What is the most effective vestibular rehabilitation technique in patients with unilateral peripheral vestibular disorders?

Rossi-Izquierdo, Marcos; Santos-Pérez, Sofia; Soto-Varela, Andrés
November 2011
European Archives of Oto-Rhino-Laryngology;Nov2011, Vol. 268 Issue 11, p1569
Academic Journal
Vestibular rehabilitation has been found to be effective and safe in patients with instability. There is insufficient evidence, however, for distinguishing between the efficacies of different rehabilitation techniques. The objective of this study is to verify whether there are differences between two instrumental vestibular rehabilitation techniques, computerised dynamic posturography (CDP) and optokinetic stimulation (OKN), in order to establish the optimal strategy for each patient. We conducted a prospective, comparative study of the two techniques (CDP and OKN) in patients with instability due to chronic unilateral peripheral vestibular disorder. We randomly included 12 patients in each group, performing the evaluation with the Dizziness Handicap Inventory and the CDP with the sensorial organisation test (SOT), rhythmic weight shift and limits of stability (LOS). We found a statistically significant improvement in both groups in average balance score according to the SOT. In the OKN group, however, improvement was greater in visual preference. The CDP group showed greater benefits in the visual and vestibular input and LOS. Patients with poor vestibular and visual input or with reduced LOS will benefit more from an exercise protocol with CDP. Patients with poor visual preference, however, are ideal candidates for rehabilitation with OKN.


Related Articles

  • Follow-up of vestibular function in bilateral vestibulopathy. Zingler, V C; Weintz, E; Jahn, K; Mike, A; Huppert, D; Rettinger, N; Brandt, I; Strupp, M // Journal of Neurology, Neurosurgery & Psychiatry;Mar2008, Vol. 79 Issue 3, p284 

    Objective: Bilateral vestibulopathy (BV) leads to a bilateral deficit of the vestibulo-ocular reflex and has various aetiologies. The main goal of this study was to determine the frequency and degree of recovery or worsening of vestibular function over time. Methods: 82 patients (59 males, 23...

  • Early rehabilitation for unilateral peripheral vestibular disorders: a prospective, randomized investigation using computerized posturography. Marioni, Gino; Fermo, Salvatore; Zanon, Davide; Broi, Nadia; Staffieri, Alberto // European Archives of Oto-Rhino-Laryngology;Feb2013, Vol. 270 Issue 2, p425 

    Patients with unilateral vestibular lesions have a set of deficits requiring compensation based on the inherent plasticity of the central nervous system. In the 1940s, it was reported that patients with unilateral vestibular dysfunctions who exercised recovered faster than those who did not. The...

  • Awareness of neurocysticercosis: A study from northwest India. Girotra, Mohit; Gera, Chanchal; Abraham, Rtika Ryfka; Gauba, Rajat; Bansal, Tino; Kaur, Parmdeep; Singh, Yashpal; Pandian, Jeyaraj D. // Annals of Indian Academy of Neurology;Jan-Mar2011, Vol. 14 Issue 1, p27 

    Background: Neurocysticercosis (NCC) is a common cause of epilepsy in developing countries. In order to plan and implement prevention programs, it is essential to study the awareness of NCC. Objective: To study the awareness of NCC among patients with NCC and compare with age- and gender-matched...

  • Reading and spelling disorders: Clinical features and causes. Warnke, A. // European Child & Adolescent Psychiatry;1999 Supplement 3, Vol. 8, pS002 

    Abstract Developmental dyslexia (specific reading and specific spelling disorder) is thought to stem from specific features in cognitive processing strongly related to biological maturation of the central nervous system which interact with non-biological learning conditions. The specific...

  • Chlamydophila pneumoniae infection of the central nervous system in patients with multiple sclerosis. Furrows S J; Hartley J C; Bell J; Silver N; Losseff N; Stevenson S; Chapman M; Thompson E J; Ridgway G L; Giovannoni G; Furrows, S J; Hartley, J C; Bell, J; Silver, N; Losseff, N; Stevenson, S; Chapman, M; Thompson, E J; Ridgway, G L; Giovannoni, G // Journal of Neurology, Neurosurgery & Psychiatry;Jan2004, Vol. 75 Issue 1, p152 

    Background: Chlamydophila pneumoniae has been postulated as an aetiological agent in the pathophysiology of multiple sclerosis. Previous studies show conflicting results.Objective: To investigate patients with multiple sclerosis and other neurological diseases for...

  • poliomyelitis. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p616 

    An encyclopedia entry for "poliomyelitis" is presented. It refers to an infectious disease caused by the polio virus. In serious cases, it attacks the brain and spinal cord. The virus is spread from the faeces of infected people to food but airborne transmission also occurs. The causes,...

  • Interdisciplinary Approach to Dizziness: Roles of Audiology and Physical Therapy. Akin, Faith W.; Hall, Courtney D.; Riska, Kristal M. // Perspectives on Public Health Issues Related to Hearing & Balanc;2013, Vol. 14 Issue 1, p11 

    Dizziness is one of the most common reasons patients seek medical care, and because there are many causes of dizziness, management of these patients requires an interdisciplinary approach. Peripheral vestibular dysfunction is the most common cause of dizziness/vertigo diagnosed in specialty...

  • CONTRIBUTION OF THE AUDIOLOGICAL AND VESTIBULAR ASSESSMENT TO THE DIFFERENTIAL AND ETIOLOGICAL DIAGNOSIS OF PERIPHERIC VESTIBULAR SYNDROMES. Ungureanu, Loreta; Cozma, S.; Radulescu, Luminita; Mârtu, D. // International Journal of Medical Dentistry;Jul-Sep2012, Vol. 16 Issue 3, p150 

    Scope of the study: Vestibular pathology is a complex one, requiring a minute clinical evaluation, as well as numerous paraclinical investigations. The present study analyzes the contribution of the modern methods of vestibular and auditive investigation to the diagnosis of dizziness. Materials...

  • SUPERIOR CANAL DEHISCENCE SYNDROME - CASE REPORT. Parlea, Elvira; Georgescu, Madalina; Calarasu, Romeo // Romanian Journal of Neurology;2012, Vol. 11 Issue 3, p142 

    We report a case of a patient with superior semicircular canal dehiscence syndrome, a recently described condition in which vestibular imbalance and/or hearing loss results from the discontinuity of the bone overlying the superior semicircular canals. Case report. A 46-years-old women presented...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics