Vestibular Healing Insights

Children and Vestibular Disorders: What Parents Need to Know

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McKenzie DiStefano
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Vestibular disorders in children can be challenging to recognize and address, as their symptoms often overlap with other common conditions. However, understanding these disorders and their impact can empower parents to support their children in navigating the unique challenges they face. This blog explores the nature of vestibular disorders in children, their effects, and actionable ways parents can help.

Understanding Vestibular Disorders in Children

The vestibular system, located in the inner ear, plays a critical role in balance, spatial orientation, and coordination. When this system isn’t functioning properly, children may experience dizziness, poor balance, delayed motor skills, and difficulties with visual tracking or focus. These symptoms can affect their physical, academic, and social development.

Common Vestibular Disorders in Children

  1. Benign Paroxysmal Vertigo of Childhood (BPVC): Characterized by sudden, brief episodes of dizziness without a clear cause.
  2. Vestibular Migraine: Dizziness or vertigo associated with migraines.
  3. Labyrinthitis or Vestibular Neuritis: Inflammation of the inner ear, often following an illness.
  4. Post-Concussion Vestibular Dysfunction: Vestibular issues arising after a head injury.
  5. Congenital or Developmental Vestibular Dysfunction: Issues present from birth or related to developmental delays.

Recognizing the Signs

Children with vestibular disorders may exhibit:

  • Frequent complaints of dizziness or feeling off-balance.
  • Clumsiness or difficulty with gross motor activities (e.g., running, jumping).
  • Motion sensitivity, such as discomfort during car rides or playground activities.
  • Difficulty focusing in class or on screens due to visual disturbances.
  • Emotional changes, such as anxiety or frustration related to physical discomfort.

Because children may struggle to articulate their symptoms, these behaviors are often mistaken for attention or behavioral issues. If these signs are consistent or worsen, a comprehensive evaluation by a pediatrician or physical therapist specializing in vestibular disorders is essential.

Impact on Daily Life

Vestibular disorders can significantly affect a child’s quality of life:

  • Physical: Impaired balance can lead to frequent falls and injuries.
  • Academic: Visual and cognitive symptoms may hinder learning.
  • Social: Avoidance of activities or peer interaction due to dizziness or fear of falling.
  • Emotional: Anxiety, frustration, and low self-esteem may develop over time.

How Parents Can Support Their Children

While vestibular disorders present challenges, parents can play a pivotal role in helping their children manage symptoms and thrive.

1. Seek Professional Help

Early intervention is key. A physical therapist trained in vestibular rehabilitation can create a personalized treatment plan to improve balance, coordination, and symptom management.

2. Create a Safe Environment

  • Modify the home to reduce fall risks (e.g., remove tripping hazards, use non-slip rugs).
  • Ensure children have proper footwear and support for activities.

3. Promote Physical Activity

Engaging in light, structured activities can help strengthen the vestibular system. Discuss with your therapist which exercises are appropriate.

4. Advocate at School

  • Share information about your child’s condition with teachers and staff.
  • Request accommodations, such as frequent breaks, modified gym activities, or preferential seating.

5. Encourage Open Communication

Help your child articulate their feelings and symptoms. This can reduce frustration and help caregivers provide targeted support.

6. Foster Confidence

Celebrate small victories and provide reassurance. Positive reinforcement can help children rebuild confidence in their abilities.

Resources for Parents

  • Vestibular Disorders Association (VeDA): vestibular.org – Comprehensive information and support for vestibular disorders.
  • American Physical Therapy Association (APTA): ChoosePT.com – Find a physical therapist specializing in vestibular rehabilitation.
  • Brain Injury Association of America (BIAA): biausa.org – Resources for managing post-concussion vestibular symptoms.
  • Local Support Groups: Search for parent groups or forums on platforms like Facebook or through community health organizations.
  • Books and Educational Material: “Balancing Act: Coping with Vestibular Disorders in Children” by Dr. Susan Herd.

McKenzie DiStefano PT/DPT

References

  1. Herd, Susan. “Balancing Act: Coping with Vestibular Disorders in Children.”
  2. Vestibular Disorders Association. “Understanding Vestibular Disorders.” vestibular.org.
  3. American Physical Therapy Association. “Vestibular Rehabilitation.” ChoosePT.com.
  4. Brain Injury Association of America. “Resources for Concussion Recovery.” biausa.org.

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