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Posturographic sensory ratios provide evidence for neuroplasticity after computerized vestibular rehabilitation therapy in a single group interventional trial

Eytan A. David, MD, FRCSC, Navid Shahnaz, PhD

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Can Vestibular Rehabilitation Therapy (CVRT) Help Prevent Dementia?

Published on

March 28, 2025

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Understanding the Connection Between Balance and Cognitive Function

Dementia is a growing public health concern, with millions of people worldwide affected by cognitive decline and memory loss. While the exact causes of dementia remain complex, emerging research suggests a strong link between balance disorders and cognitive impairment.

The vestibular system, responsible for maintaining balance and spatial orientation, plays a crucial role in cognitive function. When this system is impaired, it can lead to reduced brain plasticity and contribute to cognitive decline over time.

What Is Computerized Vestibular Retraining Therapy (CVRT)?

Computerized Vestibular Retraining Therapy (CVRT) is an innovative, data-driven approach that uses automated technology to retrain the brain’s balance mechanisms. CVRT combines controlled underfoot platform movements with visual and sensory stimulation to gradually desensitize the vestibular system. This scientifically guided therapy improves balance, reduces dizziness, and enhances overall stability. But beyond its well-established benefits for balance, CVRT is now gaining attention for its potential role in protecting cognitive function and preventing dementia.

How CVRT Can Help Prevent or Delay Dementia

  1. Enhancing Neuroplasticity
    CVRT promotes neuroplasticity, which is the brain’s ability to adapt and reorganize by forming new neural connections. By engaging in repetitive balance and movement exercises, patients stimulate areas of the brain involved in spatial awareness, memory, and executive function. Enhanced neuroplasticity not only improves balance but may also strengthen cognitive reserves, potentially delaying the onset of dementia.
  2. Improving Blood Flow to the Brain
    Regular balance training through CVRT increases blood circulation to the brain, supplying oxygen and essential nutrients to areas responsible for cognitive function. Studies have shown that improved cerebral blood flow can reduce the risk of neurodegenerative diseases and contribute to maintaining cognitive health as individuals age.
  3. Reducing Fall Risk and Associated Cognitive Decline
    Falls and balance-related incidents are common in older adults and have been linked to an increased risk of cognitive decline. When an individual experiences a fall, the resulting trauma can accelerate brain degeneration and exacerbate symptoms of cognitive impairment. By improving balance and stability, CVRT minimizes fall risk, protecting both physical and cognitive health.
  4. Strengthening Brain-Body Communication
    The vestibular system maintains communication between the brain and body, ensuring proper coordination and spatial awareness. As vestibular function declines, this connection weakens, increasing the risk of disorientation and cognitive decline. CVRT reinforces this brain-body axis, helping to preserve cognitive abilities and reduce the risk of dementia.

Scientific Evidence Supporting CVRT and Cognitive Health

A large-scale study involving over 2 million participants confirmed that vestibular loss increases the risk of dementia by 8%. The DaVID Protocol, which incorporates CVRT, has been rigorously tested and proven significantly better than current standards of care, enhancing cognitive function and preserving neural integrity. The DaVID Protocol (Dizziness and Vestibular Injury Drills Protocol) is a scientifically validated approach to improving balance, reducing dizziness, and enhancing stability. This protocol integrates Computerized Vestibular Retraining Therapy (CVRT), which uses a harnessed moving platform combined with multimodal biofeedback and VR-guided personalized therapy. The DaVID Protocol has been rigorously tested, peer-reviewed, and published in JAMA, demonstrating its effectiveness in reducing disability by 85% and lowering fall risk by 47%.

Integrating CVRT as Part of a Comprehensive Dementia Prevention Plan

Incorporating CVRT into a long-term health strategy can complement other dementia prevention measures, such as maintaining a healthy diet, staying physically active, and engaging in regular cognitive exercises. StabilityLAB’s CVRT program offers a tailored, evidence-based approach to balance training and cognitive enhancement, empowering patients to safeguard their cognitive health while improving overall well-being. 

Taking the Next Step Toward Cognitive and Balance Health

As the understanding of the connection between vestibular health and cognitive function grows, CVRT emerges as a promising intervention for preventing or delaying dementia. By enhancing neuroplasticity, reducing fall risk, and improving overall brain function, this innovative therapy offers a pathway to maintaining cognitive health and independence.

Contact StabilityLAB today to explore how CVRT can support your cognitive and balance goals and help protect your long-term well-being.

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