Vestibular rehabilitation therapy
Rehabilitation
≈ ¥20-50
(≈ $3-7)
15 min
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Description
Estimated cost for Vestibular rehabilitation therapy at general public hospitals in China is about ¥15-40, and at Grade 3A hospitals about ¥20-50, varying by hospital tier and region.
Main Uses
Primary clinical uses include: rehabilitation for fall prevention in older adults; post-stroke or post-concussion balance retraining; vestibular rehabilitation for dizziness and vertigo; functional recovery after orthopedic surgery (e.g., hip/knee replacement); and management of progressive neurological conditions (e.g., multiple sclerosis, Parkinson’s disease). It is applied in outpatient rehab, geriatric clinics, neurology departments, and skilled nursing facilities.
Normal Range
Balance function training is not a diagnostic laboratory test with numerical 'normal ranges'; it is a therapeutic intervention. Clinical assessment of balance (e.g., via Berg Balance Scale, Timed Up and Go, or computerized dynamic posturography) yields performance-based scores: Berg Balance Scale normal range = 41–56/56; Timed Up and Go normal = ≤10 seconds; Sensory Organization Test (SOT) composite score normal = 70–100. Training outcomes are measured as functional improvements (e.g., ≥2-point Berg increase, ≥2-second TUG reduction) over baseline after 4–12 weeks of supervised therapy.
Low Values - Possible Causes
Low baseline balance scores (indicating poor initial function) commonly result from: 1) Age-related vestibular/somatosensory decline, 2) Stroke or traumatic brain injury affecting cerebellar or parietal pathways, 3) Peripheral neuropathy (e.g., diabetic), 4) Parkinson’s disease or other neurodegenerative disorders, 5) Bilateral vestibular hypofunction or chronic inner ear pathology.
High Values - Possible Causes
High baseline balance scores (near-ceiling performance) may reflect: 1) Young, healthy individuals with intact sensory-motor integration, 2) Athletes or dancers with enhanced proprioception and postural control, 3) Patients recovering well from acute vestibular neuritis with compensatory adaptation, 4) Individuals with high baseline physical activity levels and neuromuscular fitness, 5) Absence of neurological, musculoskeletal, or vestibular pathology.