scholarly journals Utilization of an Application in Dizziness Treatment: Pilot Study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Maria da Glória Canto de Sousa
Keyword(s):  
Female Gender ◽  
Qualitative Approach ◽  
Therapy Process ◽  
Dizziness Handicap Inventory ◽  
Beneficial Effects ◽  
Ocular Reflex ◽  
Vestibular Ocular Reflex ◽  
Before And After ◽  
Central Compensation

Vestibular Rehabilitation (VR), a method of therapy for dizziness, aims at reestablishing body balance and also at facilitating central compensation by means of adaptation and substitution mechanisms. With technological advance, the feasibility of a device which aided in VR process took place, both for stimulating and monitoring patients. In that sense, an application called Dizziness APP was developed in order to simplify and automatize dizziness therapy process performed by the phonoaudiology professional. The aim of the present study was to report a Dizziness APP experience of usage as therapeutic strategic towards dizziness, besides comparing dizziness impact on quality of life before and after using that application. It is a descriptive, exploratory study with a qualitative approach. A subject, age 29, female gender, took participation in the present study being solely subjected to Vestibular-Ocular-Reflex (VOR) Exercises by means of vertical, horizontal and oblique optokinetic stimulation during a period of six months. The scores obtained on Dizziness Handicap Inventory (DHI), monthly, expressed by the utilization of an automatized and simplified digital process available on the Dizziness APP application, were used. Initial DHI score achieved 46 points and, upon treatment conclusion, 0 point. Using Dizziness APP as a therapeutic resource enabled the following up, monitoring and remission of dizziness symptom demonstrating the beneficial effects by means of optokinetic exercise during the Dizziness APP process of validation.

scholarly journals Is regression gain or instantaneous gain the most reliable and reproducible gain value when performing video head impulse testing of the lateral semicircular canals?

2021 ◽  
Vol 31 (3) ◽  
pp. 151-162
Author(s):  
Chris L. Jacobsen ◽  
Emil R. Abrahamsen ◽  
Regitze K. Skals ◽  
Dan D. Hougaard
Keyword(s):  
Semicircular Canals ◽  
Head Impulse Test ◽  
Calculation Methods ◽  
Dizziness Handicap Inventory ◽  
Head Impulse ◽  
Ocular Reflex ◽  
Vestibular Ocular Reflex ◽  
Significant Difference ◽  
Secondary Endpoints ◽  
Experienced Examiner

BACKGROUND: Several different video Head Impulse Test (vHIT) systems exist. The function of each individual semicircular canal (SCC) may be determined by performing this test. All vHIT systems provide information about the function of the vestibular ocular reflex by means of two modalities: SACCADES and GAIN. However, different gain calculation methods exist. OBJECTIVE: Primary endpoint: • Is instantaneous gain or regression gain the most reproducible and reliable gain value when performing vHIT with testing of the lateral SCCs? Secondary endpoints: • Comparison of each of the instantaneous gain values at 40, 60, and 80ms with the regression gain. • Examination of any intra- and inter examiner variability. • Mean instantaneous gain values, and at different velocities, compared with regression gain values of the lateral SCCs. METHODS: 60 subjects between 18–65 years were included. All patients filled out the Dizziness Handicap Inventory (DHI) questionnaire and underwent four separate vHIT tests, two by an experienced neurotologist and two by an inexperienced examiner. RESULTS/CONCLUSIONS: 240 datasets were obtained, displaying both regression and instantaneous gain values. Regression gain was more reproducible than instantaneous gain. The experienced examiner provided the most reproducible results. When comparing instantaneous gain, we found the gain at 40 ms to be the least reproducible. There was no significant difference between 60 ms and 80 ms.For both examiners no significant intra examiner variability was found.

Vertigo and Imbalance

2016 ◽  
pp. 869-912
Author(s):  
David A. Zapala
Keyword(s):  
Semicircular Canal ◽  
Muscle Tone ◽  
Vestibular Evoked Myogenic Potentials ◽  
Caloric Test ◽  
Anatomy And Physiology ◽  
Ocular Reflex ◽  
Vestibular Tests ◽  
Otolith Function ◽  
Vestibular Ocular Reflex ◽  
Central Compensation

Electrophysiologic testsests can be used to evaluate the function of each of the five vestibular sensory receptors in the labyrinth, in patients with dizziness and imbalance. Tests of semicircular canal function concentrate on vestibular ocular reflex behavior and include the bilateral, bi-thermal caloric test, video head impulse tests (vHIT), and rotary chair tests. Otolith function tests focus on changes in muscle tone and include the cervical and ocular vestibular evoked myogenic potentials (cVEMP and oVEMP). Interpreting vestibular tests requires an understanding of the underlying anatomy and physiology, and an appreciation of central compensation processes and their effects on each test. This chapter reviews the techniques and interpretation of vestibular testing to assess semicircular canal and otolith function and postural control.

