Gaze Stabilising Exercises: Adaption or Substitution?

Rinaldo et al’s study compares VOR X1 exercises with IVA. The study concludes that VOR X1 exercises result in reduced symptoms and improved function by promoting compensatory saccades (substitution) rather than increasing VOR gain (adaptation). Incremental VOR training, on the other hand, produced improved function and long lasting and significant changes in VOR gain. You can read the freely available article from the Journal of Neurological Physical Therapy 2021 here or watch a video abstract of this article with more insights from the authors here.