Early rehabilitation for unilateral peripheral vestibular disorders: a prospective, randomized investigation using computerized posturography

Abstract BACKGROUND. Vestibular disorders are a group of widely spread diseases that have as a common denominator the disturbance of the equilibrium system. The assessment of vestibular disorders consists in a complex examination of the patient including a thorough anamnesis, a rigorous clinical examination and multiple functional explorations. OBJECTIVE. To asses weather there is a correlation between the data obtained in posturography and those obtained in the videonystagmography in patients with peripheral vestibular disorders. MATERIAL AND METHODS. Collecting data from the observation sheets of patients diagnosed with peripheral vestibular syndrome and examined in the Department of Otorhinolaryngology of the “Sfanta Maria” Hospital in Bucharest over a period of 18 months. RESULTS. We analyzed a number of 97 cases of patients diagnosed with peripheral vestibular disorder. A large number of patients (49) had correlated changes in the caloric tests and also in the posturography. A second group of patients (43) had changes in caloric tests but with no changes in posturography. The third group of 5, paradoxically, had a vestibular deficiency in posturography associated with normal caloric reactivity. CONCLUSION. The results obtained with the videonystagmography are correlated with those of the caloric and rotational videonystagmographic tests in the case of acute vestibular diseases. In chronic vestibular diseases, it is possible to find caloric vestibular paresis in the presence of a normal posturography. The “vestibular omission” is a phenomenon in which the patient does not use the vestibular input of a normal labyrinth with caloric and rotary tests within normal limits. As no vestibular examination can be considered as selfstaging diagnosis, we always have to establish the final diagnosis correlating the results of all the tests available.

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Vestibular Disorders and Audiology

ASHA Leader ◽

10.1044/leader.ftr2.11022006.5 ◽

2006 ◽

Vol 11 (2) ◽

pp. 5-21

Author(s):

Faith W. Akin ◽

Owen D. Murnane

Keyword(s):

Vestibular Disorders

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Errata

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2008.marapr02 ◽

2008 ◽

Vol 13 (2) ◽

pp. 5-5

Keyword(s):

Psychotic Disorders ◽

Pain Syndrome ◽

Vestibular Disorders ◽

Loss Of Function ◽

Sixth Edition ◽

Neurologic Disorders ◽

Upper And Lower Extremities ◽

Impairment Ratings ◽

Extensive List ◽

Mental And Behavioral Disorders

Abstract Although most chapters in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, instruct evaluators to perform impairment ratings by first assigning a diagnosis-based class and then assigning a grade within that class, Chapter 13, The Central and Peripheral Nervous System, continues to use a methodology similar to that of the fifth edition. The latter was criticized for duplicating materials that were presented in other chapters and for producing different ratings, so the revision of Chapter 13 attempts to maintain consistency between this chapter and those that address mental and behavioral disorders, loss of function in upper and lower extremities, loss of bowel control, and bladder and sexual function. A table titled Summary of Chapters Used to Rate Various Neurologic Disorders directs physicians to the relevant chapters (ie, instead of Chapter 13) to consult in rating neurologic disorders; the extensive list of conditions that should be addressed in other chapters includes but is not limited to radiculopathy, plexus injuries and other plexopathies, focal neuropathy, complex regional pain syndrome, visual and vestibular disorders, and a range of primary mood, anxiety, and psychotic disorders. The article comments in detail on sections of this chapter, identifies changes in the sixth edition, and provide guidance regarding use of the new edition, resulting in less duplication and greater consistency.

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P 1097. How Do Parents Experience Music Therapy during Neuropediatric Early Rehabilitation?—A Qualitative Pilot Study

10.1055/s-0038-1676022 ◽

2018 ◽

Author(s):

Brigitte Meier-Sprinz

Keyword(s):

Pilot Study ◽

Music Therapy ◽

Early Rehabilitation

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Adjusted-Barthel-Index – An Indicator for Patients in Early Rehabilitation

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin ◽

10.1055/s-2006-954313 ◽

2006 ◽

Vol 16 (04) ◽

Author(s):

M Borchers ◽

ML Tung ◽

A Schneider ◽

M Berliner

Keyword(s):

Barthel Index ◽

Early Rehabilitation

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Progressive Early Rehabilitation Program Applied to Patients with Acute Cerebrovascular Accident

Russian neurological Journal ◽

10.30629/2658-7947-2020-25-3-17-25 ◽

2020 ◽

Vol 25 (3) ◽

pp. 17-25 ◽

Cited By ~ 1

Author(s):

G. R. Ramazanov ◽

L. B. Zavaliy ◽

L. L. Semenov ◽

S. A. Abudeev ◽

A. O. Ptitsyn ◽

...

Keyword(s):

Cerebrovascular Accident ◽

Lung Ventilation ◽

Rehabilitation Program ◽

Artificial Lung ◽

Early Rehabilitation ◽

Gravity Gradient ◽

Acute Cerebrovascular Accident ◽

Artificial Lung Ventilation ◽

Bed Days ◽

Severity Of The Disease

Abstract. Early rehabilitation (ER) of patients with acute cerebrovascular accident (ACA) is one of the priority tasks of the vascular centers; the issue of increasing the volume of rehabilitation measures in the resuscitation and intensive care units (ICU) is relevant. Objective. To evaluate the safety and effectiveness of the progressive ER program in patients with ACA. Material and research methods. The study included 129 patients with ACA in ICU. Each patient of the main group (MGr, n = 61) underwent progressive ER: at least 4–5 vertical adjustments per day, passive mode Kinesiotherapy 49 ± 9.3 minutes, a double load of physiotherapy exercises, preventive physiotherapy; the total time of classes reached 240 minutes per day. In the comparison group (СGr, n = 68), standard ER was performed no more than 120 minutes per day. The groups are comparable by sex, age, severity of the disease and comorbidity. The severity of ACA, the gravity gradient, patient mobility, functional status, degree of dependence, and the presence of complications were evaluated. Results. During a month of work with the MGr, 102 ICU bed-days, 94 days of the artificial lung ventilation use, p < 0.05 were saved. Mortality in MGr decreased -— 8 patients (13.1%) versus 14 (20.6%) in CGr (p < 0.05). In patients within CGr, pulmonary thromboembolism developed in 8.8%, in MGr – in 3.3%. The severity of the apoplectic attack decreased ( by 28% in MGr, and by 20% in CGr ), mobility increased. Comparing the modalities of post resuscitationsyndrome in MGr, it was noted that the score decreased by 2 times from 6 [5; 6] to 3 [2.3; 3.3], but it has not changed in the CGr. Patients in the MGr were 2-–3 days earlier adapted to the vertical adjustment. Conclusions. The progressive ER program in ICU is safe, effective, realisable, and allows reducing the number of bed-days in ICU, the number of days of the artificial lung ventilation use, complications, and mortality in comparison with standard medical care.

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