Persistent Postural Perceptive Dizziness: 10 Things You Can Do

Persistent Postural-Perceptual Dizziness (PPPD or 3PD) is a common yet complicated vestibular-related disorder.

Persistent Postural Perceptual Dizziness is a chronic feeling of imbalance, dizziness, or unsteadiness without current physical dysfunction. It typically is triggered by a trauma, either physical or psychological, that hypersensitizes the nervous system. This sensitization causes the brain to interpret normal stimulus as threatening.  

This is a software vs hardware issue. Physically, people who live with PPPD have good hardware: healthy bodies with intact nerves. However, the software, or signals to and from the brain, is not effectively communicating with the body. This means that the brain is not able to interpret the signals that it is receiving from our balance systems. As a result, your brain is not able to modulate movement to effectively keep you grounded.  

It is important to understand that PPPD is true vestibular dysfunction, it is not imagined or fake. It requires therapy to reintegrate the incoming signals, regain balance, and decrease dizziness.

This brief video provides 10 ways you can approach and provide interventions for individuals with Persistent Postural Perceptive Dizziness (3PD):

Now available with 360NeuroGO Enterprise: Persistent Postural-Perceptual Dizziness (PPPD or 3PD) Treatment Strategies

Overview:

Persistent Postural-Perceptual Dizziness (PPPD or 3PD) is a common yet complicated vestibular-related disorder. 3PD can be disabling for patients and challenging for clinicians. We discuss treatment ideas for Persistent Postural-Perceptual Dizziness.

Duration:

Approximately 1 Hour

Instructors: 

Bridgett Wallace, PT, DPT & Madison Oak, PT, DPT

RESOURCES & LINKS:

Speakers:

Bridgett Wallace, PT, DPT

Bridgett Wallace, PT, DPT, has a doctorate of physical therapy and holds competency-based certifications in vestibular rehabilitation and concussion management. Dr. Wallace has been treating patients with dizziness and balance disorders for more than 20 years and is the founder and President of 360 Balance & Dizziness – a specialty clinic for the evaluation and treatment of dizziness and balance disorders that includes both audiology and therapy services. She is also the co-founder and Director of Clinical Education for 360 Neuro Health Institute, which provides online, mobile, and live educational offerings for healthcare providers.

Madison Oak, PT, DPT

Dr. Madison Oak is a vestibular physical therapist, owner of Oak Physical Therapy & Wellness, and founder of @thevertigodoctor. She graduated from the University of San Francisco with a BS in Kinesiology and her Doctor of Physical Therapy at the University of Wisconsin – Madison. After completing a clinical internship at 360 Balance and Dizziness, she received her Certificate of Competency in Vestibular Rehabilitation from 360 Neuro Health and has been practicing Vestibular Rehabilitation ever since. Dr. Madison runs @thevertigodoctor on Instagram, Facebook, TikTok, Twitter and a blog to provide resources, support, group fitness classes, and more to anyone with a vestibular disorder. Currently, Madison practices Vestibular Rehabilitation virtually in 5 states across the US and runs Vestibular Group Fit, an online virtual group fitness program designed to promote movement and exercise in the vestibular community.