A Randomised Comparison of Two Forms of a Brief, Group, Psychoeducational Program for Cancer Patients: Weekly Sessions versus a “Weekend Intensive”

1995 ◽  
Vol 25 (2) ◽  
pp. 173-189 ◽  
Author(s):  
Alastair J. Cunningham ◽  
Claire V. I. Edmonds ◽  
Gwen Jenkins ◽  
Gina A. Lockwood
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Statistical Significance ◽  
Standard Format ◽  
Beneficial Effects ◽  
Psychoeducational Program ◽  
Before And After ◽  
Life Improvement ◽  
Patient Groups

There is considerable evidence that brief group psychoeducational programs for cancer patients, offering support and some training in coping skills, may have lasting beneficial effects on mood and quality of life. Objective: to compare two different formats of a brief, group psychoeducational program for cancer patients; a standard format of six weekly two-hour sessions or a “weekend intensive,” involving the same content and contact time compressed into two days. Method: Cancer patients were randomly assigned to either the standard weekly intervention ( n = 77) or the weekend program ( n = 79). Two assessment measures were used: Profile of Mood States (POMS) and Functional Living Index for Cancer (FLIC). Assessments were made before and after each intervention and at a nineteen-week follow-up. Results: While the two formats were found to be equivalent in their overall effects on mood and quality of life, there were some differences. There was a sudden, large improvement in mood by the end of the weekend version of the course (2-day time point) but this did not persist, and by the six-week point and again at nineteen-weeks, mood improvement was the same for both groups. Quality of life improvement seemed to be marginally greater with the six-weekly sessions (reaching statistical significance at the 6-week point). Conclusions: The two formats produced similar improvements in both mood and quality of life. We discuss the need for further studies to find optimal ways of presenting such help for different patient groups.

scholarly journals Feasibility and effect of in-home physical exercise training delivered via telehealth before bariatric surgery

2016 ◽  
Vol 23 (5) ◽  
pp. 529-535 ◽  
Author(s):  
Aurélie Baillot ◽  
Patrick Boissy ◽  
Michel Tousignant ◽  
Marie-France Langlois
Keyword(s):  
Bariatric Surgery ◽  
Exercise Training ◽  
Physical Fitness ◽  
Usual Care ◽  
Mode Of Delivery ◽  
Care Group ◽  
Anthropometric Measures ◽  
Beneficial Effects ◽  
Before And After

Optimal physical activity (PA) interventions are needed to increase PA in individuals with severe obesity, and optimize the results of bariatric surgery (BS). The aim of this study was to assess the feasibility and effect of Pre-Surgical Exercise Training (PreSET) delivered in-home via telehealth (TelePreSET) in subjects awaiting BS. Six women following the TelePreSET were compared to the women from a previous study (12 performing the PreSET in a gymnasium and 11 receiving usual care). In-home TelePreSET (12-weeks of endurance and strength training) was supervised twice weekly using videoconferencing. Physical fitness, quality of life, exercise beliefs, anthropometric measures and telehealth perception were assessed before and after 12-weeks. Satisfaction was evaluated with questionnaires at the end of the intervention. The TelePreSET participants attended 96% of the exercise sessions, and were very satisfied by the TelePreSET. The baseline telehealth perception score was high, and increased significantly after the intervention. The TelePreSET group significantly increased their physical fitness compared to the usual care group. No significant change was noted in other outcomes. The TelePreSET is feasible and seems effective to improve the physical fitness of women awaiting BS. Further studies are needed to confirm beneficial effects of this innovative mode of delivery.

scholarly journals Relationship between vestibulo-ocular reflex gain and dizziness handicap inventory score to predict effectiveness of vestibular rehabilitation

2021 ◽  
Author(s):  
Morteza Hamidi Nahrani ◽  
Mehdi Akbari ◽  
Mohammad Maarefvand
Keyword(s):  
Vestibular Rehabilitation ◽  
Head Impulse Test ◽  
Dizziness Handicap Inventory ◽  
Strong Negative Correlation ◽  
Ocular Reflex ◽  
Vestibular Hypofunction ◽  
Before And After ◽  
Vestibulo Ocular Reflex ◽  
Reflex Gain

