Files
Download Poster (790 KB)
Description
This capstone project explored the emotional and behavioral barriers that impact vestibular rehabilitation, and how occupational therapy can help fill that gap. It took place at UK Outpatient Therapy at Cardinal Hill, where physical therapy leads vestibular care. However, many patients struggle with anxiety, avoidance, and frustration that interfere with progress. My goal was to observe those patterns, clarify OT’s role, and create practical tools to support more holistic care.
Research shows that psychiatric comorbidities are common in vestibular disorders—especially episodic conditions like vestibular migraine and Ménière’s disease. Emotional responses such as fear, self-doubt, and withdrawal can worsen symptoms and delay recovery. My observations echoed this: even when patients showed physical gains, emotional distress and low confidence often remained. OT has the tools to address this gap—helping patients regulate, re-engage, and feel more in control.
To capture this, I used the COPM and PANAS to track changes in performance, satisfaction, and affect. I also noted in-session behaviors like avoidance, safety-seeking, and frustration. Based on these findings, I developed two deliverables:
-
A staff education session on psychiatric overlays in vestibular care, and
-
A mini OT toolkit with case-based interventions, coping strategies, and communication ideas.
This project helped me grow as a leader by bringing a fresh lens to a specialized setting and advocating for OT’s role in emotional wellness and interdisciplinary care. It also demonstrated how OT can reduce barriers to progress and improve outcomes by addressing not just symptoms, but the whole person.
Graduation Date
2025
Keywords
Vestibular rehabilitation, Occupational therapy, Fear-avoidance cycle, Emotional regulation, Psychiatric comorbidities, Functional engagement
Disciplines
Occupational Therapy
Degree Type
Open Access Capstone
Document Type
Poster
Degree Name
Doctor of Occupational Therapy (OTD)
Department
Occupational Therapy
Site Mentor
Laura Carter, PT, DPT
Comments
https://youtu.be/bnLyPi3fXww