Excercise
Excercise
Anirban Biswas
Neurotologist
Vertigo Clinic - Belle Vue, 9, Dr. U N Brahamachari Road, Kolkata - 700 017 Vertigo & Deafness Clinic - CJ -15 Salt Lake, Kolkata - 700 091
/. Sit down and rotate the head from side to side for 1-2 minutes 4. Sit and rotate/ shrug shoulders forwards 2. Bend forward as if to pick an object from the ground. Perform this in sitting posture initially and then try it in erect posture if you can.
and backwards 15-20 times. 3. Sit and rotate the head and trunk alternately to the right and left sides for 10-15 times
5. Hold a board with some letters written on it 18 inches in front of the eyes and then keeping a word/letter in focus rotate the head from side to side 20 times. Rotate only the head, not the board and keep the eyes fixed on the letters while rotating the head.
9. 6. After about a week, try to keep the head fixed, focus on the letters and move the board from side to side
7. Hold index finger 3 feet in front of the eyes and keeping eyes focused on the tip of the index finger bring the finger to 4 inches in front of the nose. Again take it 3 feet away and bring it back. Repeat this 10 times always keeping the eyes focused on the tip of the finger. Focus the eyes on any fixed object on the
10. Stand erect with arms folded, in front of the chest and then put one foot in front of the other. Stand like this for 1 minute
/ / (a) Throw a small rubber ball from one hand to another above the head and track the movement of the ball with the eyes as it passes from one hand to another.
11 (b) Throw the ball to the wall and catch it repeatedly for 15-20 times tracking the movement of the ball visually.
11 (c) Pass the ball from hand to hand under the knee keeping the eyes focused on the hallos much as possible.
11 (d) Walk forward, throwing the ball up and catching it, keeping the eyes focused on the moving ball while walking
13) Stand 1 feet in front of wall with jour back towards the wall. Move the hip backwards towards the wall, touch it with jour hips and then return back to erect posture. Do this repeatedly 8-10 times.
14) Walk in a circle 10 times clockwise and 10 times anticlockwise with eyes open.
15. Walk around (with eyes open) 3-4 obstacles placed in room 10-12 times.
17. Stand on a pillow, eyes open and rotate head and torso from side to side. Initially just turn to the sides. After a few days of practise, try to look backwards towards the area behind jour left foot and then behind jour right foot.
PADMASANA
YOGA MUDRASANA
BHUJANGASANA
SALBHASANA PASCHIMOTTANASANA
HALASANA
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SABASANA
DISCLAIMER
This booklet is only for balance disorder patients who have consulted Dr. Anirban Biswas, neurotologist and not for others. The exercises and asanas described herein are physically demonstrated to the patient by a trained expert in Dr. Anirban Biswas vertigo clinic. All exercises shown here are standardized and approved exercises and asanas and not innovated by Dr. Anirban Biswas. They are compiled together for the benefit of the patient only. Though great care has been taken in compiling and checking the correctness of exercises and asanas, Dr. Anirban Biswas or his staff shall not be responsible or in any way liable for any errors, omissions / inaccuracies whether arising from negligence or otherwise whatsoever or any consequences arising therefrom. The beneficial effects of most of exercises have been endorsed by scientific research, but each and every exercise may not be necessary / advisable for every patient of vertigo. The clinician is to decide which exercises are suitable for each individual and hence the exercise protocol may require some customization for individual patients. Refrain from performing the exercises while you are having an acute attack of vertigo. If you are having any gross instability perform only those exercises which are possible in the sitting position. For detailed text and a video on die exercises, refer to book "PHYSICAL THERAPY for BALANCE DISORDER PATIENTS" - by Dr. Anirban Biswas, published by BHALANI MEDICAL BOOK HOUSE, 11, Mavawala Building, Opposite KEM hospital, Parel, Mumbai-400 012.
Turn the head 45 to one side and suddenly lie down on the opposite side as shown in the next picture.
Keep the head turned 45 to one side while lying down, Maintain this position for 15-20 seconds by mentally counting 1 to 20.
Then suddenly lie down to the other side (opposite of position 3) with head turned 4 5 to one side. Stay in this position for 15-20 seconds.
Then suddenly sit up like position 1 and stay in that position for 15-20 seconds.
The entire cycle of 6 steps takes approx 45 seconds time. The whole process has to be repeated 10-15 times twice daily for about 2-3 weeks or till the sensation of vertigo on change of position disappears completely.