Spinning Board Recommendations

Spinning Board Recommendations:  only do under supervision of a licensed therapist who understands the vestibular system. 

• Rotary input on a homemade rotary board (4 foot long, 3 foot wide board with a lazy susan on the bottom to spin on)

• To increase vestibular processing of rotary vestibular input, give opportunities to spin (not erratically) making sure that you count the number of circles (10 is good) and go smoothly, not too fast. Make sure you try to keep their head at 30 degrees flexion (chin pointed down between upright and chin tuck) in each direction, stopping the swing after going to the right, do not go to the left until they tell you that things are no longer jumping (post rotary nystagmus-or movement of the eyes has stopped) usually about 7-10 seconds.

• Then you can go 10 circles to the left. This should be a smooth and slower input then when they try to spin themselves.

• After the 30 degrees in neck flexion, do a 30 degrees flexion and 45 degrees lateral flexion (half way to touching shoulder with chin down) following the same 10 circles each direction.

STOP IF THEY DISPLAY ANY SIGNS OF NAUSEA, ILL FEELING, OR ASKS YOU TO STOP !

Watch for signs of irritability, stomach upset, and lack of focus after rotary input, in the next 12 hours. If they have any signs of this do not attempt rotary input any longer and contact OT.

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