Mighty Nimble
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Intermediate Dizziness With Neck Movement

A paced vestibular + neck mobility session to reduce dizziness sensitivity during head/neck motion.

Warm-Up

Settle symptoms and improve posture. Gentle breathing and neck/shoulder positioning to reduce guarding before vestibular drills.

Diaphragmatic Breathing
Diaphragmatic Breathing1 min
Scapular Retraction
Scapular Retraction12x
Chin Tuck
Chin Tuck10x

Circuit A

Keep symptoms in the mild-to-moderate range. Use a wall/counter for support as needed.

Cervical Rotation (Slow)
Cervical Rotation (Slow)8x
Cervical Flexion/Extension (Small Range)
Cervical Flexion/Extension (Small Range)6x
Gaze Stabilization (VOR x1)
Gaze Stabilization (VOR x1)45 sec
Standing Balance (Feet Together)
Standing Balance (Feet Together)45 sec
March in Place
March in Place45 sec
2 rounds · 20 sec rest
1 min rest

Circuit B

Short exposure and recovery. Sit if symptoms spike; resume when they settle.

Gaze Stabilization (VOR x1)
Gaze Stabilization (VOR x1)45 sec
Cervical Rotation (Slow)
Cervical Rotation (Slow)8x
Standing Balance (Feet Together)
Standing Balance (Feet Together)45 sec
Seated Rest
Seated Rest30 sec
2 rounds · 20 sec rest

Cool-Down

Down-regulate and stretch. Help symptoms settle and reduce neck/shoulder tension after vestibular exposure.

Diaphragmatic Breathing
Diaphragmatic Breathing1 min
Upper Trapezius Stretch
Upper Trapezius Stretch30 sec each side
Chin Tuck
Chin Tuck8x
Cervical Alignment Before Vestibular Load

Cervical Alignment Before Vestibular Load

Chin tucks and scapular retractions prime deep cervical flexors and mid-trapezius before any rotational demand, reducing aberrant proprioceptive signals that amplify dizziness. Forward head posture compresses upper cervical joints where vestibular-cervical reflexes originate — correcting this first makes every subsequent movement safer and more effective.

Why Head Motion Triggers Your Symptoms

Why Head Motion Triggers Your Symptoms

Cervicogenic and vestibular dizziness share a common trigger: the brain receiving mismatched signals from the inner ear, eyes, and cervical mechanoreceptors during neck movement. Slow cervical rotation and small-range flexion/extension deliberately expose your system to that mismatch at a controlled dose, training the brainstem to recalibrate rather than react.

Habituation Load, Not Avoidance

Habituation Load, Not Avoidance

This session follows a graded exposure model — each exercise increases vestibular demand only after postural stability is established, mirroring vestibular rehabilitation principles used in clinical practice. Gaze stabilization via VOR x1 is your progression marker: when it produces minimal symptoms, increase head speed before adding VOR x2 to continue adaptation.

Intermediate Dizziness With Neck Movement | Mighty Nimble | Mighty Nimble