Effects of home training and additional physical therapy on recovery after acute unilateral vestibular loss- a randomized study

Kammerlind, Ann-Sofi; Ledin, Torbjörn; Ödkvist, Lars; Skargren, Elisabeth

doi:10.1191/0269215505cr830oa

Cited by 58 publications

(63 citation statements)

References 21 publications

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“…It also showed that these benefits were long-term and measurable 6 months later. These results agree with other well-controlled studies emerging in the literature Badke et al, 2005;Kammerlind et al, 2005;Hansson et al, 2004;Murray et al, 2001;Szturm et al, 1994;Horak et al, 1992].…”

Section: Discussionsupporting

confidence: 83%

“…A recent retro-spective study indicated significant improvements in dynamic posturography performance and self-rated questionnaires (Dizziness Handicap Inventory) after patients had performed an individualised vestibular rehabilitation programme consisting of a weekly supervised session and a home exercise programme [Badke et al, 2005]. Another recent study showed that regular physiotherapy sessions in addition to the patient completing the home exercise programme interestingly did not significantly improve the outcomes [Kammerlind et al, 2005].…”

Section: Introductionmentioning

confidence: 99%

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Vestibular Rehabilitation in Individuals with Inner-Ear Dysfunction: A Pilot Study

Enticott

Vitkovic

Reid³

et al. 2007

Audiol Neurotol

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A randomised control prospective study was carried out examining patient outcomes after performing a 10-week vestibular home exercise programme. Thirty-two adults with vestibular dysfunction who reported vestibular symptoms negatively affecting daily life were enrolled. Test subjects were provided with an individualised vestibular rehabilitation programme designed by a physiotherapist. Control subjects received a set of strength and endurance exercises only. All subjects performed their exercises 3 times a day for 10 weeks. Subjective and objective patient measures were collected at 0, 6, 10 and 26 weeks. Results showed that both groups improved after beginning exercise, and that test subjects significantly benefited compared to the controls. These benefits were long term and measurable 6 months later. This study provides evidence that individualised vestibular exercises promote better outcomes for patients with vestibular dysfunction.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Vestibular Rehabilitation in Individuals with Inner-Ear Dysfunction: A Pilot Study

Enticott

Vitkovic

Reid³

et al. 2007

Audiol Neurotol

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“…In that condition, vestibular rehabilitation therapy has been shown in a randomized controlled study to improve vestibulospinal function compared to those patients who did not receive therapy following an episode of neuritis [Strupp et al, 1998]. Rehabilitation therapy has also been shown to be effective during the acute phase following sudden vestibular loss [Hillier and McDonnell, 2011;Kammerlind et al, 2005;Teggi et al, 2009;Venosa and Bittar, 2007], and even in cases where the baseline vestibular function is fluctuating, as might be expected in an acutely injured ear whose native function may recover somewhat such as following implantation [Gottshall et al, 2010].…”

Section: Mitigation Of Imbalancementioning

confidence: 99%

Short-Term Risk of Falling after Cochlear Implantation

Stevens

Baudhuin

Hullar³

2014

Audiol Neurotol

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Cochlear implantation is a highly effective intervention for hearing loss, but insertion of an implant into the cochlea is often accompanied by loss of residual hearing function. Sometimes, postoperative testing also shows loss of function in the semicircular canals or otolith organs. The effect of this loss on equilibrium, particularly in the short term following surgery, and the risk of falling due to this loss is unknown. We prospectively measured balance in 16 consecutive adult cochlear implant patients before and 2 weeks after surgery. Subjects stood on a foam pad with eyes closed, feet together and arms at the side. The length of time over which this posture could be maintained was recorded up to a maximum value of 30 s indicating normal performance. Ten of 16 subjects reached a maximal time on preoperative testing. Nine of 16 subjects lost balance function after surgery. Four of the 10 subjects with normal preoperative balance function lost function. Subjects older than the age of 60 were more likely to lose balance function than younger subjects. We used previously published values relating balance performance on foam to risk of falling to calculate the fall risk among our subjects. The relative risk of falling increased after surgery by more than threefold in some patients. Imbalance after cochlear implantation may be much more common, particularly in the short term, than previously appreciated. This imbalance is accompanied by an increased risk of falling in many patients. Careful preoperative counseling before implantation and postoperative therapeutic intervention to improve comfort and reduce the chance of falling may be warranted, particularly in patients at a risk for injuries from falls (level of evidence: 2b). i 2014 S. Karger AG, Basel

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“…We [6] have previously performed a randomized controlled trial to evaluate the effects of home training with or without additional physical therapy after acute unilateral vestibular loss. No significant differences between training groups were detected at any of the follow-ups.…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up after acute unilateral vestibular loss and comparison between subjects with and without remaining symptoms

Kammerlind

Ledin

Skargren

et al. 2005

Acta Oto-Laryngologica

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In the first part of the study, 27 subjects reported remaining symptoms, 3 reported 1 additional period of symptoms and 21 had not experienced any symptoms at all in the 3-6 years since acute unilateral vestibular loss. In the second part, the group with remaining symptoms rated a lower health-related quality of life and a higher level of anxiety and depression. There were no differences between the two groups in terms of ENG tests, VEMPs or clinical balance tests.

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Effects of home training and additional physical therapy on recovery after acute unilateral vestibular loss- a randomized study

Abstract: No significant differences in outcome regarding balance function or perceived symptoms were found between home training with or without additional physical therapy.

Cited by 58 publications

References 21 publications

Vestibular Rehabilitation in Individuals with Inner-Ear Dysfunction: A Pilot Study

Vestibular Rehabilitation in Individuals with Inner-Ear Dysfunction: A Pilot Study

Short-Term Risk of Falling after Cochlear Implantation

Long-term follow-up after acute unilateral vestibular loss and comparison between subjects with and without remaining symptoms

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