Understanding Mal de Debarquement syndrome (MdDS), persistent postural perceptual dizziness (3PD) and somatoform disorders: and the role of vestibular rehabilitation therapy (VRT)

Abstract

It is well established that complaints of dizziness, vertigo, unsteadiness, and internalized motion are commonly reported by patients to health care providers. It is estimated that dizziness is the 3rd most common complaint heard in physicians’ offices across all age groups, preceded only by headache and lower back pain. It has been observed by clinicians for over 100 years, that there is a sizable segment of this population of patients with or without a precedent vertigo episode who report difficulty coping and ambulating comfortably within a visually dynamic world. The purpose of this article is to provide the reader with an understanding of these conditions. This will include definitions of the conditions and a review of their symptoms and management options. The authors will provide a case study to highlight the complex nature of these conditions and successful management approach utilizing Vestibular Rehabilitation Therapy.