scholarly journals Vestibular Rehabilitation for Peripheral Vestibular Hypofunction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Courtney D. Hall ◽  
Susan J. Herdman ◽  
Susan L. Whitney ◽  
Eric R. Anson ◽  
Wendy J. Carender ◽  
...  
Keyword(s):  
Vestibular Rehabilitation ◽  
Vestibular Hypofunction

Tai Chi and vestibular rehabilitation effects on gaze and whole-body stability

2004 ◽  
Vol 14 (6) ◽  
pp. 467-478 ◽  
Author(s):  
Chris A. McGibbon ◽  
David E. Krebs ◽  
Steven L. Wolf ◽  
Peter M. Wayne ◽  
Donna Moxley Scarborough ◽  
...  
Keyword(s):  
Significant Relationship ◽  
Postural Stability ◽  
Intervention Program ◽  
Tai Chi ◽  
Vestibular Rehabilitation ◽  
Whole Body ◽  
Gaze Control ◽  
Gaze Stability ◽  
Vestibular Hypofunction ◽  
The Relationship

Tai Chi (TC) is a comparatively new intervention for peripheral vestibular hypofunction, which is often treated with vestibular rehabilitation (VR). We compared gaze stability (GZS), whole-body stability (WBS) and footfall stability (FFS) during locomotion among 26 people with vestibulopathy (VSP), randomized into two treatment arms (13 TC and 13 VR). Each intervention program was offered for 10 weeks. GZS improved more for VR than for TC, but WBS (and FFS) improved more for TC than for VR. There was a significant relationship between changes in GZS and WBS for the VR subjects (r = 0.60, p = 0.01), but not for TC subjects. There was a significant relationship between changes in WBS and FFS for both VR (r = 0.65, p < 0.01) and TC (r = 0.58, p = 0.02) groups; the relationship disappeared in the VR but not the TC group when controlling for GZS. These findings suggest that VR and TC both benefit patients with VSP but via differing mechanisms. Moreover, these data are the first to test the assumption that improving gaze control among patients with VSP perforce improves postural stability: it does not. We conclude that GZS is most improved in those who receive VR, but that TC improves WBS and FFS without improving GZS, suggesting patients with VSP can rely on non-gaze related mechanisms to improve postural control.

Aquatic physiotherapy for vestibular rehabilitation in patients with unilateral vestibular hypofunction: Exploratory prospective study

2008 ◽  
Vol 18 (2-3) ◽  
pp. 139-146
Author(s):  
Yeda P.L. Gabilan ◽  
Mônica R. Perracini ◽  
Mario S.L. Munhoz ◽  
Fernando F. Gananç
Keyword(s):  
Symptom Onset ◽  
Stability Index ◽  
Vestibular Rehabilitation ◽  
Therapeutic Effects ◽  
Self Perception ◽  
Vestibular Loss ◽  
Tertiary Referral Center ◽  
Vestibular Hypofunction ◽  
Computerized Posturography ◽  
Stability Indexes

Purpose: To explore the effects of aquatic physiotherapy on individuals with unilateral vestibular hypofunction and examine the association of therapeutic effects with age, time since symptom onset and use of antivertigo medication. Study design: Exploratory study. Setting: Tertiary referral center. Patients: Twenty-one patients presenting chronic dizziness with uncompensated unilateral vestibular loss. Intervention: All patients underwent a regimen of 10 sessions of aquatic physiotherapy for vestibular rehabilitation. Main outcome measures: Patient evaluation prior to and following rehabilitation involved the application of the Brazilian version of the Dizziness Handicap Inventory (DHI), dynamic computerized posturography and the self-perception scale of dizziness intensity. Statistical analysis compared average variables prior to and following rehabilitation using the Student t test. Results: Brazilian DHI total scores were lower following rehabilitation (p = 0.001). Posturography revealed a reduction in the variation of body displacement following rehabilitation in the average stability and anterior/posterior stability indexes (p = 0.001) and in the average medial/lateral stability index (p = 0.003). Self-perception of dizziness intensity was lower following rehabilitation (p = 0.001). No association between age, time since symptom onset and use of antivertigo medication and rehabilitation therapeutic effects were found. Conclusion: Unilateral vestibular hypofunction patients undergoing aquatic physiotherapy for vestibular rehabilitation achieved an improvement in quality of life, body balance and self-perception of dizziness intensity, regardless of age, time since symptom onset, and use of antivertigo medication.

Historical Perspective of “How Did We Get Here and Where Are We Going” in the Rehabilitation of Patients With Vestibular Hypofunction

2019 ◽  
Vol 4 (6) ◽  
pp. 1385-1398 ◽  
Author(s):  
Susan J. Herdman
Keyword(s):  
Occupational Therapists ◽  
Vestibular Rehabilitation ◽  
The Body ◽  
Assessment Tools ◽  
Current Status ◽  
Vestibular Disorders ◽  
Body Of Knowledge ◽  
Vestibular Hypofunction ◽  
Published Research ◽  
Do So

