Imparied balance is one of the most frequent complaints in particular of elderly patients. Vertebrobasilar insufficiency (VBI) is probably wrongly one of the most frequent diagnoses in patients with vertigo. In a group of 24 patients with the diagnosis of VBI ultrasound examination of the carotid and vertebral arteries was made incl. assessment in De Kleyn´s position, otoneurological examination. X-ray of the cervical spine. CT/MRI of the brain, head uptilt test and examination of the functional pathology of the cervical spine focused on the craniocervical transition. Subsequently the patients were enlisted in a 30-day ambulatory rehabilitation plan involving treatment of the revealed functional diserders. The effect of treatment was evaluated by means of a questionnaire and check-up examination using T-test and comparison of paired observations. Results: Disorders of equilibrium improved on average by 59 – 38 %, as to associated symptoms pain of head and neck improved significantly similarly as nausea and resticted mobility of the cervical spine. Conlusion: Treatment of functional disorders of the cervical spine is one of the effective therapeutic possibilities in chronic impairment of the balance.

        Key words: impaired balance, cervical spine dysfunction, vertebrobasilar insufficiency