🚧 Be sure to look forward occasionally since prolonged downward gaze sometimes makes people dizzy. Balance activity should be guided, recommended, and guarded for safety by a trained clinician.
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