Purpose Vestibular rehabilitation for patients with vestibular hypofunction is a relatively new clinical specialty, with effective therapies developing over the last 40 years for the most common peripheral vestibular disorders. This chapter illustrates the evolution of treatments used for the wide variety of vestibular disorders that we now recognize and takes us back to the origins of some of the assessment tools that we use to make a diagnosis. The chapter will also explore the current status of this field and the potential areas into which vestibular rehabilitation may grow. Conclusions In reality, the origins of various treatments date back almost 100 years, and the development of assessment tools dates back several hundred years. Today, as physical and occupational therapists who specialize in the management of people with dizziness and vestibular disorders and audiologists who test and analyze the function of the vestibular system, we do so with the confidence that our efforts will be beneficial to the patient. This is largely because of the availability of clinical research—systematic analyses of published research and clinical practice guidelines that support the decisions that we make about diagnoses and treatment. It is important to remember, however, that the skills now used in vestibular rehabilitation are based on generations of observation, deduction, and opinion that gradually evolved into the body of knowledge that we have today.

Influence of vestibular rehabilitation on the recovery of all vestibular receptor organs in patients with unilateral vestibular hypofunction

2020 ◽  
Vol 47 (2) ◽  
pp. 227-235
Author(s):  
Anamarija Sestak ◽  
Sinisa Maslovara ◽  
Zeljko Zubcic ◽  
Andrijana Vceva
Keyword(s):  
Vestibular Function ◽  
Vestibular Rehabilitation ◽  
Vestibular Evoked Myogenic Potentials ◽  
Head Impulse Test ◽  
Caloric Test ◽  
Vestibular Hypofunction ◽  
Sf 36 ◽  
Significant Difference ◽  
Different Types ◽  
Vestibular Receptor

BACKGROUND: Only a few studies in the literature demonstrate the effect of vestibular rehabilitation (VR) on all vestibular receptor organs. Furthermore, very little evidence of the effect of VR on isolated otolith dysfunction (IOD) is available. OBJECTIVE: The study aimed to investigate the effect of VR on all vestibular receptor organs in patients with different types of unilateral vestibular hypofunction (UVH). METHODS: We enrolled 80 patients with three different types of UVH; combined and isolated loss of semicircular canal and otolith organ function. All patients performed a 12-week customized program of VR and received a full battery of vestibular function tests, before and after the VR. The DHI and SF-36 were performed before, after 6 weeks, and 12 weeks of the VR. RESULTS: Parameters of the caloric test, video head impulse test, ocular and cervical vestibular evoked myogenic potentials were significantly improved after VR. A total of 59 (74%) patients fully recovered, with no significant difference in recovery regarding the type (p = 0.13) and stage of UVH (p = 0.13). All patients reported significantly lower disability and a better quality of life after the VR based on the DHI and SF-36 score. CONCLUSIONS: Vestibular rehabilitation has a positive effect on the recovery of all vestibular receptor organs and it should be used in patients with IOD.

Long-term effects of vestibular rehabilitation and head-mounted gaming task procedure in unilateral vestibular hypofunction: a 12-month follow-up of a randomized controlled trial

2018 ◽  
Vol 33 (1) ◽  
pp. 24-33 ◽  
Author(s):  
Andrea Viziano ◽  
Alessandro Micarelli ◽  
Ivan Augimeri ◽  
Domenico Micarelli ◽  
Marco Alessandrini
Keyword(s):  
Power Spectra ◽  
Vestibular Rehabilitation ◽  
Performance Measure ◽  
Self Report ◽  
Long Term Effects ◽  
Ocular Reflex ◽  
Vestibular Hypofunction ◽  
Vestibulo Ocular Reflex ◽  
Reflex Gain

Objective: To investigate the long-term effects of adding virtual reality–based home exercises to vestibular rehabilitation in people with unilateral vestibular hypofunction. Design: Follow-up otoneurological examination in two randomized groups following a previous one-month trial. Setting: Tertiary rehabilitation center. Subjects: A total of 47 patients with unilateral vestibular hypofunction, one group ( n = 24) undergoing conventional vestibular rehabilitation and the other one ( n = 23) implementing, in addition, head-mounted gaming home exercises, 20 minutes per day for one month. Interventions: One year after completing rehabilitation, patients underwent testing with static posturography, video head impulse test, self-report questionnaires, and a performance measure. Main measures: Vestibulo-ocular reflex gain, posturographic parameters such as length, surface, and fast Fourier transform power spectra, self-report, and gait performance measure scores. Results: Vestibulo-ocular reflex gain was significantly better with respect to pretreatment in both groups. The mixed-method group showed significantly higher gain scores: mean (standard deviation (SD)) at 12 months was 0.71 (0.04), versus 0.64 (0.03) for the vestibular rehabilitation–only group ( P < 0.001). Accordingly, some classical posturography scores such as surface with eyes open and length with eyes closed and low-frequency power spectra were significantly different between groups, with the virtual reality group showing improvement ( P < 0.001). Self-report measures were significantly better in both groups compared to pretreatment, with significant improvement in the mixed-method group as compared to conventional rehabilitation alone: Dizziness Handicap Inventory mean total score was 24.34 (2.8) versus 35.73 (5.88) with a P-value <0.001. Conclusion: Results suggest that head-mounted gaming home exercises are a viable, effective, additional measure to improve long-term vestibular rehabilitation outcomes.

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