Editing Labyrinthitis (section)

===Physical therapy===
Typical treatments include combinations of head and eye movements, postural changes, and walking exercises. Specifically, exercises that may be prescribed include keeping eyes fixated on a specific target while moving the head, moving the head right to left at two targets at a significant distance apart, walking while keeping eyes fixated on a specific target, and walking while keeping eyes fixated on a specific target while also turning the head in different directions.<ref name=PT2009>{{cite journal|last=Walker|first=MF|title=Treatment of vestibular neuritis.|journal=Current Treatment Options in Neurology|date=January 2009|volume=11|issue=1|pages=41–5|pmid=19094835|doi=10.1007/s11940-009-0006-8|s2cid=37693582}}</ref>
The main function behind repeating a combination of head and eye movements, postural changes and walking is that through this repetition, compensatory changes for the dysfunctions arising from peripheral vestibular structures may be promoted in the central [[vestibular system]] ([[brainstem]] and [[cerebellum]]).<ref name=PT2009/>

[[Vestibular rehabilitation]] therapy is a highly effective way to substantially reduce or eliminate residual dizziness from labyrinthitis.<ref>{{Cite news|url=https://vestibular.org/understanding-vestibular-disorder/treatment/treatment-detail-page#|title=Vestibular Rehabilitation Therapy (VRT)|date=2011-12-27|work=Vestibular Disorders Association|access-date=2018-05-19|language=en}}</ref> VRT works by causing the brain to use already existing neural mechanisms for adaptation, [[neuroplasticity]], and compensation.<ref name="Burton" /> Vestibular neuritis rehabilitation is an effective and safe management to improve symptoms.<ref name=":12">{{Citation|last1=Fishman|first1=Jonathan M|chapter=Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis)|date=2010-07-07|pages=CD008607|editor-last=The Cochrane Collaboration|publisher=John Wiley & Sons, Ltd|language=en|doi=10.1002/14651858.cd008607|last2=Burgess|first2=Chris|last3=Waddell|first3=Angus|title=Cochrane Database of Systematic Reviews}}</ref> The vestibular neuritis rehabilitation can improve symptoms or resolve the symptoms which is dependent on each individual.<ref name=":12" />

Rehabilitation strategies most commonly used are:<ref name="Burton" />

*'''Gaze stability exercises''' – moving the head from side to side while fixated on a stationary object (aimed at assisting the eye to fixate during head rotation without the input from the lost canal [[vestibulo-ocular reflex]]).  An advanced progression of this exercise would be walking in a straight line while looking side to side by turning the head.
*'''Habituation exercises''' – movements designed to provoke symptoms and subsequently reduce the negative vestibular response upon repetition. Examples of these include [[Benign paroxysmal positional vertigo#Brandt–Daroff exercises|Brandt–Daroff exercises]].
*'''Functional retraining''' – including postural control, relaxation, and balance training.

These exercises function by challenging the vestibular system.  Progression occurs by increasing the amplitude of the head or focal point movements, increasing the speed of movement, and combining movements such as walking and head turning.<ref>{{Cite news|url=https://www.fisioterapialabirintica40.com.br/publicacoes|title=Physical Therapy Rehabilitation|access-date=2019-10-29|language=en}}</ref>

One study found that patients who believed their illness was out of their control showed the slowest progression to full recovery, long after the initial vestibular injury had healed.<ref name="Bronstein" /> The study revealed that the patient who compensated well was one who, at the psychological level, was not afraid of the symptoms and had some positive control over them. Notably, a reduction in negative beliefs over time was greater in those patients treated with rehabilitation than in those untreated. "Of utmost importance, baseline beliefs were the only significant predictor of change in a handicap at 6 months follow-up."