Background and Aim: Evaluating the effective­ness of vestibular rehabilitation (VR) in patients with vestibular lesions has always been a challe­nge. The questionnaires that are used for this pur­pose mostly show the degree of vestibular dis­ability rather than providing information about improvement of vestibular dysfunction. This study aimed to evaluate whether video head imp­ulse test (vHIT) that is used for the examination of vestibulo-ocular reflex (VOR), is a useful method for predicting the effectiveness of VR and has a correlation with dizziness handicap inventory (DHI) score. Methods: Participants were 42 patients with unilateral peripheral vestibular hypofunction (UPVH) undergoing VR. Patients were assessed before and after rehabilitation by the vHIT in all ipsilesional and contralesional semicircular can­als (SCCs) and the DHI. The changes in DHI score and VOR gain before and after rehabili­tation, were shown as ΔDHI and ΔVOR and their correlation was evaluated. Results: VOR gain from ipsilesional and contra­lesional SCCs was improved significantly after VR. There was a significant strong negative correlation between ΔVOR gain from ipsile­sional SCCs and ΔDHI score but no significant correlation was found between the ΔDHI score and ΔVOR gain from contralesional SCCs. Conclusion: vHIT test is a useful tool to evaluate the effectiveness of VR. VOR gain is correlated with the DHI score. Therefore, the improvement in vHIT results in all three SCCs after VR may be a good predictor of the degree of improvement in dizziness-related disability. Keywords: Vestibular rehabilitation; follow-up; unilateral vestibular hypofunction; video head impulse test; dizziness handicap inventory

scholarly journals Latent vestibular dysfunction and its effect on quality of life in elderly individuals, the need of active screening and intervention

2018 ◽  
Vol 4 (5) ◽  
pp. 1258
Author(s):  
Himanshu Swami ◽  
Aravind B. M.
Keyword(s):  
Quality Of Life ◽  
Tertiary Care ◽  
The Elderly ◽  
Vestibular Dysfunction ◽  
Care Hospital ◽  
Dizziness Handicap Inventory ◽  
Post Intervention ◽  
Before And After ◽  
The Impact

<p class="abstract"><strong>Background:</strong> Dizziness is a commonly reported complaint among elderly.. Among the elderly in particular, factors such as Ageing, presbycusis, diabetes, chronic kidney disease, osteopenia, and osteoporosis increase the risk. Dizziness handicap inventory is used to assess the quality of life among the individuals with vestibular dysfunction. This is also used to assess the impact of interventions for vestibular dysfunction. This study aims to estimate the prevalence of latent vestibular dysfunction among the Indian population, and the impact of interventions among the same.</p><p class="abstract"><strong>Methods:</strong> A prospective observational study was conducted at a tertiary care hospital. As per sample size estimates, 200 participants aged &gt;60 years without previous diagnosis of vestibular dysfunction were screened using appropriate tests. The quality of life of the affected individuals were assessed using Dizziness Handicap Inventory Score (DHIS) before and after intervention.  </p><p class="abstract"><strong>Results:</strong> The prevalence of latent vestibular dysfunction was found to be 23.5%. Most of them reported having moderate handicap due to the condition. Following intervention, those with moderate handicap either became normal (47.8%) or had residual mild handicap (52.2%). The mean DHIS score significantly decreased from 40.91 points during pre-intervention to 16.12 points post-intervention.</p><p class="abstract"><strong>Conclusions:</strong> Around one-fourth of the Indian elderly is found to have latent vestibular dysfunction. It has a major impact on the individual’s quality of life. Yet, screening and intervention is found to make a considerable improvement among the affected individuals.</p>

How implementation of “Joy of Life” are experienced by the employees: A qualitative study

2020 ◽  
Author(s):  
Beate Andre ◽  
RN. Kjersti Grønning ◽  
Frode F. Jacobsen ◽  
Gørill Haugan
Keyword(s):  
Nursing Homes ◽  
Older Persons ◽  
Implementation Process ◽  
Qualitative Approach ◽  
Healthcare Personnel ◽  
Good Care ◽  
Before And After ◽  
Health Promoting ◽  
Positive Experiences

