Blog Archives

Vestibular Rehabilitation of Older Adults with Dizziness

The role of rehabilitation for treatment of older adults with dizziness and balance disorders is reviewed. Theories related to functional recovery from peripheral and central vestibular disorders are presented. Suggestions on which older adults might benefit from vestibular rehabilitation therapy are presented. Promising innovative rehabilitation strategies and technologies that might enhance recovery of the older adult with balance dysfunction are discussed.

from Otolaryngologic Clinics of North America

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Early Vestibular Physical Therapy Rehabilitation for Meniere’s Disease

Meniere disease includes symptoms of fluctuating hearing loss, tinnitus, and subjective ear fullness accompanied by episodic vertigo. Along with these symptoms, patients with chronic Meniere often develop symptoms of disequilibrium and unsteadiness that extend beyond the episodic attacks and contribute to the total disability and reduced quality of life attributed to the disease. Vestibular rehabilitation physical therapy has been used only after vestibular ablation has stabilized the vestibular loss, and for patients stably managed on medical therapy who exhibit no fluctuation in symptoms. This article reviews the data substantiating current applications of vestibular therapy, including improvements in subjective and objective balance outcome measures, and explores the possible extension of vestibular rehabilitation to treatment of patients exhibiting continued fluctuating vestibular loss.

from Otolaryngologic Clinics of North America

Vestibular substitution: comparative study

Conclusion: These preliminary results indicate the efficacy of the electrotactile vestibular substitution system in improving patients’ symptoms of vestibulopathy, and constitute evidence of successful sensory substitution.

from the Journal of Laryngology and Otology

Advances in auditory and vestibular medicine

Auditory and vestibular medicine is becoming more accepted as a specialty in its own right. Recent advances in the field have been instrumental in the understanding of the scientific foundations, pathophysiology, clinical approach and management of patients with hearing and vestibular disorders. This paper will review these advances.

from Audiological Medicine

Static and dynamic balance and well-being after acute unilateral vestibular loss

from Audiological Medicine

The aim of this trial was to evaluate long-term (after six months) effects of successful vestibular rehabilitation in patients with acute unilateral vestibular loss (AUVL) in relation to static and dynamic balance, hypertension, headache, disturbed sleep and physical exercise habits. A group of 42 patients were included. For comparison, an age and gender matched healthy reference group was used, consisting of 56 subjects. The assessments were static and dynamic balance performances with the Romberg test, a sharpened Romberg test (SREC), standing on one leg with eyes open/closed (SOLEO/SOLEC) and a 10-m walking test, with and without head movements. A questionnaire concerning the occurrence of hypertension, headache, disturbed sleep and physical exercise habits was also administered. The AUVL group walked significantly slower and took shorter steps (p <0.001) compared to the subjects in the reference group. Significantly impaired performances were also found in the AUVL group in SREC (p<0.01) and SOLEC (p <0.05) compared to the reference group. A significantly larger proportion of patients with AUVL (26%) used anti-hypertensive medication compared to the reference group (4%) (p <0.01). This study demonstrated that AUVL patients, after vestibular rehabilitation and compensation, still have long-term static and dynamic balance problems. We have also found that patients who have suffered from AUVL have a higher prevalence of hypertension compared to a reference group.