Abstract Background: Nursing homes are under strong pressure to provide good care to the patients. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Homes’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the health professionals; however, changing one’s working approaches, routines and working culture may be demanding. On this background we explored how the ‘Joy-of-Life-Nursing-Homes’ strategy is perceived by the employees, before and after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality which had implemented the ‘Joy-of-Life-Nursing-Homes’ strategy. The analysis was conducted following Kvale’s approach to qualitative analysis.Results: The main categories after the data condensing were (a) the characteristics of care activities before implementations of ‘Joy-of-Life-Nursing-Homes’, (b) how ‘Joy-of-Life-Nursing-Homes’ influenced the care activities, and (c) challenges with the implementation of ‘Joy-of-Life-Nursing-Homes’. Some of the informants spoke well about the implementation concerning the quality of the care, as one stated “to see the joy in the eyes of the patient then I feel we have succeeded”. For informants who experienced resistance toward the implementation, they feel that it is too much to document, it is too complicated, and the requirements are too many. Conclusions: Quality of care for the patients seems to have increased after the implementation. Nevertheless, the fact that the informants seemed to be divided into two different groups related to their main perspective of the implementation is concerning. One group has positive experiences with the implementations process and the benefits of it, while the other group focuses on lack of benefits and problems with the implementation process.

Otolith-ocular responses in Meniere's patients before and after endolymphatic shunt operation

2008 ◽  
Vol 17 (2-3) ◽  
pp. 113-118 ◽  
Author(s):  
Martin Westhofen
Keyword(s):  
Supine Position ◽  
Constant Velocity ◽  
Vertical Axis ◽  
Shunt Operation ◽  
Shunt Surgery ◽  
Clinical Routine ◽  
Ocular Reflex ◽  
Vestibular Ocular Reflex ◽  
Before And After ◽  
Axis Rotation

Caloric testing in prone/supine position and constant velocity off-vertical axis rotation (OVAR) in yaw axis (rotate-then-tilt paradigm) can evaluate labyrinth function and vestibular-ocular reflex (VOR) behaviour before and after endolymphatic shunt surgery (ESS). Preoperative and postoperative otolith dysfunction can be documented by constant velocity OVAR, before the VOR is modulated by the vestibular compensation. Vestibulo-ocular responses in prone/supine position and linear VOR (lVOR) OVAR responses were observed in 10 patients before and after ESS. Ipsilateral caloric reaction in prone/supine position was reduced after ESS. Otolith-ocular function and canal-otolith-interaction were improved postoperatively. Meniere's patients with bias component opposite to normal when rotating towards the lesioned ear showed relief of symptoms postoperatively. The bias component returning to normal can help to identify the relief of Meniere's attacks after ESS. The canal-otolith interaction can be observed pre- and postoperatively by means of caloric reaction in prone/supine position as part of the clinical routine.

Self-Perceptions of Physical Activity in Survivors of Acute Lymphoblastic Leukemia in Childhood

2003 ◽  
Vol 15 (2) ◽  
pp. 191-201 ◽  
Author(s):  
Marilyn J. Wright ◽  
Victoria Galea ◽  
Ronald D. Barr
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Acute Lymphoblastic Leukemia ◽  
Psychological Health ◽  
Lymphoblastic Leukemia ◽  
Female Gender ◽  
Cranial Irradiation ◽  
Beneficial Effects ◽  
Self Perceptions

Participation in physical activity has important beneficial effects on physical and psychological health. Many outcomes associated with physical activity are typically compromised in survivors of childhood cancer. The purpose of this study was to describe self-perceptions of physical activity in survivors of acute lymphoblastic leukemia (ALL) and to explore the relationships of these findings with quality of life measures and clinical descriptors. 62 children and adolescents treated previously for ALL and 71 comparable healthy subjects completed the Children’s Self-perceptions of Adequacy in and Predilection for Physical Activity (CSAPPA) scale and the Health Utilities Index (HUI). The ALL subjects had significantly poorer self-perceptions of their adequacy in and predilection for physical activity than the comparison group. Stepwise regression analyses identified high risk for relapse, female gender, and older age, but not body-mass-index, age, age at diagnosis, length of time off therapy, or cranial irradiation as significant predictors of CSAPPA total scores in the ALL group. HUI overall scores and single attribute scores for emotion, cognition and pain had significant positive correlations with various CSAPPA scores. Results suggest that survivors of ALL are less inclined to participate in physical activity and physical activity scores are related to quality of life scores. Long-term follow-up should include education and programming to promote participation in physical activity.

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